How are things today in private medicine? That we lose in the case of complete collapse of private medicine? Answer to this question you will find in the article.
Content
According to the heads of private medical centers, over the past few months, the volume of paid medical services fell by 30 - 60%.
Crisis and Medicine
The reasons for the current position three. The first is a decrease in solvent demand. So, according to the surveys of entrepreneurs in all areas of business, 59% is called this reason (the survey is conducted by the Department of Support and the Development of Small and Medium Entrepreneurship. Moscow). Second - drop by 30 - 40% of the voluntary health insurance market. In the context of the economic crisis, most enterprises reduced their costs due to the social package. The third is an increase in government activity in declaration of the need to improve the health of health care, that is, the company expects the quality, accessibility and effectiveness of medical care from the State Health System.
So, according to the Center for Strategic Research OJSC «Rosgosstrakh», In early 2007. Residents of large and medium-sized Russian cities considered acceptable annual costs of doctors and drugs in the amount of about 31 thousand. rub. on family, and in spring 2008. They were ready to spend only 9 thousand for these purposes. rub.
Problems of the private market of medical services are not personal problems of a particular entrepreneur, what the state does not want to think at all. They are much wider: private expenditures make up 41% of total health care costs, which is quite large in comparison with the EU countries, where this figure was equal in 2004. 25%.
Nevertheless, small and medium-sized health enterprises were not included in the list of priority areas of entrepreneurship in Moscow. And, therefore, can not count on state support. Interestingly, the metropolitan authorities make a bet on the development of enterprises in the field of trade and real estate operations. At the same time, believing that they will provide accessible and high-quality medical care for the forces of municipal institutions.
As a study showed Discovery Research Group 2007., 85% of respondents from Moscow addressed paid medical centers due to the high quality of the services provided. And for 75% of respondents, the level of service in them serves as the main motive. More than half of the respondents turn to payable services due to high service speed (57%), and also because they do not have the ability to receive the necessary medical services for free (54%). According to the study of the Center for Strategic Studies of JSC «Rosgosstrakh» In 2008., The main causes of discontent with the quality of medical care are large queues, difficulties in writing to specialists and low qualifications of doctors. Over the past year and a half, the level of service quality has decreased: the share of displeased queues, low qualifications and unavailability of doctors increased markedly compared with the beginning of 2007. It is doubtful that in the coming years, municipal services will be able to solve all problems.
How are things today in private medicine
Many network paid polyclinic reduced the number of branches, that is, ceased to be network. The quality of medical care is reduced due to the refusal of the purchase of modern medical equipment, as well as the reduction of medical personnel. Asko is the problem of remuneration of high-class specialists. Commercial beds in hospitals are badly filled. Insurance companies operating in the voluntary health insurance system are reluctant to pay medical services rendered, require lower tariffs. For example, a challenge of paid ambulance at DMS prices in some cases fell to 2000 rubles, against 4000 rubles last year. The new price was below the cost of this service. Note that the municipal ambulance is funded at the rate of 4 - 5 thousand. rubles for 1 call. Moreover, if earlier the transportation of patients from paid polyclinic was carried out by the forces of ambulance services, today insurers insist on the challenge of municipal. The owner of the OMS policy today is practically deprived of the opportunity not only to cause a paid ambulance (challenges are now accepted through the dispatch consoles of the insurance companies themselves), but also to be hospitalized on a commercial bed. Thus, in addition to lowering the tariffs, the volume of orders for voluntary health insurance has sharply decreased. And at a loss here are not only small enterprises, but also multidisciplinary hospitals of various departments.
Against the background of falling the implementation of medical services, the costs of their provision. So, traditionally, licensed requirements are tightened from year to year. New standards for equipping medical equipment and equipment are introduced. The entrepreneur turns out to be in a completely disadvantage: income fall - costs grow. And patients paying money, expect a visible positive result from paid treatment.
As a result of all this, experts NP «Moscow Center for Entrepreneurship Development» Expect to reduce investment in private medicine by 30 - 50% to 2012. It is clear that no one will invest in low-fat assets that are expensive medical appliances and equipment. In case of failure, who will buy it all?
That we lose in the case of complete collapse of private medicine? As mentioned above - 41% of medical care. And this is the main point. In addition - jobs. It is known that small enterprises in health care are leading in terms of the number of employees in each organization. In addition, when performing sometimes stupid regulations of regulatory authorities, medical business gives work and money to completely useless organizations that will certainly die with medical.
And we will lose confidence that at least for money, but at least someone can help us in, it would seem, hopeless situation.
