What are the factors that county-level hospitals retain the nature of institutions but cancel the establishment of institutions?

As we all know, although this round of public institution reform has lasted for a long time, according to the reform process, it will come to an end this year. In the reform of public institutions, there is such a reform measure: although the unit retains the nature of public institutions, the personnel in it have cancelled the establishment of the institution. For example, our public hospitals above the county level are reformed in this way. Then why should the public hospitals above the county level be reformed in this way? Based on what factors? Let's go see it together.

First, it is based on the public welfare of public hospitals.

We all know that medical care is related to the health of the people, the survival and development of the people, and a basic right that needs to be protected. Under such a positioning, although public hospitals have the nature of operation, they cannot be fully marketed. Only by maintaining the public welfare nature of public hospitals at or above the county level can we ensure that there will be no bias in the direction of its development and solve the problem of difficult and expensive medical treatment for the common people. If public hospitals are brought to the market in an all-round way, as a necessity and irreplaceable service for the people, it will inevitably become more and more expensive, and the problem of difficult and expensive medical treatment will not be reduced, but will be exacerbated. Therefore, it is very necessary to continue to maintain the nature of public hospitals and institutions, which is related to the stable development of the whole society.

Second, it is based on the stability of medical investment.

Everyone should understand this well. The investment in the development of the medical industry is very large. Whether it is scientific research or the purchase of related large-scale equipment, it requires high investment. Moreover, this kind of investment is long-term, complex, and basic. If public hospitals are brought to the market in an all-round way, these investments will definitely be difficult to guarantee. Because businessmen are all profit-seeking, private companies are definitely not willing to do those big investments, long-term investments, and some basic research. To maintain the nature of his institution is to insist on its public welfare, and the state's investment in this area will not be reduced. In fact, it is equivalent to integrating state investment, private investment, and public sharing to jointly promote the development of medical services and form a virtuous circle.

Third, it is based on the competitiveness of medical talents.

As we all know, the medical industry is an industry that emphasizes technology and scientific research. Only by continuously promoting theoretical research, technological innovation, and ability improvement can we improve our medical level as a whole. The promotion of these factors is inseparable from the competitiveness of the industry. Without competition, it can only be done by the state, and the efficiency is naturally slow. The original management of doctors is staff management. Such a management lacks flexibility. It is difficult for doctors to flow, and competition is difficult to be sufficient. Even if it is flowed within the system, it is very difficult. Such reforms break the constraints imposed by the establishment on doctors, and they will usher in a better and faster flow.

Physicians are also more committed to their work because there is so much competition that they have to be fully committed. From a low level, this is the only way to keep the job, because after losing the establishment, the position is not as stable as before, and the hospital and the doctor are contractually related. If you want to keep your job and your job, you have to work hard. In addition, from the high point of view, through sufficient competition, excellent doctors will definitely stand out and usher in a better development space. Under such a system, talents will fully participate in the competition, continue to study the business, and constantly improve their own level, thereby promoting the improvement of the level of the entire medical industry.