What is that a medical reform should solve subject problem the most

What is that a medical reform should solve subject problem the most
Peking University the intersection of hygiene and policy and Ji with we Liu, department of management, can treat the medical reform scheme from two completely different view, first, from macroscopical hygiene policy and institutional improvement visual angle of colonies such as national policymaker, social administrator and administrative administrator of hygiene,etc., pay close attention to great realistic theory policy questions such as the development of the country, system reform and system innovation,etc.; Second, in terms of ordinary common people and patient, relative, the question that they pay close attention to is very basic and simple, these is how about to see the doctor and who serves health care to pay, what a payment question core is. Say national policy that policymaker pay close attention to and pursue goal should highly identical a identical one basically with ordinary common people in theory, because the state policies reflect, represent the overwhelming majority of the people's fundamental interests, in order to meet demands of material and culture life which the people are increasing constantly. But because social environment, power structure, economic benefits, social value are different, often difficult to form the social common understanding between two kinds of colonies. It should be the brief explanation that melt, popular, easy-to-understand with strong points that ideal public policy and optimum system frame are designed. How to confirm" The true core " The question, what the response and problem of solving the true one keyly, this weighs and examines the best visual angle of policymaker's ability of administration and political wisdom. This means the only true crucial and key question of system reform of medical and health, how to solve the fund problem of the health care service, all other problems are less important and derivatized. The system reform achievement of medical and health of our country and the difficulty and high cost of getting medical treatment predicament faced are likewise prominent, the medical and health has been reformed over the past 30 years, economics and economics logic of the hygiene have prevailed, free economy market and individual liability undertake, occupy leading status, the intersection of hygiene industry and by first simple " social welfare " property Cause change binary dual welfare nature and public beneficial cause into, the health care serves necessary fund and " property of money " The great change thereupon takes place, mainly change and rely mainly on raising funds on the socialized market from the fund of national financial budget, the ones that bear responsibility in the country " The hygiene finance " The system transferred to and bore responsibility personally " Hygiene economy " The system, fund-raising of hygiene, individual pay, business insurance and doing medicine excessively, raising medicine, excessive checking, great prescription question and growing in intensity with medicine, cause the difficulty and high cost of getting medical treatment problem to become and improve the whole people's life quality and the greatest obstacle of improving the overall social welfare of the whole society, the relationship between doctors and patients is in the unprecedented structural pressure, health care system and medical personnel face unprecedented pressure and impact. So, it is the financial system construction of China's hygiene to deepen the only true key question that the system reform scheme of the medical and health should be answered. The properties of the money are a key problem, the properties of the money determine the source channel of the money, the society that determines responsibility divides, determine the relation between country and market, it is determined that scope of offical duty and system frame of the government are designed, determine system quality, operating mechanism and social effect. Medical and health experience and lessons and the difficulty and high cost of getting medical treatment of 30 years of system reform, especially the structural tense situation of relationship between doctors and patients explains, mode that the patient seeks medical advice and medicine, relationship between doctors and patients, medical compensation mechanism of health organ, the hygiene raises funds, service system construction of the health care, building of contingent and government's responsibility of hygiene manpower bear to embody a concentrated reflection of the property identification that the hygiene serves necessary fund and money. The properties of the money determine system arrangement and policy mode, because the capital source channel of different nature proves different community responsibility is born. From the viewpoint of economics and hygiene economics, the state that individual pays reflects disease properties are " personal trouble " " individual is unlucky " for sum ,Disease properties have not become the public policy topic yet, the health has not become citizen's right yet, the country has not born the responsible for there should be ing yet. Take a broad view of the countries all over the world, including U.S.A. of the market orientation, the health has already become the citizen's right, it is public policy and social policy frame subject part that the prevention from suffering from the diseases and health care serve, the financial system of the hygiene is to guarantee the medical treatment that all citizens enjoy welfare properties. This means hygiene economics the view of the completely different and essential difference exists to the properties of the necessary money of the health care with hygiene finance. Take a broad view of the medical reform scheme, thoughts run through and expressed in the whole text are all the logic of hygiene economics, the sound of hygiene finance is very faint. The medical reform scheme should solve the financial knowledge question of the hygiene, namely how the government bears medical responsibility. It is social concern and public policy topic that the finance essence of the hygiene defines disease properties, marrow all fundamental right of citizen, essence to include the intersection of health care and fund guarantee service system take in the public financial system frame for acknowledge healthy, the government passes institutionalized financial budget fund security mechanism and system, by " set up government's leading plural hygiene to put into the mechanism " . The question of the money, including the properties of the money, the source channel of the money, the quantity scale of the money, the distribution mode and having priority in expenses field of the money, this is a key question of a public financial system. The hygiene finance is prerequisite, foundation, core and theme of system construction of the health care. This means it is the key to deepening system reform of medical and health that the properties of the money are changed, it is the health care system of the distinct Chinese characteristics that builds the core. From the viewpoint of quantity scale of the fund, government's leading plural hygiene is put into government's financial budget fund of mechanism's meaning (including the social security fund) Accounts for more than 50% of hygiene all-inclusive cost of the whole society at least, otherwise it is difficult to reflect government's leading position and responsibility which the government bears. No doubt, what a financial system of hygiene of setting up distinct Chinese characteristics is it to deepen medical and health key and difficult point of the system reform in China. How about to guarantee the fundamental change takes place in the properties of serving necessary fund and money in health care, stop the means of payment of the personal cash completely, ensure the fund to include various medical treatment in the financial budget, set up hygiene fund-raising and compensation mechanism that the single, third party pays the bill, thus it is square to change the government, medical organization, medical insurance regulation, behavior pattern that the patient is all sides, change the relation between doctors and patients; Give consideration to and regard patient as the centre and regard medical personnel as the centre, raise the salary and welfare treatment of the job of the masses of medical personnel greatly; Resume confidence to the health care system of the public and the society; Optimize the administrative management system of the hygiene, build system reform of the medical and health, construction and health care system of the distinct Chinese characteristics of system innovation social cost to lower to minimum extent; And the mutually beneficial situation of multi-win that and then it is satisfied to construct government, medical organization, medical organization regulator, patient and the public.

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