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Health minister responded medical treatment is dif
Health ministerChen Zhu 18 in deepening the medical and health system reform situation report, analyze and respond to the masses is difficult to see a doctor ,see a doctor expensive &ldquo ;&rdquo ;6 big problems .
Medical treatment is difficult ,expensive where where ?Chen Zhu thinks ,&ldquo &rdquo ;difficulty ;can be divided into two types .The first is &ldquo &rdquo ;absolute ;difficult to see a doctor ,because of medical resources can not meet the absolute lack of basic medical and health service demand of &ldquo &rdquo ;difficulty ;,which often occurs in the central and Western China economy is backward ,traffic inconvenience ,with much land and few people in remote rural areas .
Second &ldquo &rdquo ;relativity ;difficulty ,is because the quality of medical resources relative to the needs of the residents is insufficient, cause patients to go to a big hospital expert &ldquo to &rdquo ;.
Outstanding performance for many people see minor injury ailment also rushed to the hospital ,a large hospital overcrowding .It is currently difficult to see a doctor &ldquo ;&rdquo ;the main forms and characteristics of .
Chen Zhu points out ,&ldquo ;see a doctor expensive &rdquo ;there are also several :first is &ldquo ;personal subjective feelings of your &lsquo ;&rsquo ;&rdquo ;.Patients thought of medical treatment have spent more money than their expectations ,or that the flower medical expenses is not worth &rdquo &ldquo ;.
The second is &ldquo ;families can not afford to pay for your &lsquo ;&rsquo ;&rdquo ;medical treatment ,is the total cost exceeds the family to pay ability, causing &ldquo ;poverty owing to sickness &rdquo ;,which is the essence of disease economic burden is overweight and lack of the effective social medical security problem .
The third is &ldquo ;society cannot afford the expensive &lsquo ;&rsquo ;&rdquo ;.From the perspective of social development ,the whole society medical expenses total level has a rising trend and the high growth rate ,but if not effectively controlled ,when it is more than the whole society bearing capacity ,it will affect the sustainable development of economy and society .
What leads to the &ldquo ;difficult to see a doctor ,see a doctor expensive &rdquo ;?System and mechanism of contradiction is the main reason analysis of the Chen Zhu pointed out ,&ldquo ;medical treatment is difficult ,expensive &rdquo ;there are mainly the following reasons :&mdash ;&mdash ;price index higher long-term ,people feel medical costs rise too fast .
Medical costs are also affected by price index effect, if removed price index factors ,the increase of medical cost feeling is not so strong .&mdash ;&mdash ;medical technology advances of the increase of medical fees .
New diagnostic equipment to consume more of the material resources ,but also by the highly skilled medical personnel to provide medical service cost ,resulting in the rapid growth, it is inevitable and reasonable growth .
&mdash ;&mdash ;disease patterns change causes the increase of medical fees .As industrialized ,city is changed ,the population aging process continued to accelerate ,our country residents faced with infectious disease and chronic disease burden of chronic diseases is double ,it means that the long-term treatment ,lifelong medication ,the high cost of .
&mdash ;&mdash ;&ldquo &rdquo policy ;the double-edged sword ;.Such as ,the establishment of the basic medical insurance system will greatly reduce the people burden of disease ,but undeniable ,it will stimulate the insured persons more medicine ,eat your medicine ,small investment and other issues, thus the social total medical cost increase rather than decrease .
&mdash ;&mdash ;patients medical health service consumption is passive ,easy to produce expensive &ldquo ;&rdquo ;complaints .&mdash ;&mdash ;medical service system ,security system and pharmaceutical production security system is not perfect, long-standing system ,mechanism and structural contradictions ,and insufficient management and have fault,abercrombie, is the main reason of problem of masses of medical treatment .
Such as medical and health resources is insufficient and unreasonable allocation ,basic health service system is weak ,the medical security system is not perfect ,the public hospital nature of desalination ,medicine and medical equipment production and current order disorder ,price is higher .
How to alleviate the expensive &ldquo ;&rdquo ;?Deepen reform and reduce the medical burden Chen Zhu points out ,through speeding up the building of the basic medical insurance system ,the individual burden relief .
Look from countrywide limits ,because the government has continuously increased investment in health and basic medical security system ceaseless and perfect, government and social health expenditure as percentage of total health expenditure proportion has increased from 40% in 2001 to 61.
8% ,personal health expenditure accounts for the total expense ratio from 2001 60% to 2009 38.2% ,the masses of medical treatment the personal burden overweight problem is being eased .At the same time ,the national essential drug system in basic level steadily .
The implementation of essential drug system area ,zero rate of basic drugs so that the average sales price fell 30% .In some places to the basic drug system implementation for grasper, supporting the advance of comprehensive reform of basic medical and health institutions ,appeared the outpatient and inpatient costs decline ,outpatient visits and hospitalization has risen the delectable phenomenon .
Chen Zhu said ,&ldquo &rdquo ;plan ;improve the system of basic medical security coverage and security level ,reduce the gap between urban and rural medical security ,to strive for full &ldquo ;&rdquo ;end personal commitment to the proportion of medical costs is reduced to below 30% .
How to solve the difficulty of &ldquo ;&rdquo ;?To train a group of indigenous health gatekeeper &ldquo ;&rdquo ;Chen Zhu said ,should build perfect basic medical and health service system ,make people out of community and country will be able to enjoy the convenient and effective services .
He says ,since 2009, our country in county-level hospitals ,township hospitals and community health service center infrastructure investment there was no parallel in history .Central accumulative total 40000000000 yuan of funds ,support 1877 county-level hospitals ,5169 Township Health Center ,2382 of the city community health service centres and 11000 remote village health room building ,the Ministry of finance to arrange about 13000000000 yuan for County, countryside three class medical equipment purchases .
At the same time ,in order to solve the general practitioner is not worth this to restrict primary medical service quality bottleneck ,introduced to general practitioners as the focus of the primary health care team construction planning ,three years through retraining ,orders directed cultivation of a variety of ways for training basic level 60000 general medical students .
At present, facing the western township hospital order oriented training to 5000 medical students enrolled for one semester ,support the township hospitals in the recruitment of more than 2 practicing physicians ,in-service training of township hospitals, village clinics and community health service staff of 3770000 passengers .
In 2011, but also take orders directed free medical students training ,recruitment of practicing physicians ,general practitioners standardized training of grassroots health workers ,regular training ,targeted aid ,encourage the hospital retired physicians to grass-roots practice ,construction workers ,improve the basic technical revolution real bone dry treatment and execute promotion and preferential policies ,focusing on Basic level to train a group of stay local talent ,to assume the residents health gatekeeper &ldquo ;&rdquo ;duty .
Crack &ldquo ;expensive &rdquo ;effect can embody? Public hospital reform is the key to Chen Zhu said ,the reform of public hospitals is always a does not circle the past &ldquo ;&rdquo ,&ldquo Hom ;ease ;expensive &rdquo ;key point .
The reform of public hospitals from 2010 February since the start, each pilot city has been the establishment of a sound leadership and working mechanism ;introduced the public hospital reform is pilot executive plan and a number of supporting policies and measures ;closely around solve the expensive &ldquo ;&rdquo ;problems ,efforts to promote the role of direct civilian Hui Min measure ;the major reform of system and mechanism to undertake active exploration .
But Chen Zhu said ,the reform of public hospitals are not completely broken problem .With the deepening medical reform ,public hospital reform is confined in a few pilot city has been difficult to adapt to the new expectations of the public .
This year we will identify a number of looks ,quick public hospital reform policies and measures ,to promote the country, for the people ,affordable convenience to ease &ldquo ;expensive &rdquo ;and the medical staff encouraged three breakthroughs .
He said ,the health sector will accelerate the public hospital reform ,strive to explore a basic way of public hospital reform .This basically has the following work : one is to establish a public hospital setting and development planning ,adjustment of public hospital layout ,promote public Chinese medicine (including national medicine ) the reform and development of hospital .
The two priority is to construction and development of county hospital .Three is the establishment of a public hospital and the urban and rural grassroots medical and health institutions division of labor and cooperation mechanism .
Four is to accelerate the development of the electronic medical record construction and hospital management to focus on the information construction of hospital .The five is the implementation of the convenience measures ,such as universal pre-engagement services .
Six is implemented to encourage and guide social capital to conduct medical institution of the policy, to promote the sustained and healthy development of non - public medical institutions ,and speed up the formation of pluralistic medical pattern .
How to make people less sick &ldquo ;&rdquo ;?Chen Zhu said ,the government from the beginning of 2009 for urban and rural residents to provide free health archives management ,9 kinds of basic public health service ,there are 48.
7% urban residents and 38.1% of the rural residents with health files, 35538000 hypertensive patients ,9189000 patients with diabetes and 1706000 patients with serious mental illness into chronic disease management ,in order to 84490000 65 years of age or older carried out health checks .
In addition to the implementation of the hepatitis B vaccine reseeding ,rural women free of cervical cancer ,breast cancer screening and other major public health service ,the major public health services are free to the public ,to alleviate the expensive &ldquo ;&rdquo ;also has an important role in .
He reveals ,for the protection of the service development, the establishment of basic public health service funds guarantee mechanism ,2009 according to average per capita of not less than 15 yuan standard fulfil funds ,in 2010 the national average of 17.
5 yuan ,in 2011 will increase to 25 yuan .Chen Zhu said ,the basic public health expenditure increase ,corresponding to the expansion and deepening of basic public health service content ,expanding the service population ,improve service standards ,improve service standards ,increase the service project ,make masses more benefit .
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发表于 2012-12-16 02:00:11
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