大逆转,民营医院住院量超公立医院!

2017-03-11 持平、 leyna 健识局

多年来,民营医院虽然在数量上早已经赶超公立医院,但是,在实际的治疗人数上远远落后于公立医院。但是近几年来这种情况正逐渐改变,在一些地区,民营医院的专科在诊疗人数上反超公立医院。


去年,笔者所在的原阳县新东方脑血管专科医院(民营)住院2000余人,当地县医院的脑血管病房年住院人数只有1800多人,民营医院的专科终于在诊疗人数上超过公立医院!

多年来,民营医院虽然在数量上早已经赶超公立医院,但是,在实际的治疗人数上远远落后于公立医院。这种在以前想都不敢想的事情终于在笔者所在地方出现了。

这虽然只是一个小案例,不过,笔者认为公立医院改革已经如火如荼的现今,以后这种案例或许会越来越多。

公立医院:缺药、缺钱

2017年,对于公立医院来说是非常难熬的一年。降低药占比、药品零加成全面推广、医保控费严厉,让以前习惯了过好日子的公立医院来说,生存的压力非常大。尤其是药品零加成,医院损失的是明晃晃的净利润。

以笔者所在的医院为例,医院2016年总收入1.6亿,其中3000多万为药品销售,零加价损失450万元,政府应给的补贴至今没有一分钱,2015年度的零加价补贴只给了应该给的20%。政府财政补贴不到位,医院是有苦难言。

和医院收入下滑相伴随的是给医生涨薪的硬要求,提高医生的收入已经成为硬指标,但是这部分费用到底从哪里出?缺钱是医院的大难题。

临床路径、电子处方、药占比、重点品种监控等措施的执行,医院用药被多方面受限,公立医院的药品采购受到更为严格的限制。大型三甲医院是分级诊疗中治疗疑难杂症的主要医疗机构,需要大量的新研药和仿制药,但是,重点药品监控,药品集中采购等措施,都是从药品来源渠道与价格上拒绝了这类药品,一些疾病的必须用药严重短缺。豫北一家县级医院心血管专科竟然没有高效高价格的溶栓剂,一度让科主任不敢收治急性心梗病人。这实际上也在一定程度上将病人推到民营医院去。

骨干医生收入为公立医院180%

医保定点资格从批准制改成备案制,这对民营医院也是一个利好,去年,这家医院获得了医保定点的资格。

民营医院包袱轻,没有什么老员工,县医院退休人员占25%。当然,收入也是核心问题。在民营医院基础工资3000元,加上奖金大概4000左右,这个收入在当地不算低。虽然从平均收入来讲,这个收入水平和公立医院略有差距,但是骨干力量工资高。

以一位跳槽到民营骨科医院的主任医师为例,他月工资加奖金能达到2万元,当地县科主任月工资加奖金也就1.2万元左右。

以前,公立医院有编制和养老的优势,现在去编制化成趋势,养老呢,都要统一成社会保险,公立医院人事方面的优势将慢慢失去。以前都是退休人员去民营医院任职,现在已经有了在职医生跳槽去民营医院的现象,收入高,有商业保险,民营医院的吸引力越来越大。医生的跳槽也将很多患者引流到民营医院。

民营医院反超机会来了

2015年6月11日,国务院办公厅发布《关于促进社会办医加快发展的若干政策措施》,随着政策下发,此后去编制、多点执业、医疗集团和在职医生的院外办医等等重磅利好政策不断推出,以此科学调整医疗资源的合理布局。

报告明确指出,2017年市场在资源配置中的主导作用,要“更好激发非公有制经济活力”,并明确提出“进一步放宽非公有制经济市场准入。凡法律法规未明确禁入的行业和领域,都要允许各类市场主体平等进入”。

对于医疗产业来说,笔者认为在2017年,医疗产业领域放开力度将进一步加大。尤其是在基层医疗方面,笔者认为民营医院会有更好的发展前景,以增加和提高基层医疗资源及整体医疗水平,解除或缓解基层因医疗资源短缺而持续存在的看病难问题。

其原因在于,在大城市,医疗资源相对饱和,而在三四线城市和县级市场,政府财政收入比较有限,零加成等政策都需加大公共卫生投入,当地政府财政往往有心无力,往往会以甩包袱的形式实现公立医院改制。如果不改制,因为投入不够,县医院和民营医院在竞争上可能也会略逊一筹。

据公开报道, 2016年已有430家公立医院消失、2000家民营医院新生,加上各地个体诊所开始出头露面,另外部队医院将禁止给地方提供“盈利性服务”,这都均给医药运营开拓新的市场,非公立医院将是医药企业在今后应该重视的重要终端客户。

质优价廉才是民营的最爱

私立民营医疗机构运营性质与管理机制、体制与公立医院完全不同。以现在药品回扣为例,他们不可能、也不会用自己的钱作为“回扣”成本来骗自己!他们会用严厉的治理管理手段来约束医生可能出现的“回扣”现象,加上私立民营医疗机构的劳务分配办法及高比例、高效益的劳务收入,一定程度上能够削减医生“回扣”现象的发生。

与此相对应的是,河南省原阳县“新东方医院”、卢氏骨科医院和杨氏眼科医院三家私立医院,并不决绝医药代表的当面洽谈,许多专科特殊及必须使用的药物购置及时,品种齐全,疗效明显,得到病人满意。

他们一个共同的管理特点就是,重视药品价格,同时也重视药品质量。非公立医疗机构给有质量保障的新特药提供了市场空间,而这也将给保受两票制、二次议价之苦的医药人提供一个新的出路。

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    2017-03-15 inter158

    大趋势啊希望倒逼国家对公立医院做出调整!

    0

  3. 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  4. 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channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 12 07:55:19 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-13 chunjianf

    呵呵,谢谢分享

    0

  5. 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channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 12 07:55:19 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-13 海之蓝

    0

  6. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCYbPBa7AiaIy1pMpp7CF9lHORw4icR9GOrMO6RVNCb1qSUSY9TFBzW5zlrpDia0HKafiarjvcweMaVdg/0, createdBy=f1d61928636, createdName=simayunhe, createdTime=Sun Mar 12 11:35:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179311, encodeId=b5c11e931173, content=真不错啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBWOEtiahpXHGVdbFId5PLgK775YNA1ria3lM9KsJT6iczgIhov5sobd1Nr0raUBP58GkUDzvfDic9RCg/0, createdBy=0d021989245, createdName=189****1577, createdTime=Sun Mar 12 09:23:10 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179270, encodeId=520c1e927027, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 12 07:55:19 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 1511e81efbm

    公立医院后勤太多

    0

  7. 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15 23:55:53 CST 2017, time=2017-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1425505, encodeId=0abe1425505a4, content=<a href='/topic/show?id=b04463e47bb' target=_blank style='color:#2F92EE;'>#民营医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63747, encryptionId=b04463e47bb, topicName=民营医院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b5213977322, createdName=LSJ112, createdTime=Mon Mar 13 12:47:00 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179472, encodeId=ed6c1e947265, content=呵呵,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRk75KAEKrLGic0S0IvH1aNynsEFQWiaNKdtzvtwj2kafCoPg2icYVbrfBCFiaS74X1uEiaaTTY1H9Xyem/0, createdBy=cec11614828, createdName=chunjianf, createdTime=Mon Mar 13 07:08:33 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179457, encodeId=a1dd1e94577b, content=恩, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpBl6xwMmnsKibwxcAIltOH3nnCEQbNE6TDbYtCKe8hYI0oJrbduNqnJraM1PyyjPKU1suAzicYPaA/132, createdBy=eeaf2031798, createdName=海之蓝, createdTime=Mon Mar 13 03:09:18 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179383, encodeId=6bf91e938334, content=公立医院后勤太多, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=56c82033600, createdName=1511e81efbm, createdTime=Sun Mar 12 16:44:01 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179325, encodeId=1c6f1e93250a, content=等私立医院占主导地位时再看, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM6DGOvNrRdcib3UmzMgpEQplCaQGBmjHytXQqvsuocO2uV2lOAaJibzDafJudKToVfU12LzwArHDb4TSrmU2hk5Qxzc6icoicBK3Dg/0, createdBy=a7901968505, createdName=明心见性, createdTime=Sun Mar 12 11:40:31 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179324, encodeId=22741e9324b1, content=实际上还是公立医院占主导, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCYbPBa7AiaIy1pMpp7CF9lHORw4icR9GOrMO6RVNCb1qSUSY9TFBzW5zlrpDia0HKafiarjvcweMaVdg/0, createdBy=f1d61928636, createdName=simayunhe, createdTime=Sun Mar 12 11:35:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179311, encodeId=b5c11e931173, content=真不错啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBWOEtiahpXHGVdbFId5PLgK775YNA1ria3lM9KsJT6iczgIhov5sobd1Nr0raUBP58GkUDzvfDic9RCg/0, createdBy=0d021989245, createdName=189****1577, createdTime=Sun Mar 12 09:23:10 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179270, encodeId=520c1e927027, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 12 07:55:19 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 明心见性

    等私立医院占主导地位时再看

    0

  8. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCYbPBa7AiaIy1pMpp7CF9lHORw4icR9GOrMO6RVNCb1qSUSY9TFBzW5zlrpDia0HKafiarjvcweMaVdg/0, createdBy=f1d61928636, createdName=simayunhe, createdTime=Sun Mar 12 11:35:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179311, encodeId=b5c11e931173, content=真不错啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBWOEtiahpXHGVdbFId5PLgK775YNA1ria3lM9KsJT6iczgIhov5sobd1Nr0raUBP58GkUDzvfDic9RCg/0, createdBy=0d021989245, createdName=189****1577, createdTime=Sun Mar 12 09:23:10 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179270, encodeId=520c1e927027, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 12 07:55:19 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 simayunhe

    实际上还是公立医院占主导

    0

  9. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=56c82033600, createdName=1511e81efbm, createdTime=Sun Mar 12 16:44:01 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179325, encodeId=1c6f1e93250a, content=等私立医院占主导地位时再看, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM6DGOvNrRdcib3UmzMgpEQplCaQGBmjHytXQqvsuocO2uV2lOAaJibzDafJudKToVfU12LzwArHDb4TSrmU2hk5Qxzc6icoicBK3Dg/0, createdBy=a7901968505, createdName=明心见性, createdTime=Sun Mar 12 11:40:31 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179324, encodeId=22741e9324b1, content=实际上还是公立医院占主导, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCYbPBa7AiaIy1pMpp7CF9lHORw4icR9GOrMO6RVNCb1qSUSY9TFBzW5zlrpDia0HKafiarjvcweMaVdg/0, createdBy=f1d61928636, createdName=simayunhe, createdTime=Sun Mar 12 11:35:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179311, encodeId=b5c11e931173, content=真不错啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBWOEtiahpXHGVdbFId5PLgK775YNA1ria3lM9KsJT6iczgIhov5sobd1Nr0raUBP58GkUDzvfDic9RCg/0, createdBy=0d021989245, createdName=189****1577, createdTime=Sun Mar 12 09:23:10 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179270, encodeId=520c1e927027, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 12 07:55:19 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 189****1577

    真不错啊!

    0

  10. 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15 23:55:53 CST 2017, time=2017-03-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1425505, encodeId=0abe1425505a4, content=<a href='/topic/show?id=b04463e47bb' target=_blank style='color:#2F92EE;'>#民营医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63747, encryptionId=b04463e47bb, topicName=民营医院)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b5213977322, createdName=LSJ112, createdTime=Mon Mar 13 12:47:00 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179472, encodeId=ed6c1e947265, content=呵呵,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRk75KAEKrLGic0S0IvH1aNynsEFQWiaNKdtzvtwj2kafCoPg2icYVbrfBCFiaS74X1uEiaaTTY1H9Xyem/0, createdBy=cec11614828, createdName=chunjianf, createdTime=Mon Mar 13 07:08:33 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179457, encodeId=a1dd1e94577b, content=恩, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpBl6xwMmnsKibwxcAIltOH3nnCEQbNE6TDbYtCKe8hYI0oJrbduNqnJraM1PyyjPKU1suAzicYPaA/132, createdBy=eeaf2031798, createdName=海之蓝, createdTime=Mon Mar 13 03:09:18 CST 2017, time=2017-03-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179383, encodeId=6bf91e938334, content=公立医院后勤太多, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=56c82033600, createdName=1511e81efbm, createdTime=Sun Mar 12 16:44:01 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179325, encodeId=1c6f1e93250a, content=等私立医院占主导地位时再看, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM6DGOvNrRdcib3UmzMgpEQplCaQGBmjHytXQqvsuocO2uV2lOAaJibzDafJudKToVfU12LzwArHDb4TSrmU2hk5Qxzc6icoicBK3Dg/0, createdBy=a7901968505, createdName=明心见性, createdTime=Sun Mar 12 11:40:31 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179324, encodeId=22741e9324b1, content=实际上还是公立医院占主导, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCYbPBa7AiaIy1pMpp7CF9lHORw4icR9GOrMO6RVNCb1qSUSY9TFBzW5zlrpDia0HKafiarjvcweMaVdg/0, createdBy=f1d61928636, createdName=simayunhe, createdTime=Sun Mar 12 11:35:20 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179311, encodeId=b5c11e931173, content=真不错啊!, beContent=null, objectType=article, channel=null, level=null, likeNumber=21, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBWOEtiahpXHGVdbFId5PLgK775YNA1ria3lM9KsJT6iczgIhov5sobd1Nr0raUBP58GkUDzvfDic9RCg/0, createdBy=0d021989245, createdName=189****1577, createdTime=Sun Mar 12 09:23:10 CST 2017, time=2017-03-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=179270, encodeId=520c1e927027, content=谢谢分享,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sun Mar 12 07:55:19 CST 2017, time=2017-03-12, status=1, ipAttribution=)]
    2017-03-12 明月清辉

    谢谢分享,学习了

    0

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