The public hospital reform of future still needs to deepen constantly

The public hospital reform of future still needs to deepen constantly
The public hospital reform of future still needs to deepen constantly
Staff reporter Zhao Li " it is expensive to see the doctor " , " it is difficult to see the doctor " It has been the focus which the society pays close attention to in recent years all the time. "Basic medical security system taking medical insurance and new rural cooperative medical service of basic medical insurance, urban residents of urban worker as pillar, covered 92.4% of the rural and urban population historically in 2009. By the end of 2010, the three social medical insurance have effected an insurance the number of people is up to 240 million, 200 million and 840 million respectively, the total of persons who effect an insurance accounts for the national total population 94.7%. So, on the whole, the goal of the whole people's medical insurance has already been realized, the following task is that the medical insurance is covered Taxi consolidation. " " China's social situation analysis and prediction of 2012 years " (China's social blue book) which the Chinese Academy of Social Sciences releases recently Have announced the above-mentioned data. According to the introduction of social blue book, " new medical reform scheme " released at the beginning of April of 2009 Establish and regard advancing the whole people's medical insurance as the thread, set up the grand strategic objective of the basic health care system of covering urban and rural residents by 2020. At the same time, the State Council has established five key reform tasks from 2009 to 2011, namely accelerate advancing basic medical treatment to ensure the institutional improvement, set up national basic medicine system tentatively, perfect the service system of health care at the basic level, promote the basic public health to serve the equal melting, pilot project of advancing the reform of public hospital progressively. The social blue book is pointed out, in 2011, in much localities of the whole country, the medical insurance of urban residents and new agricultural government shut replenish competence and already heighten the level which 200 yuan arrives from lowest 120 yuan for each person. The competence of paying the fees of the persons who effect an insurance at the same time is improved to some extent too. All parts still expand medical insurance and pay the range and improve and pay the standard and cause the fund balance to drop to some extent one after another. In order to control the rising range of the hospitalization cost effectively, solve " the difficulty and high cost of getting medical treatment " The question, advance the medical insurance to pay the reform and become a key task of the whole people's medical insurance reform too. But it is reported, the expenses of the medical organization are still very tall in rising range. The data from social blue book show, in the affiliated public general hospital of health authority, the intersection of clinic and time expenses and time expenses will 1990 15.9 and 13.8 of level respectively in hospital 2010, and the average annual income of urban and rural residents was only 12.7 times and 8.6 times of 1990 separately that year. The rising range of medical expenses of the hospital is well-above the rising range of people's income. In such cases, one of the factors of key to success that the medical insurance could become the new medical reform of the decision while paying the reform. One of the social blue book authors, professor of government of Peking University management college Gu Xin tell " Jurisprudence Daily " reporter, a great challenge that the system of medical insurance faces, lie in how high the guarantee level of the basic medical security system is, what proportion medical insurance that pays and occupies in the medical expenses of the persons who effect an insurance. In other words, can the basic medical security system be " basically kept " . If " basically protect " Goal can't realize,is it basic medical risk of security system share as third party exercising normally buying by functioning. Point out in the social blue book, since the beginning of of 2011, human resources and social security department of executive's urban basic medical insurance have begun to pay the reform the medical insurance to regard as one of the key work, encourage the place to carry on various pilot projects. In the same period, Ministry of Public Health of executive's new rural cooperative medical service, pays the medical insurance the reform (especially pay according to number) too Deemed to catch one of the hands in importance of promoting medical administrative structure reform. The social blue book thinks, February 10, 2010, " pilot content regarding the instruction of the public hospital reform pilot project " provides 9 public hospital reforms, national medicine corrects and selects 16 cities as the pilot city of the national public hospital reform. Since spring of 2010, 16 cities have begun to make the implementing scheme of its public hospital reform pilot project. Or the convention on schedule, the pilot implementing scheme of the public hospital reform of each city should be made in the midyear or the end of the year that year, and announce to the whole society. However, by the end of 2010, still the public hospital reform schemes of several cities were not announced. The pilot schemes of several cities have actually already been made out, but not still got approval of the final one for various reasons. Until the summer of 2011, public hospital reform schemes in the pilot city were not all issued successively. All these things, declare the difficulty of the public hospital reform publicly again. To the public hospital reform having difficulty in taking a step, Gu Xin tells reporters, should concentrate the full capacity on solving some problems in the future. "First of all, public hospital reform still in administration of going and wave between the administration again, principle on in charge of, do, separate with ' government affairs separate ' difficult to move forward, badly in need of solution problem this; Secondly, run medicine and social capital, it enters medical progress of field to be too very slow in pluralism. " Gu Xin says, meanwhile, because the intersection of public institution and personnel system reform slow, medical field the intersection of pedestrian and the intersection of thing and system restrict public reform and private development of medical organization of medical organization at the same time now. In addition, the medical insurance pays the reform and starts unstably, medical insurance mechanism and medical organization institutionalized negotiations mechanism have not been generally set up yet, new medical insurance pay detail of mechanism, design improper to lead to the fact medical organization phenomenon that behavior twist relatively general, the medical insurance organization explores enthusiasm and ability to pay mechanism's reform remain to improve.


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