卫计委32号文件对医疗器械融资租赁模式有何影响

admin

                    

                    

                    
                    
                    <p style="line-height: 1.5em;"><span style="padding: 0px; margin: 0px; list-style: none; font-size: 16px;"><img src="http://mmbiz.qpic.cn/mmbiz/kFiaamOEjRian1HH0R0eUOoCeBLcQMwLwP8AhIKEgibEZWZ6Aj8JI7ctB2SCxKLuXUNfMEVnjyjE28FWL7b7WmoKQ/0" data-ratio="0.11857707509881422" data-w="" width="auto" src="http://mmbiz.qpic.cn/mmbiz/kFiaamOEjRian1HH0R0eUOoCeBLcQMwLwP8AhIKEgibEZWZ6Aj8JI7ctB2SCxKLuXUNfMEVnjyjE28FWL7b7WmoKQ/0" style="color: rgb(62, 62, 62); background-color: rgb(255, 255, 255); font-family: 宋体; font-size: 18.88888931274414px; white-space: normal; word-wrap: break-word !important; box-sizing: border-box !important; width: auto !important; visibility: visible !important;"  /></span></p><p style="line-height: 1.5em;"><strong style="white-space: normal;"><span style="color: rgb(255, 0, 0); font-family: simsun; line-height: 28px; white-space: pre-wrap; background-color: rgb(255, 255, 255); padding: 0px; font-size: 20px;">2014、12、12  医疗器械维修工程师---上海站 大聚会 详情阅读原文</span></strong></p><p style="line-height: 1.5em;"><br  /></p><p style="line-height: 1.5em;">在资金紧张的情况下，融资租赁业务尤其是医疗器械行业的融资租赁，正在成为一些公立医院的扩张新途径，这也使得包括和佳股份、尚荣医疗在内的数家上市公司获益不菲，但这种业务模式或被政策封杀。</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">今年6月初，国家卫计委发布《国家卫生计生委关于控制公立医院规模过快扩张的紧急通知》的32号文，严控公立医院规模过快扩张。文件指出，近年来，我国公立医院规模过快扩张，部分医院单位规模过大，存在追求床位规模、竞相购置大型设备、忽视医院内部管理和机制建设等粗放式发展的问题，提高了医疗费用的不合理增长，挤压了基层医疗卫生机构与非公立医院的发展空间，也不利于医院提高服务质量和管理水平。文件要求，为进一步控制公立医院规模过快扩张，禁止公立医院举债新建医院或举债新购置大型医用设备。</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">卫计委相关人士解释，融资租赁是指出租人对承租人所选定的租赁物件，进行以融资为目的的购买，以收取租金为条件，将租赁物件中长期出租给承租人使用。商务部、银监会、国家税务总局等部门对开展融资租赁业务的机构有相关资质要求。融资租赁出租方靠收取固定利息获利。医疗机构开展融资租赁业务，其本质是一种贷款融资行为。国家相关政策文件均明确要求公立医疗机构不得贷款购置医疗设备。</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">自32号文发布后，有媒体报道将对医疗器械融资租赁带来不利影响。尤其是采访了卫计委有关人员关于融资租赁就等于信贷，属于被控范围的报道，引起业界广泛的关注和猜测，重点围绕以下几点。</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">是否对融资租赁业带来影响？</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">从该文的内容看，公立医院医疗设备投资的规模扩张过快,因此要对其进行限制。融资租赁是一种促进投资的工具，虽然文中没有提及对融资租赁的限制，只涉及到信贷，但因租金偿还要依靠财政拨款，而“严格实施甲类和乙类大型医用设备配置规划，严控公立医院超常装备，坚持资源共享和阶梯配置，引导医疗机构合理配置适宜设备，逐步提高国产医用设备配置水平。”和“未经批准开展项目建设、擅自扩大建设规模和提高建设标准等的公立医院，要进行通报批评，暂停大型医用设备配置许可、等级评审等审批和财政资金安排，同时要追究主要负责人责任。”等足以切断租赁物的采购和租金偿还渠道，因此不限制也限制了，没有必要再讨论融资租赁是否属于信贷的问题。</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">融资租赁业是否因此遭受重大损失？</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">众所周知，医疗器械融资租赁是业界同质化比较严重的领域。大型三甲医院的客户早已因激烈竞争趋于饱和，民营医疗机构还有很大空间。因此今后市场难做，主要是前期规模过大、过快的原因。不是32号文带来结果，而是因现状产生32号文。由于目前医疗体系还是公立医院为主，因此说重创也不为过。尤其是对“公立医院的举债建设”不仅影响到直租，也影响到回租业务。</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">未来市场的开拓尚需时日</p><p style="line-height: 1.5em;"><br  /></p><p><br  /></p><p style="line-height: 1.5em;">不管怎么说，融资租赁公司首先是个借款单位。若背后出资人不愿意承担政策风险，那么租赁公司就要面对着业务转型的问题。虽然民营医疗机构随着改革的步伐越来越多，对融资租赁的需求越来越大。但这种改革颠覆了政府买单的交易模式，租赁公司的转型和业务经验的积累也需要时间。</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" style="word-wrap: break-word !important; box-sizing: border-box !important; width: auto !important; visibility: visible !important;"  /></p><p style=""><legend style="padding: 0px; max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; white-space: normal; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; margin: 0px;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; font-family: arial, helvetica, sans-serif;"><strong style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(102, 102, 102);"><span class="bkcolor" style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px 8px 0px 0px; padding: 4px 10px; color: rgb(255, 255, 255); background-color: rgb(191, 0, 0); border-top-left-radius: 5px !important; border-top-right-radius: 5px !important; border-bottom-right-radius: 5px !important; border-bottom-left-radius: 5px !important;"></span></strong><strong style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(60, 117, 45);"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; color: rgb(192, 0, 0);">ID: </span></strong></span></legend></p><p style=""><legend style="padding: 0px; max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; margin: 0px;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; font-family: arial, helvetica, sans-serif;"><strong style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(60, 117, 45);"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; color: rgb(192, 0, 0);"></span></strong></span></legend></p><p style="margin-top: 0px; margin-bottom: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; background-color: rgb(255, 255, 255); color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;">平台的理念：分享维修经验，为工程师提供技术配件支持，为临床使用者提供医疗器械使用保养维护信息，关注我们传递正能量。</span></p><p style=""><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;">主页回复：</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(255, 0, 0);"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; font-size: 18px;">M</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;"> </span></span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;">有精彩内容呈上</span></p><p style="margin-top: 0px; margin-bottom: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; background-color: rgb(255, 255, 255); color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; font-family: 仿宋; font-size: 19px;">微信公众号:</span></p><p style="margin-top: 0px; margin-bottom: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; background-color: rgb(255, 255, 255); color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; font-family: 仿宋; font-size: 19px;">    </span><strong style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(255, 0, 0); font-size: 20px;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px;"></span></span></strong><br style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;"  /></p><p style="margin-top: 0px; margin-bottom: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; background-color: rgb(255, 255, 255); color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; font-family: 仿宋; font-size: 19px;">群主微信号：</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; font-family: sans-serif; font-size: 16px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; background-color: rgb(255, 255, 255); color: rgb(51, 51, 51); font-family: 宋体; font-size: 14px; line-height: 24px; orphans: 2; widows: 2; box-sizing: border-box !important;"><strong style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; font-size: 20px; color: rgb(255, 0, 0);">    shanying916</span></strong></p><fieldset class="brcolor" style="margin: 0px; padding: 5px; border: 1px solid rgb(0, 187, 236); max-width: 100%; color: rgb(62, 62, 62); white-space: normal; font-family: 微软雅黑; line-height: 24px; font-size: 12px; background-color: rgb(248, 247, 245); word-wrap: break-word !important; box-sizing: border-box !important;"><legend style="padding: 0px; max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(51, 51, 51); margin: 0px 10px; border-width: 0px;"><span class="bkcolor" style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 5px 10px; border: 0px; color: rgb(255, 255, 255); font-weight: bold; font-size: 14px; border-top-left-radius: 5px; border-top-right-radius: 5px; border-bottom-right-radius: 5px; border-bottom-left-radius: 5px; background-color: rgb(0, 187, 236);"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; border: 0px;">复制上面微信号</span><img data-s="300,640" data-ratio="1.35" data-w="20" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6NE8iaIXiblrE1WKyXQz6qbATAS0VZxTKlGupjMMNvicoNs9vhvYGBr83wmsdO1ouTw7kVDibk9w6VoMg/0" class="" id="c6" width="auto" width="auto" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6NE8iaIXiblrE1WKyXQz6qbATAS0VZxTKlGupjMMNvicoNs9vhvYGBr83wmsdO1ouTw7kVDibk9w6VoMg/640" style="margin: 0px; padding: 0px; border: 0px; word-wrap: break-word !important; box-sizing: border-box !important; visibility: visible !important; width: auto !important;"  /><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; border: 0px;">联系我哟</span></span></legend><blockquote style="max-width: 100%; padding: 0px; border: 0px; word-wrap: break-word !important; box-sizing: border-box !important;"><p style="margin-top: 0px; margin-bottom: 0px; max-width: 100%; word-wrap: normal; min-height: 1em; white-space: pre-wrap; padding: 0px; border: 0px; box-sizing: border-box !important;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; border: 0px; color: rgb(255, 192, 0); font-size: 14px;"></span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(255, 192, 0); margin: 0px; padding: 0px; border: 0px; font-size: 14px;">? </span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127); margin: 0px; padding: 0px; border: 0px; line-height: 28px;">定期推送</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(255, 192, 0); margin: 0px; padding: 0px; border: 0px; line-height: 28px;">医械资讯</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; border: 0px; line-height: 28px;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; border: 0px;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127);">，</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(0, 176, 80);">厂家推介</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127); margin: 0px; padding: 0px; border: 0px;">，</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px; border: 0px;"><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(112, 48, 160);">维修知识</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127);">，</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(0, 176, 240);">产品知识</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127);">，</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(146, 208, 80);">医疗器械相关</span></span></span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127);">等诸多优质内容，</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127); margin: 0px; padding: 0px; border: 0px;">最接地气</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127);">、</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127); margin: 0px; padding: 0px; border: 0px;">重价值</span><span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; color: rgb(127, 127, 127);">的医疗器械微信平台！关注我们妥妥没错，<span style="max-width: 100%; word-wrap: break-word !important; box-sizing: border-box !important; margin: 0px; padding: 0px;">推广合作联系我呦</span>！</span></span></p></blockquote></fieldset><p style=""><img data-s="300,640" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6MYAEPWTib8tjxcvx0icbN5kq6PvfS6PHyKaMRwicKyXRpyaPRoHgn3OOr1vBKYm6b9vtYp87hJM8nXw/0" data-ratio="0.7835365853658537" data-w="328" width="auto" width="auto" src="http://mmbiz.qpic.cn/mmbiz/A1DicCH9Vl6MYAEPWTib8tjxcvx0icbN5kq6PvfS6PHyKaMRwicKyXRpyaPRoHgn3OOr1vBKYm6b9vtYp87hJM8nXw/640" style="word-wrap: break-word !important; box-sizing: border-box !important; width: auto !important; visibility: visible !important;"  /></p><p><br  /></p>