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href='/xywy/yxtqs/'>医讯同期声</a></span><span id="i2i2jyu4k" class="t" id="a1"><a href="/xywy/yxtqs/">医讯同期声</a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">医疗商场：新业态何妨一试</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2017年10月11日 11:03 | 作者:姚常房 | 来源：<a target="_blank">健康报网</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">近日，被称为“共享医院”的Medical Mall（医疗商?。┗鸬教淌?，很多问号也不断被抛出：Medical Mall会不会是昙花一现？未来该如何持续？</p><p style="text-indent: 2em; text-align: left;"><strong>政策上有突破</strong></p><p style="text-indent: 2em; text-align: left;">据介绍，在浙江省杭州市，政策上的突破为Medical Mall的出现提供了生存土壤。该省多点执业政策放开很彻底，省内不限制医生执业地点，注册一地后，全省通用；Medical Mall突破了配置标准，对可共享的一些设施设备的配置不做硬性要求，相关合同协议可作为医疗机构登记有关诊疗科目的依据；Medical Mall的全程健康医疗门诊可试点开展二级及以下日间手术。</p><p style="text-indent: 2em; text-align: left;">不过，对“新型医院形态”“打破医院等级”等提法，浙江省卫生计生委副主任马伟杭并不赞同。他解释说：“Medical Mall并不是独立法人机构，只是一个平台，将一些具有独立法人资质的诊所在同一建筑体内集聚。这种集合体也不是医院形态，因为基本不设病床?！痹谒蠢矗酥帜Ｊ降某踔蕴乇鹌铀?，就是提高资源利用效率、降低成本、减少资源浪费，降低社会资本办医在硬件、管理等方面的投入。</p><p style="text-indent: 2em; text-align: left;">张强医生集团创始人张强说，把共享推向风口的关键性政策，要属今年新修订的医疗机构管理条例实施细则?！爸С志侔於懒⒌谌降囊窖Ъ煅?、消毒供应、病理诊断、医学影像等专业结构，为共享医疗提供了清晰的政策指向?！?/p><p style="text-indent: 2em; text-align: left;"><strong>利益机制在哪里</strong></p><p style="text-indent: 2em; text-align: left;">分享投资管理合伙人管涛说，大部分Medical Mall盈利是依靠租赁，小部分则是自建自用。美国大部分Medical Mall是由大医院、医生团体或政府投资建立的。亚洲地区的Medical Mall大部分是由房地产商、投资机构或信托公司组成。香港私立医疗机构的竞争核心是基础医疗服务，占全香港门诊服务量的70%左右。因此，香港的门诊零售化是非常有效的发展模式，选择商场这一客流较为集中的地区，也是获客的有效手段和品牌推广的方法。</p><p style="text-indent: 2em; text-align: left;">第三方服务的出现加速了Medical Mall的发展，杭州医疗商城的投资方之一正是致力于第三方检验服务的迪安诊断。国家卫生计生委医政医管局相关负责人透露，目前，我国区域医学影像中心、区域医学检验实验室、区域病理诊断中心、血液透析中心和安宁疗护中心等，除小部分是二级以上医院向基层医疗卫生机构开放的外，大部分由社会力量举办，未来的发展方向是连锁化、集团化、成规模、上档次的提供第三方服务?！熬菸颐橇私?，社会力量在这些领域投资的意愿很强烈?！备酶涸鹑怂?。</p><p style="text-indent: 2em; text-align: left;">新解百集团董事长童民强表示，从零售服务业的客户入口端开始，把零售、医疗、健康、体育运动、娱乐等社会服务连接起来做成一个生态圈，可能是今后发展的必由之路。</p><p style="text-indent: 2em; text-align: left;"><strong>还有诸多难题需要回答</strong></p><p style="text-indent: 2em; text-align: left;">“总体看好，但还需要持续的市场培育?！惫芴味杂贛edical Mall的前景如此评说。</p><p style="text-indent: 2em; text-align: left;">他历数了Medical Mall给各方带来的挑战：对医生来讲，面临的竞争会更加激烈，品牌或信任如何建立，医技之外的服务如何提高等都是难题；对连锁诊所而言，医生个人面临的竞争更加激烈，综合服务质量的把控要求更高，行业洗牌可能加速；而对于商业地产公司来讲，面临如何选择进驻机构，医疗服务机构管理能力的缺失，新形态物业的管理要求也提高了。</p><p style="text-indent: 2em; text-align: left;">管涛表示，目前，对Medical Mall最多的争议主要集中在医疗安全与风险上?！叭绻幸惶?，提供检验或者其他服务的机构关门了，怎么办？如果一台手术出了问题，该找谁?” 香港艾力彼医院管理研究中心主任庄一强说。虽然对责任的确定，浙江省给杭州市卫生计生委的批复中已经提及：签订相关委托协议，明确医疗风险防范及责权利等相关事宜。但是，由于Medical Mall内各机构间品质同质化很难保证，相互协作机制建立也需要时间检验，因此，对医疗安全的担忧也并不是没有理由的。“现在对于监督门诊机构的审批条件很严，但是对于医生个人的医疗行为规范缺失。Medical Mall作为多个诊所的集合，服务规范很难统一。如果这个大楼里出现害群之马，那就势必殃及池鱼?！辈┑录瘟缴臗EO谢汝石说。庄一强更担心的是商场内医生及技术水平的均衡性?！叭绻质跻缴侨滓皆旱乃剑锹樽硎Φ热嗽笔窍丶兑皆核?，这台手术的质量又该怎么保证？”</p><p style="text-indent: 2em; text-align: left;">上海市卫生和健康发展研究中心博士何达认为，这种新模式存在是否被目标人群接受的风险。高端商场的确符合高端人群聚集的特点，但在医疗领域，没有一流的专家，再高端的设备环境和服务也是空设。而目前国内绝大部分专家都在公立医院就职，这就从根本上限制了高端医疗的发展。</p><p style="text-indent: 2em; text-align: left;">“一个诊所需要300平方米以上，医生、护士、技师、药师都齐备，环评消防验收。虽然Medical Mall省去了报批的藩篱，但是500万元～1000万元的初始投资以及维持日常运营并不是一位医生能做的。”谢汝石说。</p><p style="text-indent: 2em; text-align: left;">“容许开展试点和这种方式能否成功是两码事?！甭砦昂妓?。</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：医疗商场共享医院</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" 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