Research On The Financing Dilemma Of Public Hospitals

The new medical reform,which began in 2009,is based on the double-digit growth of the country’s average annual fiscal revenue.After 2013,China’s GDP growth rate has slowed down significantly,and the growth rate of fiscal revenue has slowed down.In 2015,the economy entered a new normal,and the growth rate of fiscal revenue hit a ten-year low,which posed new challenges for the country to increase investment in new medical reform,especially in infrastructure projects in public hospitals.In June 2014,the National Health and Family Planning Commission issued an emergency notice to strictly control the examination and approval of beds in public hospitals,strictly control the construction standards of public hospitals,strictly control the allocation of large-scale medical equipment in public hospitals,and strictly prohibit the construction of debt collection in public hospitals.In February 2023,the Ministry of Finance stopped the PPP project in the form of a nationwide investigation,and the financing of hospital projects added uncertainty.Once financial funds are not available,the construction of public hospitals will face greater risks.This paper takes the new relocation project of Q City Traditional Chinese Medicine Hospital as the specific research object,and takes the Baishihu Hospital Project of the Second People’s Hospital of Q City as the supporting research object.It adopts the literature research method,policy research method and institutional research method to analyze the financing dilemma at the policy level and unit level faced by the Traditional Chinese Medicine Hospital to find out the existing problems and causes.The case analysis method,comparative analysis method,logical analysis method and investigation and research method are used to carry out multi-latitude analysis of the financing source status and project financing situation of public hospitals,and the financing models in different regions,situations,different purposes and different external environments are compared horizontally.This paper combines the cash payment ability analysis of enterprises with financing strategies to the dynamic analysis of cash flow in public hospitals,and has a certain scope of application innovation.Sort out and analyze different financing models and schemes,and propose solutions so that traditional Chinese medicine hospitals can better adapt to the current new normal of economic growth,improve their core competitiveness,and promote the high-quality development of traditional Chinese medicine.At the same time,taking the PPP project of Q City No.2 Hospital as an example,it is believed that the high-quality PPP project with extensive investigation will certainly open up new legal and compliant financing channels for public hospitals.The pursuit of direct financing by public hospitals can further integrate the listing of hospitals to promote win-win results.The significance is to clarify the misunderstanding of the government’s understanding of public hospital investment,and discuss the view of combining the public welfare of hospitals with the inevitability of government investment.While encouraging the government to reasonably increase investment in hospitals,it can also avoid Avoid the occurrence of fiscal deficits.At the same time,it has prompted the government to remove restrictions on the financing of public hospitals and allow direct financing of high-quality hospitals to re-establish their new core competitiveness,so that the extended expansion of hospitals and connotative development can be organically combined to ensure the safety of state-owned assets.Only under the premise of adhering to public welfare but facing their own internal market economy attributes,implementing a scientific outreach expansion and connotative development strategy,comprehensively promoting enterprise management,and practicing the requirements of high-quality development can public hospitals be neutral and maintain core competitive advantages in the competition with private hospitals.