After medicine is saved from damage and covered It is very urgent to equilibrate every relation of the medical reform

After medicine is saved from damage and covered It is very urgent to equilibrate every relation of the medical reform
Staff reporter Meng QingPuWith the gradual implementation of the system of medical insurance, the hospital of the domestic many places presents the tide of going to a doctor. The expert says, the medical insurance is realized and covered completely, just solve the requirement of the difficulty and high cost of getting medical treatment problem, but not abundant condition. The new medical reform must also control the offering side of good medical care while strengthening medicine and saving from damage and covering - -Hospital. Otherwise, the input and medical insurance fund of the government are unable to turn into effective medical care, the medical reform policy is probably dissolved, offsetted.Seek medical advice " blowout " Pointing out each side of the medical reform must follow up synchronouslyThe intersection of urban residents and setting-up of medical insurance, appear masses go to a doctor tide in Anhui Province, with shut while being agricultural while being new. In should save the intersection of Hefei and city, Anhui the intersection of medical university and one clinic quantity to enclose every day such as institute reach 4500 persons, increase by about 10% compared with the same period of last year; The clinic amount on day of provincial hospital in Anhui tops 5000 persons continuously, far exceeds for the same period last year Hygiene and research and development centre Professor Liu TingFang of the Public Managerial College of Tsing-Hua University think, without medical insurance, masses shoulder light disease mostly and serious disease endure, seek medical advice in a large amount demand constrain. Nowadays, with the intersection of medical insurance and implementation of system, level of raising funds and wipe out proportion, promote constantly, the patient's demand of seeking medical advice is released out, has presented the large hospital as crowded as a market, new view of seeking medical advice difficult to ask that even a bed.In addition, the medical insurance policies of some places are more extensive, lack designing meticulously and scientific management. An important task of the medical reform is to change the situation that the patient excessively concentrates on the large hospital goes to a doctor, lead the patient to seek medical advice rationally. But after some places change the socialized medicine into medical insurance, totally break the original system of changing the place of examination, " can submit an expense account to see the small disease too " .Liu TingFang tells reporters, such a policy will promote the impulse of expansion of the large hospital. One a president of province the People's Hospital even puts forward such development slogan: "Should double the berth, serious disease and small disease should be all seen. "Liu TingFang thinks, the large hospital in the city goes to a doctor the number is increased severely, the overload operation of the hospital, therefore the medical hidden danger brought is very great. Meanwhile, the patient gathers the large hospital, increase and seek medical advice and bear, has produced the new the difficulty and high cost of getting medical treatment question. " blowout " Phenomenon brief on, equilibrate medical insurance and other reform, include from the intersection of system design and aspect hospital relation of reform already very urgent.Can't let the patient fall into " The discount effect " Peking University national the intersection of Development Research Institute and the intersection of tinkling of pieces of jade and Professor Li say new medical reform it gives people to be to realize the intersection of the whole people and medical insurance in most ocular impression, include, cover to all 100% of crowd, raise medical insurance wipe out proportion,etc.. However, realize the whole people's medical insurance, does not mean solving the difficulty and high cost of getting medical treatment problem. The medical insurance has been only solved and seen the doctor " Rich pair " Question,wipe out namely hospitalization cost all right from medical insurance a part. But " rich pair " With " can buy the appropriate service " It is two completely different concepts. "Someone thinks, so long as someone pays, can let all people buy appropriate products and service. The logic of this kind ' money makes the mare go ' is untenable in medical treatment. "Li Ling says, after there is medical insurance, the hospital is so happy as to writes a prescription, is open to check only more for example, cold that can be seen of 50 yuan, costs 200 yuan now originally. Even can wipe out 50%, the patient's financial burden has been aggravated. As if store sell for things, the intersection of original price and yuan of things sell well perhaps, price at, type again 50% discount off by 200, may sell well. If price at, type again 70% discount off by 500, can as crowded as a market unexpectedly. " consumers spend 50 yuan more, have in fact just bought one and made the gladding of 70% discount off " .For example Guangdong Province reform the intersection of clinic and system of overall planning, increase clinic, wipe out behind the proportion again, the specific hospital appears " per person sees the doctor 1.2 times in one week, one or two people see disease 9 times in one week " Strange phenomenon.Why will these phenomena appear? Li Ling thinks, are paid as the third party by the medical insurance, will induce hospital and patient to take " moral hazard " . The hospital still needs to earn money from the medical insurance by expanding the service, have to accept more patients, offer more services with high cost, with high grade, and no matter these services are economic, effective. More outstanding, even by " hang the bed " ,etc. way defraud of medical insurance fund. Because the patient has medical insurance, the psychology that in addition, worships expensive medicine, Hi-Tech blindly and checks blindly, also glad to go to the hospital more.Controlling the hospitalization cost should be as early as possible"The whole people's medical insurance but the Eight Character has a left-falling stroke. " Li Ling says, the medical insurance is realized and covered completely, if can not control supplier's behavior of the hospital, the function of the medical insurance will not merely be diluted, even may try to go south by driving the chariot north, raise to diagnose the illness expense patient further. By the look of the experiences of the other countries and regions, after realizing medicine is saved from damage and covered, will face the problem that the cost controls soon. If the cost is not controlled well, the medical insurance will become the heavy burdens of country and the society.The expert says, after medicine is saved from damage and covered, the more important thing is one's own system design of the medical reform should become more meticulous further, must make great efforts to control the hospitalization cost.Li Ling says, practice of some countries proves, if there is not a good hospital behavior of a norm in the course of expanding coverage rate of medical insurance, then go to control the cost when the hospitalization cost has already risen so that going against accepted conventions, expensive technological route of medical treatment has already been formed, will become more arduous task that can not even be finished. So, while realizing medicine and saving from damage and covering, must carry on the public hospital reform, guarantee the government puts into turning with the fund of medical insurance into effective medical care.
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