Monday, September 3, 2012

People's Daily: Medical compensation mechanism wants " Develop resources and reduce expenditures "

People's Daily: Medical compensation mechanism wants " Develop resources and reduce expenditures "
According to recent media, the State Council disposes and sets up the medical compensation mechanism of health organ in the basic unit, after implementing the basic medicine system, larger revenue and expenditure shortfall appears in the medical organization at the basic level, the government will replenish. Set up the medical compensation mechanism of health organ in the basic unit, form the steady compensation channel and compensate the way, guarantee the medical health organ in the basic unit runs and develops, guarantees the desirability that the basic medicine system implements smoothly steadily, it is significant. However, compensation fund to the medical reform of finance is limited after all, how to spend the limited fund on the crucial point, give play to the biggest effect, it is the important problem that we want to consider. In my view, the medical compensation mechanism key should " develop resources and reduce expenditures " . After the public beneficial direction of the medical reform is established, increase the input in government, set up the important guarantee of basic health care system. So, raise the fund through many channels and strengthen subsidy and input to the medical reform of the government, concern the key point whether the medical reform could succeed. This is medical compensation mechanism " Increase income " Question. However, what ordinary people cared about even more is, whether the money could be spent on ordinary people's head, really let ordinary people get material benefit. This kind of worry is not unreasonable. It is that the intricate medical interests relation is not so easy to make in order at first, and the government invests efficiency to bow the problem and always exist, " run, rise, drip, leak " during that time Phenomenon remain incessant after repeated prohibition. In addition behaviors such as some hospitals leader's misuse of public funds, extravagant and wasteful or even corruption,etc. are not rare. Solve problem these, I'm afraid government, no matter how much does it put into, will if never heard of since then. So to the intersection of government and input in the medical reform, want consider only issue of quantity, still improve and invest mechanism's question, this involves " reduces expenditure " of medical compensation mechanism Question. Medical compensation mechanism must be with a view to improving benefit and security of the fund, pay attention to system design. Only the system is reasonable in design, it will have a good result that the government invests. First of all, should improve benefit compensated in medical treatment. Efficiency is not high, the government puts into the more, may waste the bigger. Secondly, there should be a mechanism stopped to waste. For example can't compensate, use raising people, raising organizationing simple for medical treatment, can't use for luxurious medical construction of place that lose contact with reality, let alone used for gluttony and pleasure-seeking,etc.. Third, must strengthen the supervision to that medical treatment compensated the fund. Countless facts prove, the fund that the government invests is very easy to become some illegal " Tang Monk's meat " in person's eyes ,Especially those are held to the persons who wield who invest right of distribution of the government, easier " squeeze whenever possible " ,Carry on the power-money deal. Under the present condition, besides supervision of the functional department of the government, it is necessary to introduce external supervision mechanism, especially introduce and audit revealing to check and calculate with the accountant, the whole course compensated to medical treatment goes on on auditing, checks and calculates and supervision. Disclose through the network at the same time, let society and the public carry on supervision.

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