医疗供应链领域利润空间将逐步被压缩

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                    <p style="text-align: left;"><img src="http://mmbiz.qpic.cn/mmbiz/kFiaamOEjRian1HH0R0eUOoCeBLcQMwLwP8AhIKEgibEZWZ6Aj8JI7ctB2SCxKLuXUNfMEVnjyjE28FWL7b7WmoKQ/0?tp=webp" data-ratio="0.11834319526627218" data-w=""  /><img data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6PWHB1GPaw5MLicicibHSCYUtcPCTaPeOI3RCQFlM8bkibDQSLtAVGWmFA6dTyPtEJqdDACKkO4tWFP1A/0" data-ratio="1.1956521739130435" data-w="460"  />营利性医疗机构的运营模式相对较为简明，而非营利性医疗机构受到不能分红等因素的限制，运营模式的探索则更具挑战性，也更为重要。尤其是我国未来社会办医的格局当中，医改政策所提出的方向是以非营利性医疗机构为主体、营利性医疗机构为补充。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">刚刚正式开业运行的北大国际医院是社会资本参与举办的混合所有制非营利性综合医院，北大医疗产业集团围绕医院探索建立了产业链运营模式，分别是对医疗机构的服务，包括医药、信息化、后勤、医院管理等;以及对个人的全生命周期管理，包括健康管理、康复中心、养老中心等。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">与北大医疗类似，一直致力于公立医院和国有企业医院改制的华润医疗此前曾披露的七种收益方式也接近于产业链的构想，包括药品采购的供应链管理、IT服务、融资租赁、医疗建筑设计、咨询管理、医院管理培训以及医院托管。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">与前述商业模式略有不同，中信医疗在参与广东省汕尾市三家公立医院改制后，计划在保持公立医院非营利性的前提下，区域内布局营利性的康复、养老等机构，以此来获得收益。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">“医院是有区域影响力的，而且具有很高的客户黏性，如何通过管理形成产业联动是今后核心价值。”中信医疗医院投资管理中心总经理陈一同时指出，“收购单体医院很难有大的发展，也不可能和公立医院相比，但是在区域内的多点布局则是一个非常好的选择与机会。”</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">不过，与大多数仍在构想中的产业链模式相比，供应链的模式则要相对成熟得多。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">以凤凰医疗集团为例，根据公司发布的业绩公告，2013年，凤凰医疗集团来自供应链业务的收益超过1个亿，占当年总收益的42.4%;2014年上半年，供应链业务的收益超过6800万，占上半年收益的47.9%。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">供应链业务主要包括药品、医疗器械以及医用耗材。实际上，很多医药企业正是看中了药品销售渠道，纷纷加入到医院的“抢购”当中。公开报道称，到2013年底，已有马应龙、康美药业、三精制药、益佰制药、贵州百灵、复星医药、福瑞股份、双鹭药业等众多医药上市公司涉足医院投资。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">“医疗服务定价整体偏低、非营利性医院不能参与分红、药价虚高严重等，导致多数民营机构暂时关注点不在于医疗如何挣钱，而是在供应链上面，因为他们看到了供应链中巨大的水分。”北大纵横管理咨询集团合伙人王宏志分析指出。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">但供应链的收益存在一定的问题。一方面挤出药品流通领域的水分一直是新医改所努力的目标，包括取消药品加成、医保支付方式改革、药品招标采购改革等措施，目的都是在于解决药品价格虚高的问题。这意味着，随着新医改的推进和各项改革措施逐步完善到位，供应链领域的利润空间将逐步被压缩。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">对于非营利医疗机构，供应链业务也存在一定的争议。</p><p style="text-align: left;"><br  /></p><p style="text-align: left;">“目前参与公立医院改革的社会资本，大都仍以得到投资回报为目标。”王宏志指出，“通过供应链取得收入的本质其实是通过关联交易获得收益，这与医疗机构的非营利性以及相关免税政策之间，存在一定的问题。”</p><p style=""><img src="http://mmbiz.qpic.cn/mmbiz/rz7R73cuHRrv6jdOCoJeZmYwvEAIoHpY0a7yJL2egiaEokLTpwkIsIRTzTFUic09aEThKHS4hrEcSqU0lAS3tu5g/0" data-ratio="0.14784394250513347" data-w="487" width="auto" width="auto" src="http://mmbiz.qpic.cn/mmbiz/rz7R73cuHRrv6jdOCoJeZmYwvEAIoHpY0a7yJL2egiaEokLTpwkIsIRTzTFUic09aEThKHS4hrEcSqU0lAS3tu5g/0?tp=webp" style="word-wrap: break-word !important; 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