【作者】 魏巍；

【导师】 别荣海；

【作者基本信息】 郑州大学 ， 全日制公共管理硕士（专业学位）， 2013， 硕士

【副题名】以Z公立医院并购F企业医院为例

【摘要】 医院并购是医院实现扩张和增长的一种方式。20世纪80年代,并购活动在中国拉开帷幕。随着经济的发展,医院并购活动也正如火如茶地进行。尤其是我国加入WTO,医疗服务行业向外资开放,作为医疗市场主体的我国医院必然要与国际接轨,面对巨大的医疗市场,国内外资本都加快了对医疗资源抢夺的步伐,采用各种形式如并购等资本运营方式抢占医疗市场资源。我国医院尚处于改制转轨阶段,国家对公立医院的投入不足和企业医院从企业的剥离,都给这些医院带来巨大的生存压力。医院并购可以使处于优势的医院迅速实现低成本资本扩张,实现并购双方在资产、人员、技术、学科等方面的资源整合,发挥并购重组效益,进而为医院争取生存发展之道。本文首先介绍了国内外并购的相关理论研究,分析了我国医院的并购背景、并购现状和并购动因。然后本文具体描述了 Z公立医院并购F企业医院的整个过程。并购准备阶段双方均取得了上级部门的批准和职工的同意,签订初步框架协议;并购签约阶段中双方谈判议定并购款并签订并购协议,确定并购内容、交接方式、违约-责任和其他事项;接管与整合阶段,实现并购的平稳过渡。在对案例进行描述后,本文通过运用SWOT分析模型,分析Z公立医院和F企业医院二者的优势、劣势、外部机遇和挑战。本文指出了 Z公立医院并购F企业医院中存在的具体问题,如价值评估的准确性、并购团队的专业性、双方信息的不对称、支付方式的单一性、人员安置问题、资源整合过程中的矛盾和冲突等。针对案例分析提出的具体问题,本文提出对策即确定医院并购战略的目的、充分掌握并购前双方的信息、组建专业的并购团队、科学正确评估并购目标医院的价值、选择适合的支付方式、重视医院并购后的资源整合。最后由于政府的政策导向、人民群众的需求、技术水平的高低以及行业市场的发展等都会影响到医院并购活动是否能够顺利进行,本文还提出了几点建议:建立健全医院并购相关法律法规、推进医疗行业的市场化、加强医院并购中政府行为的引导作用和进一步规范医院并购行为。更多还原

【Abstract】 Hospital mergers and acquisitions can be a way of hospital expansion and growth.Mergers and acquisitions have occurred in China since the 1980s.Hospital mergers and acquisitions are in full swing in pace with the development of economic.Both domestic and foreign capital quicken the pace of grabs for health resources,by using many forms of capital operation such as mergers and acquisitions,when China’s hospitals as the main body of medical market shall be in line with international practice,especially after China’s entry into WTO and opening up of medical service industry.All these hospitals such as public hospitals and enterprise hospitals are under tremendous survival pressures which resulted from the state insufficient investment for public hospitals and separation of enterprise hospitals from the state-owned enterprises,when Chinese hospitals are still in the stage of reformation and restructuring.Hospital mergers and acquisitions can realize integrating the resources such as assets,staff,technique and subject by the low cost expansion of superior hospitals,which can create benefits from mergers and acquisition to fight for the survival development.Firstly,this paper introduces the related theories of mergers and acquisitions at home and abroad,and analyzes the background,present state and motivation.Then this paper describes the whole process of mergers and acquisitions between Z public hospital and F enterprise hospital.Both of the two hospitals have achieved the approvals of higher authorities and consents of staffs and signed up the preliminary frame agreement during the preparation period.The two sides have discussed the fund of mergers and acquisitions and signed up the formal agreement including the content,receiving delivery system,responsibility of breach of contract and other matters in the sigpning stage.The smooth transition of mergers and acquisitions has achieved during the integration.This paper analyzes the strengths,weaknesses,opportunities and threats of Z public hospital and F enterprise hospital by using SWOT methods.This paper points out existent problems such as the accuracy of valuation,professionalism of team,message asymmetry,singleness of payment,personnel placement and contradictions and conflicts in the process of integration.This paper puts forward countermeasures based on the specific problems,through determining the strategic purpose,fully grasping information,organizing the professional team,evaluating the value of the target hospitals scientifically,selecting the appropriate payment and paying attention to the integration of resources.Finally,because of the effects of government’s policy direction,people’s demand,level of technique,and development of market on hospital mergers and acquisitions,this paper also gives some suggestions such as establishment and improvement of laws and regulations related to hospital mergers and acquisitions,promoting marketization of medical industry,strengthening the guiding function of government and standardizing the behaviors of hospital mergers and acquisitions.更多还原