Hong Ziren, chairman of the Taiwan Medical Management Association, said that in order to operate for a long time, the hospital must return to the medical industry, calling for an increase in the growth rate of the total amount of health insurance year by year.

(Photo by reporter Lin Huiqin)

[Reporter Lin Huiqin/Taipei Report] The Health Insurance Administration of the Ministry of Health and Welfare announced the financial report of medical institutions in 2021, but among the top 10 overall balances, as many as 7 mainly rely on "non-medical income" to feed them. The Taiwan Medical Management Association believes that the actual income of the medical industry is "deteriorating "Hospitals are actively developing non-health insurance payment items such as health checkups and medical aesthetics, but they still need to expand the growth rate of the total amount of health insurance in order to be sustainable. The Medical Reform Commission recommends tracking the flow of hospital balances to clarify whether the labor and medical environment can be improved.

Hong Ziren, chairman of the Taiwan Medical Management Association and vice president of Shin Kong Hospital, said that when looking at the hospital's financial report, it must be interpreted correctly. It is mainly divided into two parts: the medical industry and non-industry income. Among them, the more important thing to understand is the medical industry. , because it involves the long-term trend of hospital operation, and is also the biggest key to sustainability.

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Hong Ziren pointed out that based on past data, the combined profit of hospitals with surplus in the medical center is less than 1% of the total amount of health insurance. It may seem that the operation was good during the epidemic, but it may be related to the official budget of the epidemic prevention work, not The medical routine, the past 3 years is considered an "abnormality". When life returns to daily life and people go back to the upward curve of medical treatment, the operating space of the hospital is bound to be compressed again. Without reasonable profits, it will be difficult to optimize equipment and recruit manpower, and the natural impact will increase. Improve the quality of medical treatment for the public and improve the workplace environment for medical care.

Hong Ziren pointed out that in recent years, the profit of the hospital medical industry has been affected by the fluctuation of health insurance medical points and the total amount system, which can be said to be "deteriorating". Therefore, many health insurance non-payment projects such as health checkups and cosmetic medicine are actively developed. The former helps the public early Discovery and treatment of diseases, the latter can pursue youth and beauty, and use the proceeds to make up for the losses of health insurance payment programs.

However, Hong Ziren believes that in order for the hospital to operate for a long time, it still needs to return to the medical industry. He called for the growth rate of the total health insurance to increase year by year. The increase in medical expenses will also help accelerate the introduction of new drugs, new technologies, and expansion of treatment items into the health insurance payment.

Lin Yahui, CEO of the Medical Reform Commission, believes that the capital, scale, and geographical environment of each hospital are different, and the presentation of financial reports should not only explore the order. It is still seen from time to time that medical staff struggle for labor, and there are also uneven labor divisions at different levels or between public and private institutions. , so it is necessary to track the flow of the institution's balance and find out whether to improve the labor and medical environment.

In addition, the webpage interface design of the financial report lacks easy-to-understand text descriptions, and there is no comparison and analysis of related indicators such as nurse-to-patient ratio and personnel costs. It calls for strengthening openness and transparency to achieve public supervision.

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