Why is the medical reform unsuccessful?

One of the highlights of the two sessions this year is that the government attaches great importance to people’s livelihood issues. Premier Wen Jiabao of the State Council said in a government report at the two sessions that in order to better promote the reform and development of the health sector, the State Council has organized a force to step up efforts to formulate plans to deepen the reform of the medical and health system and work hard to solve the problem of seeing a doctor for medical care that the broad masses care about.
When Gao Qiang, Minister of Health, said, "This year's new medical reform program will surely be introduced", the whole nation is encouraged by the fact that many people have been distressed for so long that the "difficulty in visiting the doctor" and "expensive" doctors may have disappeared.
“The direction of medical reform in 1997 was completely correct. It was just a matter of operation.” But when the Minister Gao Qiang said this, a trace of doubt came to mind. Since the direction of the program in 1997 was correct, there was only a problem in operation. Why do you want to change the plan without working hard? What are the upcoming health reform plans? Is it a plan that the common people want to wear full expectation?
Why is the medical reform unsuccessful?
The phenomenon of “not getting sick or not” is not a single case. Many Chinese people are now “sick” and “disease avoids medical treatment”. If you don’t see a sick person and you don’t dare to go to see a sick person, or if you have a sick person, go to a regular hospital and go to every possible way to find a prescription and turn to a burning incense Buddha; knowing that some small clinics are not standard doctors are making money, they still have to go When we entered, the common people’s helplessness and desire to see the disease began to manifest themselves in silent action.
They are not sick or not. They do not want to see it but they do not want to see it. They have no way to see a doctor. The most important thing is that the doctor is like a bottomless hole. Should these be the phenomena that existed when the health reform was successful?
In the face of nearly half of the Chinese people’s “illness is not medical” phenomenon, the research team of the Development Research Center of the State Council stated in a research report published in July this year that the problem was rooted in the fact that the commercialization and marketization went against medical treatment. The basic law of the development of health services.” When in July 2005, Ge Yanfeng, deputy director of the Social Development Research Department of the Development Research Center of the State Council, publicly stated in an interview with a reporter from the China Youth Daily that “at present, China’s health care system reform is basically unsuccessful. The "time" caused an uproar.
Since the relevant departments of the state reviewed and reconsidered the “market-oriented non-medical reform direction” and the “unsuccessful reform of the medical reform,” the domestic government once again set off discussion on health care reform. Looking back at medical reform roads, the doctors summarized them as “7 unsatisfied”: the government is not satisfied; the hospitals and doctors are not satisfied; the patients are not satisfied; the people in the city are not satisfied; the rural people are not satisfied; the rich are not satisfied; the poor are also Not satisfied. Almost all people are not satisfied. It seems that the medical reform does not present a satisfactory answer to the people of the country.
It is no longer a luxury to hope that seeing a doctor is the truest dream of every ordinary person in China. However, such an important reform that affects the vital interests of the 1.3 billion people throughout the country has naturally become the basis for testing our party’s ability to govern. Chen Haixiao, deputy to the National People's Congress and director of the Taizhou Hospital in Zhejiang Province, believes that consumption of medical services is different from consumption in other areas and must not be adjusted solely by the market. In this area, the market often fails.
Li Liangda, a member of the National Committee of the Chinese People's Political Consultative Conference, believes that the medical reform has not been successful. He said that the general direction of reform and opening up is correct. The reform of the pharmaceutical industry has been unsuccessful so far. The country’s overall reform and opening up policy is correct, but it does not mean that the specific reform program of the health system is correct. He said that there were some mistakes in the process of medical reform, which was manifested in insufficient investment by the state and the commercialization of all hospitals to the market. This was also a major mistake. He said that a series of problems such as expensive medical treatment, difficult medical treatment, and high drug prices are caused by commercialization.
Zhu Qingsheng, a member of the Chinese People's Political Consultative Conference, believes that medical reform is a very complicated systematic project and it is impossible to design anything in the reform. China is a country in a transitional period. The transition period also belongs to the exploratory stage. In terms of our current national conditions, the health insurance system is not perfect, the state's investment is relatively small, and hospitals are also under great pressure in the transition period, and they need to face the needs of patients. The rise has also led to its own development. There are also problems with the hospital's funding sources. He believes that the 1997 reform plan is an incomplete plan. There are plans for the reform of the medical insurance system and programs for medical reform. There is no complete, overall, unified promotion plan.
Long Zhixian, member of the National Committee of the Chinese People's Political Consultative Conference, believes that medical reform is unsuccessful and the direction of reform is correct, but the effect is not good. There is no summary of the links in the process of medical reform such as supervision and operation. Without summing up, I don't know what is good or bad, and I don't know what's wrong with the process of medical reform. He believes that the medical reform program is a new thing, and it is difficult to say that there are no problems in the program. At present, the government departments in China have no control over the health of the population, regardless of the medicines used to manage the doctors, regardless of the traditional Chinese medicine of the Western medicine, and regardless of the rural areas, the administration of the urban medical insurance system has many problems. It should be worth noting.
Gao Runlin, a member of the National Committee of the Chinese People's Political Consultative Conference, thinks that the 1997 medical reform plan is incomplete and it is a medical and health care system that does not cover the entire urban and rural areas. It focuses on the reform of certain hospitals, such as reducing support for hospitals by the state and changing the full amount of subsidies for hospitals. The difference between subsidies and special funds. In the past few years, the reforms mainly focused on the reform of urban hospitals and the public welfare nature of public hospitals was lost.
What kind of medical reform plan is the people looking for?
If the medical reform plan is only a beautiful blueprint, it can only serve to fill the hunger. We would rather not take this medical reform plan. In fact, universal health insurance is only a means. The purpose is to hope that all people can go to the hospital with confidence, no longer fearlessly enter the hospital's door, and give the whole people a safety deduction. What kind of medical reform plan can satisfy the people in the country? The medical reform plan that the people of the country are looking forward to is the same?
In order to give the people of the country a satisfactory answer, the Chinese government has spent a lot of time in formulating a medical reform program that is satisfactory to all citizens. When making the government report, Premier Wen Jiabao of the State Council stressed the need to accelerate the reform and development of the health industry, with a view to building a basic health care system covering urban and rural residents. In 2007, it focused on four things: Actively implementing the new rural cooperative medical system and accelerating the development of the community. Based on the new urban health service system, piloting basic medical insurance for urban residents based on major disease coordinators, and prevention and control of major infectious diseases.
At the briefing session on the proposals for the Fifth Session of the Tenth National Committee of the Chinese People's Political Consultative Conference, Vice Minister of Health Chen Xiaohong revealed that it will entrust domestic well-known universities, research institutes of the State Council, international organizations, and well-known international private organizations to provide Chinese health reform and development. The program.
Zhu Qingsheng, a member of the Chinese People's Political Consultative Conference, believes that the direction of the medical reform should take into consideration several aspects: whether it is for the people of the country to consider whether it is for the people's health; whether it considers the development of the medical and health services; whether it considers medical personnel because Reforms need to be completed by medical personnel. He thinks that the starting point of the medical reform program in 1997 is correct, but it is mainly in operation that the public hospitals have played down the role of public welfare in the process of market transition. He believes that the government-led and market mechanisms should have a proper integration point. Health care is a public benefit. To a large extent, the responsibility of the government is the main one. Investment is an important aspect.
Some measures have not kept pace with, and corresponding policies have not kept pace with, such as inadequate supervision of drugs and inadequate production and circulation of drugs. However, he believes that everyone should not be rushed. It is a systematic project that will not be effective in the short term. The people want to see the doctor conveniently, the price is cheaper, and the safety is effective. The government is also this goal. However, we must implement it step by step and seek truth from facts. The government can't set the standard too high. If we make a lot of wishes to the people, we can't solve the problem and make everyone unhappy. .
Gao Runlin, a member of the National Committee of the Chinese People's Political Consultative Conference (CPPCC), believes that the new medical reform program should have a guarantee system for the whole nation about the entire society covering both urban and rural areas. It is whether the state gives money or residents give some countries some local governments to give some, that is, the question of who pays bills should be determined; medical resources How should the allocation from irrationality become reasonable? He believes that the people most hope for are the high efficiency of medicines, convenience of visiting the doctors, and the high quality of medical treatment, and that they spend less.
Li Liangda, a member of the National Committee of the Chinese People's Political Consultative Conference, believes that the future direction of development should be that national and public hospitals should maintain public welfare. The cost should be borne by the state, and private hospitals can be commercialized in the market. He suggested that the new medical reform program should consider some major principle issues: First, whether public hospitals should be public welfare or commercial, and there is no clear conclusion that there are only some arguments; Second, how much should the state invest in, what proportion to vote, and how much The extent to which the increase should be made clear; Third, the allocation of resources should be reasonable and the focus of resource allocation should be shifted. At present, many medical and health resources are for high-paying employees, such as luxury wards. In the future, they will be targeted at the middle and lower classes. The most direct community medical care for the people or the first class hospitals, second class hospitals, and rural hospitals have not received any key support.
Xiong Sidong, a member of the National Committee of the Chinese People's Political Consultative Conference (CPPCC), believes that there is a conceptual issue in the reform of the medical system, such as what the status of medical and health care should be in the development of the national economy. He believes that many discussions at present are only very lively at the technical level. China is not without money for reforms. He has always been guilty of problems of concept and concept. He believes that after illness, it is also a post-event behavior. China has an idea that there is a common philosophy for the medical and health care industry, and it has the advantage of concentrating its efforts on handling major issues.
With regard to the six options for medical reform, the people of the country are still waiting to pay attention. In fact, the Chinese government has recognized the problems and deficiencies in medical reform and has taken the medical and health care's attention to a new height.

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