国内首张医生集团营业执照为何诞生在深圳? 3月8日,“深圳博德嘉联医生集团医疗有限公司”(以下简称“医生集团医疗公司”)正式批准注册,该公司由广东一个“私人医生工作室”集团(以下简称“医生集团”)发展而来,“岭南三剑客”之一林锋任法人。
营业执照的诞生表明了医生集团作为一个新行业的诞生,医生可以在合法的商业组织中从事自己的医疗活动,集团内的医生也可以名正言顺地开始新的执业模式。 in the united states,执业医生以医生集团形式执业占据了82%,是国外主要的医疗模式。And in China,医生集团这种新业态才出现。首张“医生集团”营业牌照为何会落在深圳?
这对于深圳和深圳老百姓来说,意味着什么?对于深圳的医疗改革、医生多点执业的推进又会产生什么样的影响?15日,医生集团医疗公司三位创始人林锋、Xie Rushi、张子谦在深圳接受了媒体记者的采访。
前世“私人医生工作室”身份尴尬 “在工商词条上根本就不能注册‘医生集团’等字眼” “我14块钱的一个号,都被黄牛炒到了3000元,但是患者花了高价,排了半天后,只能给他几分钟的时间,患者不满意,后把气撒到医生头上。”对于目前的医疗现状,林锋也很无奈。
医疗资源的过度集中和医疗服务价格结构的不合理,使得一系列问题越来越突出,而且患者、doctor、政府都不满意。 如何才能破解这种局面呢?
2025March,广东正式允许了医生多点执业,中山大学附属第六医院大外科主任林锋与其同事副教授谢汝石,以及广州医科大学附属第一医院教授张子谦成为第一批“吃螃蟹的人”,他们在珠江新城创办了广州第一批“私人医生工作室”,并联合创建了国内一家以“私人医生工作室”命名的医生集团,旨在探索医生多点执业的服务新模式。
按照国外私人医生的经验,工作室的运营采用预约制度,预留了充足的咨询时间,并有工作人员协助检查,在各个诊疗节点上提供个性化的定制服务。 “从目前来看,工作室初步达到了目的。”张子谦说。
近一年来,他的“颈肩腰腿痛医生工作室”零投诉,虽然挂号
cost
要比医院贵,但提供的服务有别于公立医院,没有不必要的检查和大处方,会针对性地给病人个体化和精准的治疗,有时候看一个病人要花一个小时,更多病人认为很值得。
在不到1年的发展历程中,私人医生工作室集团在广州、重庆成立了常设机构,也荟萃了国内和国际知名的医疗专家300余人,覆盖19个临床学科,发展成为“中国十大医生集团”之一。其间探索与实践中的医疗服务新模式,业内也将三人称为医疗改革“岭南三剑客”。
尽管发展势头良好,但私人医生工作室集团的市场化运作仍受到制约。谢汝石告诉记者,由于没有取得工商执照,私人医生工作室集团不是一个独立的法人机构,医生集团与医疗机构之间的合作受到限制,“在医疗机构里面,我们不能主动进行收费,要医院收完之后再分给我们。
” 而且根据《医师法》,医生执业必须要先在医疗机构注册,只有在不离开医疗机构的情况下,才能在工作之余采取医生多点执业的模式加入医生集团,这意味着医生仍属于医疗机构,而不是属于医生集团,医生始终会受到供职医院的制约,无法有效地管理自己的时间外出多点执业。
also,医生选择院外多点执业也可能面临医疗纠纷等风险。 in the united states,执业医生以医生集团形式执业占据了82%,是国外医生执业主要的模式。而在我国,医生集团仍是一个新生事物,要名正言顺地在工商部门注册是一件非常困难的事情。
“医生集团在工商注册上存在很多限制,公司不能称为医生集团,所以我们注册的是医疗科技股份有限公司。”比林锋医生更早在国内创立“医生集团”的张强医生也遗憾地表示。 “在工商词条上根本就不能注册‘医生集团’等字眼。
"Xie Rushi said,The name contains the word "Group",Most people would think of it as a group company,Industry and Commerce Department Association
Require
The applicant shall follow the group company’s
Require
declare,This is obviously something that the doctor group cannot achieve.。为了找到注册上的突破,他们绞尽脑汁,甚至曾经想过在香港注册。
今生流动医院建立起来 “我没想到那么快就批下来了” 就在谢汝石他们为“私人医生工作室”集团未来的发展犯愁的时候,深圳主动抛来了“绣球”。early this year,深圳市卫生计生委主任罗乐宣向谢汝石发出了邀请,It is hoped that the "Private Doctor Studio" group will establish a company headquarters in Shenzhen and establish a famous medical diagnosis and treatment center.。
为了让这一新生事物在深圳落地,罗乐宣与深圳市市场质量监督委员会相关部门直接进行协商,并请他们给予支持。”而深圳市市场监督管理局也采纳了其意见,率先在政策上进行突破,Give physician groups a legal identity。38th of the month,The first domestic doctor group business license - "Shenzhen Bodejialian Doctor Group Medical Co., Ltd." was officially born upon approval。
“我没想到那么快就批下来了。”那么快拿到牌照让谢汝石感到兴奋和意外,更让他看到了深圳改革开放的勇气,“这种改革的力度是前所未有的,政府的支持总是走在企业的前面,推着企业走,这也是我们来到深圳的主要原因。” 众所周知,Medical and health care is a shortcoming of Shenzhen,People with some difficult and complicated diseases have to go to Beijing, Shanghai and Guangzhou to see them。
如何补上医疗资源供需矛盾这个“短板”也成为深圳医改的一个待解难题。 “促进社会办医,加快形成多元化发展格局是深圳补‘短板’”的一个重要手段。”罗乐宣说。
In "Mass Entrepreneurship"、万众创新”的新时代背景下,国内多元化办医加快推进,医疗健康产业生态圈发生深刻变革,Doctor Group、护士集团、家庭医生集团、名医中心等新业态蓬勃发展。这些新业态,可以提升社区医疗水平。"therefore,我们积极创造环境,要吸引优秀的外地医生来深圳创业,为深圳市民提供更多优质的医疗服务。
”罗乐宣说,医生是整个医疗卫生事业和健康产业发展中的第一生产力,推动医生自由执业,Conducive to enhancing the value of medical talents,Promote the sinking of medical services。
罗乐宣也表示,深圳引进和培育医生集团的愿景是,希望将医改从过去主要针对医疗机构改革,转移到针对医务人员的改革上来,通过为医生提供良好的创业平台,促进医疗服务新生态、健康产业新业态的发展。 With the birth of the first business license,Doctor groups have also become a new business format,Physician groups can legitimately start new practice models。
The reporter learned,The doctor group is also currently applying for a medical institution license,Wait until you get the license,Group doctors can register,Then I practiced in more medical institutions in Shenzhen.。and,as an independent legal entity,Doctor groups can legitimately cooperate with hospitals,Issuance of invoices in Shenzhen、Medical service fee charged。
in means of payment,The doctor group will also discuss the current situation from medical insurance、Commercial insurance pays to medical institutions,Transformed into a physician group,Even a model of individual payments to doctors。 Xie Rushi compared the doctor group to an airline,The hospital is the airport,The doctor team is a different type of aircraft。
"The Doctors Group is not one person,But a group of people,Every hospital has strengths and weaknesses,Cancer surgery in some hospitals is very weak,We send a team of doctors to help,Improve hospital standards。"Xie Rushi said,"The doctor group is a mobile hospital。” 未来深圳人看高级专家更容易 “医生集团的出现不会推高价格” 随着首张营业牌照的诞生,The doctor group will also provide a new service model。
The initial goal of the doctor group is to provide the market with diversified and high-quality medical services.,Make the professional value of doctors reasonable、manifestation of sunshine,Promote supply-side reform of medical services in Shenzhen。The operating model of Future Doctor Group,Mainly in addition to the PHP (hospital cooperation) model that revitalizes Shenzhen’s existing medical resources,will also work with capital、After integrating insurance, build a new medical institution in which you own shares or a platform integrating medical and nursing care.。
PHP model is doctor-led,Doctor group contracts with doctors,Doctor group signs contract with hospital,Doctors practice in cooperative medical institutions through doctor groups、consultation surgery,Receive revenue sharing or insurance payments。"Many hospitals, especially private hospitals,、Social welfare centers lack good doctors,The cost of bringing in experts is very high,If doctors can provide hospitals with a high-level team of doctors,and based on this revenue share,Problem solved for the hospital。
"Xie Rushi said,And patients can also get good diagnosis and treatment at the grassroots level。 Such activities were often defined as "speculation" in the past.、"Flying Knife",After the legalization of doctor groups,Doctors’ service charges can not only be set through doctor groups,It can also be sunlit。Such clearly stated prices not only make it easier for patients to know,At the same time, it also facilitates industry supervision and tax payment according to regulations.。 For patients in Shenzhen,There may be no need to travel to Beijing, Shanghai and Guangzhou to treat difficult and complicated diseases.。
“There are already many doctors who are interested in practicing in Shenzhen through doctor groups.,In addition to receiving precise services from experts in the province, patients,You can also get expert services from outside the province and even abroad through the group's network and channels.。"Xie Rushi said,"Some individually difficult cases,We will conduct remote consultation、Experts are invited in and sent out to meet the patient’s medical needs.。
” via PHP mode,Doctor Group will establish a three-level triage model led by senior experts in Shenzhen,Cooperate with primary medical institutions,Provide training for grassroots doctors,For problems that cannot be solved at the grassroots level, referrals are made to experts from large hospitals.、Senior experts from outside the province, etc.。same,after patient surgery,You can also promptly return to primary medical institutions for recovery through doctor group channels.,Ease the difficulty of medical treatment in large hospitals。 The new business format of doctor group emerges at the right time,Received support from Shenzhen government departments。
but,Medical practice is bound to involve medical risks,And only supervision can make the market more orderly,Responsibilities are clearer。Li Chuang, director of the Shenzhen Municipal Health and Family Planning Commission Secretariat (Medical Reform Office) said,The National Health and Family Planning Commission will supervise the practice of medical institutions and doctors。 Sun Xizhuo, president of Luohu Hospital Group, also welcomed the arrival of the doctor group。“It meets the medical needs of people at different levels.
Require
,It is easier for people with good economic conditions to get medical treatment。
but,The emergence of doctor groups will not drive up prices,The structure of medical prices has a transformation,Expert income will increase,Potential gray income will decrease,Ordinary people always seek medical treatment
cost
won't rise,The cost of medical treatment will be one plus one less than two.。"but,He also thinks,Don’t think that doctor groups can solve the problems existing in Shenzhen’s current medical system,“Its symbolic significance is greater than its substantive significance。
"He also said,Medical Quality by Doctor Group、medical safety、
cost
manage、How to regulate income distribution, etc.,The government should issue regulations or guidance as soon as possible,Good thing is legislation,"If it doesn't work nationally,Shenzhen can take the lead in introducing。”
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