Expect 850 billion government medical treatment is put into fairly and effectively

Expect 850 billion government medical treatment is put into fairly and effectively
Expect 850 billion government medical treatment is put into fairly and effectively
The State Council reviews and passes " suggetion on deepening the system reform of the medical and health " in principle and " deepens the system reform implementing scheme of the medical and health in 2009-2011 years ". The phased performance goal of the following 3 years that " opinion " has been defined: By 2011, basic medical treatment ensures system full coverage urban and rural residents, " the difficulty and high cost of getting medical treatment " The question is obviously relieved. For this reason, the governments at all levels expect to invest 850 billion yuan in 3 years. 850 billion yuan in 3 years, about 300 billion yuan every year on average. And the average and annual medical all-inclusive cost is about 670 billion yuan at present in our country, among them the expenses can not take half in hospital. Every year yuan of the intersection of government finance and inputs, can expense are chartered fully in hospital urban and rural residents nearly. It is obvious resolution and efforts that the government invests the respect in this health care reform are big. This news, for all people, are all a valuable New Year present. But people expect input of this 850 billion yuan, how to assign fairly effectively to the maximum extent, thus really solve the problem that common people see the doctor expensively, difficultly to see the doctor. First of all, how to assign the investment responsibility of 850 billion yuan? If most investment responsibility are in the local governments at all levels, but not the central and provincial government bears the major part, probably along continue medical resource to city centralized in the past and until high grade centralized in hospital and to the intersection of urbanite and centralized, situation that concentrate to the intersection of government departments and institutions and person on. And one of the important tasks of health care reform, will just pass effective input and management of the government, makeover limited resources and distribute the unfair state in the area of different citizens, different. As to this, " the opinion " define in the the following three years doing a good job of it basic medical treatment ensure 5 reforms such as the system especially. Among them promote the basic public health service " Equal progressively to melt " As an important one, meanwhile, make the medical rate of joining insurance in urban and rural areas raise to more than 90% in 3 years, strengthen the hospital at county level especially ' Includes the institute of traditional Chinese medicine) , the construction of the health clinics in towns and townships, outlying district village clinic is regarded as the clear goal too. This is tonified, has defined " responsibility of revealing all the details " that the country ensures for citizen's basic medical treatment in other words . There must be good methods and route in the goal that has, the responsibility right between the governments at all levels needs to be clear. Secondly, one that is in 850 billion of government, put into always, a among them one newly-increased drop into, especially, need to be used mainly in the input of bad area and worse hospital of the medical sanitary condition clearly, mainly for lacking the guarantee input of crowd that medical treatment ensures. Focus on providing timely help, but not give an added grace to what is already beautiful. Those enjoy high medical treatment, ensure the intersection of organ and civil servant of competence, monopolize the enterprise worker while being state-run already originally, keep higher-level non- essential medical treatment to ensure, should be finished by business insurance. Third, the government increases input, if the hospitalization cost can not get effective and reasonable control, it have medical black hole in bottom to will enter to put into that great, " it is expensive to see the doctor " The question is still insoluble. " the opinion " clear to set up national basic the intersection of medicine and system tentatively, set up the intersection of science and reasonable basic the intersection of medicine and catalogue, select, change the mechanism of management and supply the security system with, include all basic medicines in the catalogue of submitting an expense account of medical insurance medicines. This no doubt controls unreasonable a factor that rises of medicine price, but if not the medical problem of breaking up the family of medicine that use medicine can't be really solved in hospital, the system mechanism which the training doctor has the final say on there is no fundamental change to use medicine in hospital, the malignant rise of the hospitalization cost should be solved at all, I'm afraid it is still a difficult problem. It is classifying and paying according to disease that U.S.A. controls the method of the hospital expenses, total value must, make the intersection of appendix and 1000 of operation, no matter you live how much medicine does it use a few days, make what it checks to be 1000 all. The doctor is not a worker of the hospital, the patient is sick to look for community's open department's doctor at first, the open department's doctor thinks that should be hospitalized for treatment, he takes the place of the training doctor of patient selection, the training doctor think should be in hospital, he may be in hospital. Must be discussed the hospital treatment plan by personnel and training doctor, open department's doctor and head nurse of the hospital of medical team of the insurance company before being in hospital, the patient could be admitted to hospital. This mechanism can be drawn lessons from, has controlled excessive medical treatment and abused medicines, not merely favorable to controlling the hospitalization cost, it is favorable too to be healthy to the patient. How to break medical treatment to monopolize the question, it is the same to save covering, medicine breaking up the family, doctor's power from damage and get the effective question of limiting with medicine rationally etc., it is still a basic, core question of the medical reform, must move forward synchronously.


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