官方出手调控三级医院扩张速度

Core Viewpoint - The article discusses the ongoing expansion of hospital bed capacity in China, highlighting the need for reform in public hospitals to address issues such as high inpatient rates and the siphoning effect of higher-tier hospitals on patients from lower-tier facilities [3][4]. Group 1: Hospital Bed Capacity and Utilization - China's hospital bed capacity has been increasing, with the number of beds per thousand people surpassing 7, significantly higher than in developed countries [3]. - The bed utilization rates for primary, secondary, and tertiary hospitals have shown a year-on-year decline, indicating a shift in demand and utilization patterns [4]. Group 2: Policy and Reform Initiatives - The National Health Commission has outlined a strategy for 2026 focusing on "strengthening the foundation, stabilizing secondary hospitals, and controlling tertiary hospitals," aiming to optimize the structure and function of medical institutions [3]. - The 2024 health development report indicates a slowdown in the expansion of public hospital beds, with the number expected to rise from 7.23 beds per thousand people in 2023 to 7.32 in 2024 [4]. Group 3: Regional Challenges and Adjustments - Many county-level hospitals are experiencing patient outflow and vacant beds, exacerbated by the siphoning effect from urban hospitals, leading to financial losses in county healthcare systems [4]. - Provinces like Shanghai, Jiangsu, and Henan are adjusting their plans for tertiary hospital setups, limiting the number of branches to three, in response to declining purchasing power for social medical services [4].