People's Daily: Medical reform break-through where put forth effort?

People's Daily: Medical reform break-through, where put forth effort?
The public hospital reform no matter which kind of route to adopt, several keys must make the break-through, may break the original medical system persistent ailment, really succeeding and actual effect. First, change the fixed and unit pattern of medical resource that planned economy forms, especially the doctor and high-quality resource of brand highly concentrate on the advanced medical organization even more, this is the basic reason that people's serious disease and small disease pour into the advanced hospital at present in China, it is that the country should optimize the mechanism system which should pay close attention to most in resource distribution of the hygiene too naturally. So, if the local medical reform can take the effective and rational measure, some operation that promote the doctor more, promote doctor's rational flow between community's organization and large hospital, the medical team of the community may really take shape, have vigor and sustainable development, thus really begin with source and solve at present " upper crowdedness, underpart are left unused " Distortion phenomenon,progressively it is medical to be realize optimization of resource is balanced. Want, explore flexible way and effective supplementary measure, solve local public the intersection of reform and development and necessary the intersection of funds and problem of hospital. Capital source is nothing more than three channels: Public finance, service charge, social capital. Public and financial input is no doubt important, but seen from most locality financial realistic states, this is quite limited in a short time. The space which raises the total medical service charge is not big, in fact, the disposable income relative to people, the pressure of the total hospitalization cost has been already very large at present. So, it should be a financing route which should be paid attention to most in development of China's health care industry at present to give play to the role of social resource, potentiality is enormous, sustainability is high. For this reason, if the government guides aptly, the policies and measures are effective, not merely promote the effective use of social resources, also will reduce the pressure of throwing at the finance into correspondingly, and residents seek medical advice will be because of the improvement without so difficult of the deliverability of medical care. Benefited in many ways, why not do it? The medical reforms of a lot of places are all promoted with strength by the government now, this is a good thing, need to pay close attention to two important problems at the same time. First, guarantee the sustainable execution of the medical reform measure, will not change with the change of the local leadership position, cause medicine to improve Cheng is influenced. Second, regional understanding of medical reform and measure are different to some extent, the administrative color of a lot of local measures is still very strong, if it is improper to employ, its result may be contrary to original intention of the policy. For example, the purpose of the medicines circulation system reform is originally to raise the efficiency of circulating, lower costs, and the improper intervention of some local governments is promoting the locality on the market to monopolize in fact, but not more effective market competition, since a short time and on long terms, this is very unfavorable to the sound development of the health care industry, certainly violate the improvement of the fair and economic efficiency of the social development too. So, promote local health care reform by administration means, must be double cautious, study constantly, adhere to the open idea of development, respect the basic law of market economy, put forth effort to avoid the negative effect which may bring in improper, excessive administrative interference. (author Liu GuoEn is the Professor of Guanghua School of Management of Peking University, staff reporter Miao Miao puts in order)

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