The first person asks and solves and sees the doctor the folk medical reform expensively The national many province and city intend to popularize
The first person asks and solves and sees the doctor the folk medical reform expensively The national many province and city intend to popularize
Pay 20 membership dues one year, in 8 all 13.6% and check, examine 5%- 20% of fee of expenses for medicine that public hospital diagnose the illness by fixed position, can obtain cash and submit an expense account; Any restriction of submitting an expense account etc. that this one wipes out and is not had medical insurance, joined and shut newly and agriculturally by the party, in full and at public expense. This is organized by a non-governmental helping each other medical treatment health appearing in Chongqing, organization this, through cooperation with hospital, pharmaceutical factory, regard way in which cash mends directly as, wipe out medical fee of more than 30 million yuan by 300,000 more than member not merely among the 3 year, still make the expenses for medicine of 8 fixed hospitals drop by more than 200 million yuan by a wide margin, the proportion that expenses for medicine account for the hospitalization cost is only 30% (average national level is about 50%. ),Thus enable " It is expensive to see the doctor " This medical difficult problem is relieved directly. This founder helping each other in the medical organization of sex-health is a private entrepreneur of Chongqing; Jointly the promoter includes 8 public hospitals of Chongqing; The participant has more than 1900 pharmaceutical factories of the whole country besides these 8 public hospitals. The more thought-provoking one is, hospital, pharmaceutical factory and promoter,etc. participating in, it is not the simple public service behavior, they have obtained their own commercial success too. Now, the promoter of this organization puts out " free healthy great physical examination of a million peasants " in Chongqing reservoir area of Three Gorges together . At present, a plurality of province and city intend to copy mode of this medical reform. What a kind of medical reform mode is this? What a kind of medicine, medicine it mould, suffer from the interests chain? How it make medical, doctors and patients,etc. in the past " The opponent and foe " Satisfied, common and benefited in many ways? A folk medical reform person With 300,000 members of his Reporter Yang Mei / report of Chongqing of " China's economic weekly magazine " Known as our country " The first person of the folk medical reform " Chongqing people Liu group,have recently movements new,it is said whether there are one of " the a domestic first "s also on movements new . Someone predicts, if this new movement of Liu Qun's succeeds smoothly, so, it initiate year ago 3 of him, domestic so far to be still exclusive, with " Member's cash is mended directly " It is characteristic " Take action in Chinese medical treatment of Huimin " (are abbreviate as " Take action in medical treatment of Huimin " )Medical reform mode,not only gain at Chongqing more hospital approving and participations public, also will make his member relying mainly on peasants and the urban low-income crowd at present sharply increased at double by present more than 300,000; More important, its mode of medical reform may also go out of Chongqing, copy and popularize in the other province, city and area. More than 300,000 members relying mainly on peasant --Among 3 years, the fixed hospital reduces the expenses for medicine of more than 200 million yuan, " the cash is mended directly " The medical fee of the member is more than 30 million yuan Liu Qun, a popular, disputable personage of drugmaker of Chongqing: Famous private entrepreneur of Chongqing, " 2008 moves the important person in Chongqing ten " ,The member of the municipal CPPCC in Chongqing, medical president of association for promotion of Huimin of Chongqing, the village committee of mountain range village of stone of Dianjiang county of Chongqing is a director But attract the external world to pay close attention to most, and that made him filled with controversy is his another identity - -" Chinese medical action of Huimin " Founder sum main promoter. Before the 3 year, namely will it be March 1 2006, Qun Liu start, known as at home folk to cure, revise copy " whether Huimin China medical treatment took action " formally ,He himself is known as " The first person of the folk medical reform " ; Mode of this medical reform is preceded by different appellations too: The intersection of Chongqing and mode, the intersection of China and light the intersection of hillock and the intersection of village and experience of medical reform of medical reform, USA Today appraise it " fill in a blank of China in the reform and opening-up " even . Up to now, should take action and already implement for 3 years in Chongqing, the member participating in has already exceeded more than 300,000 people; The fixed hospital participated in includes 8 public hospitals of Chongqing, more than 1900 pharmaceutical factories of the whole country. The intersection of founder and Qun Liu introduce to reporter among the 3 year, until " whether cash mend direct " Way lasting 30 million of medical fee of more than yuan,among them, account for more than 22 million yuans expenses for medicine. Meanwhile, the expenses for medicine of the fixed hospital drop by a wide margin, the expenses for medicine account for 30% of hospitalization cost, and the average national level is about 50%, the expenses for medicine of 8 fixed hospitals have dropped by more than 200 million yuan from this. Will it be will it be over 2 o'clock afternoon February 25, " the the intersection of China and economic weekly magazine " reporter come " Huimin medical treatment take action " Fixed hospital one of - -Market the People's Hospital of Nanchuan district of Chongqing, attracts reporter's note purpose two major scene most: First, there is a official working organization of striking and general hospital by the hospital gate - -" member's health service department " ; Second, behind the outmoded 5 - storeyed hospital building, a towering new building is in construction. The reporter is here " Member's health service department " Know, line up, wait for, it wipes out more thanth patients of medical fee to be local peasant mostly in window live, they are all " Take action in medical treatment of Huimin " Member. A man giving the child a piggyback with the basket says, the expenses for medicine that he should submit an expense account to see the doctor two days ago, he holds the copy of receipt of a piece of expenses for medicine in the hand, the total price of the expenses for medicine is 80.5 yuan. "Wipe out 13.6% standard according to the intersection of member and expenses for medicine, he can wipe out 10.95 yuan. " The staff members of the window introduce to the reporter, " original papers and copies of invoice of expenses for medicine are all effective. " Director Hu of the service department tells reporters, because many people have all participated in new agricultural shutting or medical insurance,etc. in the member, need the intersection of medical fee and invoice, so " whether Huimin medical treatment takes action " Member submit an expense account,what has been it needs only that medical fee will offered invoice copy, the invoice has time limit to submit an expense account as 7 days. In the reception counter that is joined newly, a peasant family woman who look over 40 years old is inquiring the affiliation situation speaking with the local accent. Reporter know she until other villager that join already recommend just knowing " Huimin medical treatment take action " in the village through the intersection of staff member and dialogue with her ,it come she ask it too can join oneself. Staff members pass her one " Member's notice " Printed matter,combine at the same time introduce: "There is not any threshold in the affiliation: Do not restrict age, not restrict the gender, not restrict the health status, not restrict the household register. So long as you to live in border of the People's Republic of China legal citizen. " It is very simple to join the way too: Here according to the ID card" The service department of the health " Handle, or register on the net through adhoc websites. Except that the proportion that the expenses for medicine submit an expense account, this peasant family woman asks again how electrocardiogram, B of superior grade submit an expense account. "All these belong to and check and examine the fee, the proportion is 5%- 20% that submit an expense account. " Staff member say, " check, examine to large amount of money have fee, wipe out high proportion: To wipe out 20% more than 300 yuans; 100- To submit an expense account 10% 300, check fee, wipe out 5% generally. " Director Hu tells reporters, are set up in Nanchuan " the member Health Club " of the People's Hospital There are 3 years, the member is more than 60,000 People, more than 90% are local peasants, the total of submitting an expense account of medicine offered nearly has more than 4,200,000 yuan, in other words, until " whether cash mend direct " 4,200,000 more than these Way return and join patient,it is to reduce patient medical fee, have relieved " It is expensive to see the doctor " . Fixed hospital - -"Take action and offer the opportunity for medical performance reform of the hospital in medical treatment of Huimin; It is still 1000 yuan prescription that the doctor makes 100 yuan, all have nothing to do with its income. " While reducing medical fee of a patient, have meant reducing the incomes of the hospital too? Especially, the member checks and examines the submitting an expense account and bearing by the hospital of 5- 20% of fee, this has reduced incomes of the hospital directly. Then, why would the hospital still like to participate in? Taking doubt, the reporter knocks open director of people of Nanchuan county Li Jian flat office. "We were 2006, participated in the medical treatment of Huimin in the hospitals taking action first too. " President Li JianPing comes straight to the point to the reporter, " I tell you several figures first: Participated in the pilot project, the annual medical fee gross income of the hospital is 32 million, lost more than 8 million yuan; But in 2008, our medical fee gross income increases by 36.6%, up to more than 83 million, it is the highest in public hospital in Nanchuan and private hospital. " "But while the gross income of the hospital increases, the accounting for of income of expenses for medicine has dropped by about 20% than. Than only will be 33% that our expenses for medicine will account for in 2008, and the average national level is about 50%; And too in the intersection of Nanchuan and district, a lot of expenses for medicine of hospital account for than up to 70%. " President Li passes a reporter a piece of paper conveniently - -" the clinic counts the daily sheet in hospital " ,Date is February 25 of 2009, namely will interview on the same day. In " rate of utilization of the berth " The column, the total is 126.6%, among them, are " in hospital in department of traditional Chinese medicine " Highest, it is 200%, two subjects, are up to 167% too when in hospital. "It is not highest yet today, the average service rate of the berth is up to 140% sometimes, all occupy a patient in the corridor. " President Li JianPing says, " though there are berths in the other hospitals, a lot of patients prefer to wait here, try to persuade advising and does not walk. " "In 2008, the per capita cost of hospitalization of the patient of the hospital of the whole country second is 5524 yuan, but we have only 3005 yuan. " He continues speaking with the figure: "In Chongqing, has not participated in the medical treatment of Huimin in second hospital taking action, this figure is 5000 yuan - 8000 yuan, the tertiary hospital is in 10000 yuan - 12000 yuan. " How is the hospital in the change like happening and remoulding oneself thoroughly more than 3 years? He says without mincing words: "Should attribute to participating in the medical treatment of Huimin and move, its pulling to our gross income has accounted for more than 10%. Though look from the single pen medical fee income, because has submitted an expense account for member's patient a proportion of expenses are reduced, however, the total amount of the business has increased; Especially, through the substantial decrease of the medical expenses, the difficult problem solved ' see the doctor expensively ' directly, the brand image which the hospital has established ' the People's Hospital is the people ', the competitiveness of market is improved greatly. " "More important, move through the medical treatment of Huimin, we have found the hospital and carried on the opportunity of examining reform of the medical performance. " Li JianPing president say to reporter " doctor of us turn on yuan of prescriptions, turn on yuan of prescriptions now, have nothing to do with its income. The examination of the hospital regards department as the target; In the examination index, examine, account for 70% to attend to quality and examine in medical quality, such as patient's satisfaction, turnover rate of the berth, complaining rate,etc.. This pay close attention to the fact for doctor medical skill raise and the intersection of skill and the intersection of person who raise and business study intensively, offer system assurance. " He takes appendicitis operation as examples: In the past can only do, cut-out, have an operation operation, leave hospital 7 days while being postoperative; Can create a little now, leave hospital in postoperative 3 days. And the former's medical fee is less than 2000 yuan, the latter is 3000 yuan - 4000 yuan (note: The hospital of the first, second and third in Chongqing, it is about 10,000 yuan) . "And performance reform of taking action in medical treatment of Huimin, has let the hospital realize benign cycle, namely ' increase income, achieve success through good quality with quantity '. The improvement greatly of income of hospital and doctor, and all transparent incomes. " President Li JianPing means the building site outside window and says: "You see our 17 - storeyed building in construction, just our the first stage of the project in the new office building, the second stage is in course of examining and approving. The first stage of the project, the use of completion, we will take out a floor among them then will it be June this year, specially used as the medical treatment of Huimin ' member's health service department ' taking action. " Founder Liu Qun - -" hoped to refute ' the empty high theory of the medicine price ' originally and never expected this one thought it was 6 years " "Introduced mode of this medical reform that year, it was I that thought and explored the result in 6 years in the medical trade; The initial idea, just in order to refute the so-called empty high theory of medicine price at that time, elute ' the charge ' for the medicine enterprise. " On March 1, when this folk medical reform mode puts out for the 3rd anniversary, as founder and main promoter, Liu Qun accepts the special visit of " China's economic weekly magazine ", and detail the ins and outs of mode of this medical reform. Graduate from the southwest Liu Qun of the agricultural university to introduce, he steps foot on the medical trade since 1989, engaged in circulation of medicines and medicines production, have one's own pharmaceutical factory and enterprise in circulation. "It was the turning point of my medical career in 1997. " And the real beginning of health care reform of country still in exploration at present those years. "The question at that time ' saw the doctor expensively, difficultly to see the doctor ' has already been exposed, and a lot of people directed at the spearhead the medicine enterprise, say medical treatment is costly because the medicine price brings high, ' the empty high theory of medicine price ' becomes the major sound at that time. The responsibility that ' see the doctor expensively, difficultly to see the doctor ' pushes away to the medicines manufacturing enterprise. " Qun Liu recall " then country demand, reduce the intersection of medicine and price constantly, begin, implement medicines concentrate on to call for bid on 2000, the county, city, province all do; The medicine enterprise is busy with dealing with desperately, has cost a large number of expenses in calling for bid - -Fee of materials, public relation spending, has increased much cost virtually, this cost nearly takes up all production profit. Not merely enterprises suffered the loss that year, even the whole trade suffered the loss. The state of affair almost reaches the stage not controllable. " "Then I begin to think how to look for a method to go out of this predicament, if the national medical trade can't break away from this predicament, just there is no living space in my own pharmaceutical factory, without profits, what will more than 4000 workers of the factory do? Where do salary, insurance come from? " Liu Qun says. He begins to go to the hospital to carry on on-the-spot study. "Finding makes me greatly surprised: Medicine price and the hospitalization costs must be concerned at all, medical treatment is not costly because the medicine price is high, medicine price, Expenses for medicine, medical fee are three different concepts. This is a new discovery and new theory, it and ' the empty high theory of medicine price ' are just opposite. " Liu group explain medicine price the intersection of medicines and one's own market manifestation of value, are limited by supply-demand relationship of the market; The expenses for medicine are the synthesis of different medicines that the doctor prescribes, depend on doctor's prescription, it is different varieties, different quantity particularly - -Penicillin substantially as actually could use the low price ing, but doctors have opened a spore of high price, or actually could use the domestic one, but doctors have opened and imported, or quantity was enough in 3 days, but doctors have made quantity for 6 days; And medical fee, it is not merely the expenses for medicine, also include checking the fee, making a diagnosis all expenses such as fee, berth fee,etc.. So, can't be equivalent to between medicine price, expenses for medicine, medical fee. "Subsequently in order to verify the exactness of this theory of mine, I have looked for a lot of hospitals, doctors, but can not find the breach. " Qun Liu say " until 2003, method that I find out, through to that medicines circulated control, do not give the doctor prescription fee, open single fee. " Liu Qun says his enterprises deposited medicines valued about 840,000 yuan at that time, the hospital participated in includes Dianjiang county people's hospital, Nanchuan county people's hospital, Fengdu county people's hospital of Chongqing,etc.. He has all changed every medicine that promoted in the hospital into medicines not promoted, have replaced promotion medicine produced without competition with medicine of the same type. "I had never expected, engaged in so, the result is very fine, the expenses for medicine have been lowered quickly, decreasing amplitude is more than 40%. In using medicine, doctors of the hospital have used low price medicine with same result completely, such as penicillin. " Liu Qun says. Some other places of the whole country began to pursue the dispensary to deposit too at this moment, the local other hospitals of Chongqing did the dispensary to deposit by oneself too, " but their expenses for medicine have not been lowered, some places are higher " . "Then I realize dispensary deposit way this must exist problem, exert a tremendous influence human factor: Depositing enterprises of the dispensary has a very great effectiveness, can already reduce the expenses for medicine, also can raise the expenses for medicine. " Liu group dissect, say " from theory, for sale more medicines enterprise to deposit dispensary, will encourage promoting, may offer the doctor commission more, then the expenses for medicine rise naturally. " "Is there another better mode? Overcome this human factor deposited in dispensary, OK? " Liu Qun begins to medicine, medicine again, suffers from the mode of circulating of medicines with existing the three to dissect: "I find a very large one of the expenses for medicine is used for paying medical representative and doctor, namely sales promotion expenses. Then, could take this together to supply a patient directly, thus reduce the expenses for medicine? But the prerequisite of doing it in this way is: Must let the doctor lose enthusiasm of writing a prescription and writing a prescription more, let medical representatives no longer have a foundation of promoting high price medicine from the source. This it is the intersection of Huimin and medical treatment that take action embryonic form that think at first. " Move in medical treatment of Huimin - -"This is a clean interests chain, a kind of new mode of distribution of interests of medicines, eliminate ' see the doctor expensively ' from mechanism. " "Because of above-mentioned idea, how in medicine, medicine does it begin, think by I, suffer from the three to design a brand-new medical model. " Liu Qun says, this model must possess three important factors. First, there should be a older medical crowd, " assemble the patient and make up a group " ,The group implements the member system; Second, the member has one's own fixed hospitals, the group which the member makes up, with the hospital negotiation, let the hospital serve member of the group, and is organized by this group medicines, for the member of the group to use, this medicines are free from interruption by the hospital, free from interruption by doctor too; Third, medicine enterprises would like to supply as the group with the current price on market less than certain proportion, namely medicine enterprise want, take expense that clinical application promote out the supply member. Then, Liu Qun " promotes " to the local public hospital first This mode of his, still require the hospital to take out 5%- 20% which examines and checks the fee of its and provide subsidies for member at the same time, and offer essential treating and curing it with the landscaped roadway promptly service etc. for the member. "Has never expected that a lot of hospitals have welcomed to this mode very much, would like to do our member's fixed hospital. " Liu Qun says. "At that time the reason why we agreed to run the fixed hospital, had three reasons: Bring more patients to the hospital, realize the hospital develops; Standardize the medicines occupation mode of the hospital, make the doctor safe; Change the service mode of the hospital, radically treat the system foundation of doctor's writing a prescription and great prescription, offer the breach for innovating and looking for new development in the hospital. " Corresponding first and participate in initiating the medical treatment of Huimin to move, and Chongqing Sanxia centre director Li QingPing of the hospital of the first, second and third of an only home introduces to " China's economic weekly magazine " reporter in the fixed hospital, the hospital has trained, the doctor with gradually ripe medical skill for many years, if break laws and commit the crime because the commerce of taking commission etc. is bribed, it is the greatest loss to hospital. So, the hospital hopes to have a kind of new medicine to supply with the mechanism to standardize doctor's behavior, make the relationship between doctors and patients in order. After there are medical crowd and participation of the fixed hospital, Liu Qun begins with the medical enterprise's negotiation again. "Remember we convened more than 500 medical enterprises to have a meeting at that time, I explained our design mode to them in person, hope they provide necessary medicines for member of this group, but prerequisite whether sales promotion expenses must circulate medicines, take out, the proportion is 20% of the medicines expenses, the member used for paying in the group is a patient (note: After deducting the Individual Income Tax, actually that pay to the patient is 13.6%) . " "The response of the medicine enterprise exceeds my expectation too, most medicine enterprises promise our condition delightedly, would like to make the member's medicines supplier. " Liu Qun recalls. Why like to accept the condition lower than the current price on market by 20% becomes a supplier in the medicine enterprise? "As to the medicine enterprise growing up, is seeking more high-efficient, more normal type of operation too, hope to develop safely. " Selling person in charge He XiaoYu that one of the suppliers, Chengdu health enlarge the medicine company answers reporters like this. Qun Liu think the intersection of Huimin and medical treatment that he design take action, to medicine enterprise, needn't and then by rebate doctor, wait for, promote, enter hospital in violation of rules and regulations not merely, the selling cost is reduced greatly. "Because our group has already signed the contract with the hospital, medicines of the medicine enterprise enter the hospital and does not need to spend all kinds of entering the institute and promoting the expenses, is set up in unison by us and organizes a medical logistics platform to provide and deliver in unison for all medicine enterprises, we only collect 5% of the delivery fee, these are open and clear to all medicine enterprises; The same medicine of different medicine enterprises implements providing and delivering equivalently after entering this platform, it is fair to each medicine enterprise. " "We have set up the earliest one too Medicines opened independently supply the platform. " Liu Qun says, " on this platform, we have realized three unifiedly: Unify medicines name, uniform price, unified medicines specification. This platform has changed original more than for medicine, more than prices for a medicine, confused situation of the fields of circulation of medicines of a medicine and more than rules, have set up a normal medicines system. This system is no longer influenced by hospital and doctor, this standardizes system of circulating of medicines, but the confused system of circulating of medicines lets medical treatment be lost and supervised, raise the hospitalization cost. " After obtaining hospital and the intersection of medicine and positive response and participation of enterprise, will it be March 1 2006, " Huimin China medical treatment take action? Close stern �� bright �� of �� all posthumous She Tai? The moon, " medical association for promotion of Huimin of Chongqing " Establish, Chongqing long queue on under Liu QunQi group and locality 4 hospitals public ( The Wan 's Sanxia central hospital, Nanchuan the People's Hospital, Dianjiang the People's Hospital, Fengdu the People's Hospital) Jointly sponsor unit; " medical association for promotion of Huimin of Chongqing " As the intersection of Huimin and the intersection of member and platform on medical treatment take action, affiliation member enjoy, wipe out with 5%- 20% of the test checking the fee, wiping out by 20% medicines. Someone comments, " take the drinks by oneself " while taking action and is equivalent to hotels to consume in medical treatment of Huimin ,Or the one that look like in the market of real estate " Group purchase " . Liu Qun does not totally admit to this, he thinks, this kind of metaphor is far from reflecting the deep meaning of this mode. "Because it not only has from the low price which brings drinks or group purchase, more important, through stress hospital, make up the prescription enterprise on the other hand, let patient through one's own the intersection of interests and spokesman on one hand it, have revitalized and organic and combined medicine, interests of the three sides of medicine, suffer from; The greatest target that this mode challenges original supports the medicine mode and supports the medicine route, can be said to be and opened up the path separately - -Set up the medical treatment of the member system to help each other in the alliance, and buy medical care in the form of alliance, thus let the patient have a say while pricing in medicine and reinvent and newly build the mode of distribution of interests of medicines; This mode has changed medical care and original game rule of the medical services, let hospital and doctor no longer by write a prescription, come under the prerequisite that make money of, let the patient really enjoy the low expenses for medicine, the origin dispelled ' see the doctor expensively ' from system. " Introduce the new action again 3 years later --" free healthy great physical examination of a million peasants " March 1, 2008, while taking action for the 3rd anniversary in namely the medical treatment of Huimin, Liu Qun and Li QingPing, director of Chongqing Sanxia centre, uniting 7 public hospitals in the locality jointly initiates another one of medical circle of our country to initiate - -Make to measure for peasants " The free healthy great physical examination of a million peasants " . President Li QingPing introduces, the free general survey target is a million peasants in the immigration of reservoir area of Three Gorges, general to examine the project " Hypertension and heart disease, diabetes, hepatitis B, pulmonary tuberculosis, gynecological disease " Common five major diseases; And is based on this and set up personal health file for every peasant who participate in physical examination, it will be specially on this website set up that this file will be left in, realize the resource-sharing of the personal medical treatment health file. Free general survey is expected to last 5 years, participate in the wealth of personage that each side shared together and offered general survey to need, if Liu Qun and his medical association for promotion of Huimin of Chongqing invest more than 20 million yuan in advance, used for buying ultra apparatus of color,etc. that the physical examination needs; Every hospital offers expert's teams, medical place,etc. free. "Except public beneficial, deep meaning of activity lie in new idea of health that propose. " President Li QingPing of the special subsidy expert of the State Council, has initiated " the hospital has been in charge of the health " with its these decades' medical experience as enjoying Singapore theory. " free healthy great physical examination of a million peasants " Have caused each side's high concern. Secretary of state prefecture committee Wu ZhengLong Wan is just in front of reporter, it is flat to propose three requirements with Liu Qun and Li Qing: "Let peasants really receive material benefit; There is sustainability in the activity; The mode can be copied. " Also someone thinks, the commerce consider behind this public activity? An officer of the local medical system says to reporters: "It is actually a commercial marketing activity too that this public service takes action, it gives peasants material benefit, assembles the popularity through the public service behavior at first, then attract the intersection of Huimin and medical action to, come on huge potential the intersection of peasant and patient. This is transferred from seller's market to a medical field of the buyer's market gradually gradually, it is undoubtedly a kind of clever method to seize first chance of the market. " "Public service can bring the commercial opportunity objectively while taking action. " Liu Qun's calm answer: "If the peasants after the free physical examination are willing, can join Chinese medical treatment of Huimin, become our recruit. " As to the thing that run the medical treatment of Huimin in 3 years and moved, Liu Qun does not evade its individual at all either benefitedly: "Change one's profession to move through initiating and participating in this medicine, my own enterprises have realized interests: First, the fee of member of 20 yuan for each person every year, second, the logistics fee of the medicine enterprise 5%. " But he especially emphasizes: "What I earned is not the sudden huge profits, but clean services incomes at the same time, because what the medical action of Huimin is set up is a clean interests chain; The clean interests connect with the reason why can guarantee each side to be benefited to win together, because the the intersection of interests and chain gather popularity (member) , assemble hospital, gather pharmaceutical factory, make relation between the medical the five factors of system in order finally. " He thinks, the medical system has five major factors: Medical care, medical administration, medical crowd, medical policy, medical guarantee, if does not make the relation between this five major factors in order from aspect of system, then persons who can not really benefit the favor of reform of the system of health care, the medical reform can not realize real success either. Let whom reporter does not understand, since medical treatment of Huimin take action by the look of design idea and actual effect, to medicine, medicine, suffer from three sides to be favorable, but why have 300,000 more than member 3 year, and overwhelming majority peasant, and urban population join seldom? "Because we have not carried on the propaganda and popularization, there is no advertisement, have not gone to resident's guard station to mobilize and popularize either, 300,000 existing members joined spontaneously, depended on the public praise according to legend. As shut while being agricultural while being new, governments at all levels offer energetical support and popularize. " Liu group answer. Why does not that carry on the propaganda and popularization? "Because local government's relevant department has never taken a stand, if we have been reporting and reacting to the local Ministry of Health all the time, hope to get support from them, even it is possible to speak a word. However, there have been statements, neither say say that stands that object to it, nor. I understand reason among them, might to new things this, they hope we ahead of practical exploration, see how to say the result. " (Responsible editor: Gao Rui)
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