First, the overall shortage of medical resources, uneven allocation.
Second, the medical security system is not perfect, and a considerable number of people rely on their own expenses to see a doctor.
Third, the operating mechanism of public medical institutions tends to be market-oriented and the nature of public welfare is weakened.
Fourth, the production and circulation of drugs and medical devices are disorderly and the prices are too high.
In addition, it is difficult for social funds to enter the medical and health field, and the pattern of multi-channel medical treatment has not been formed, which is also one of the reasons why it is difficult and expensive to see a doctor.
Medical and health service is a special service, involving public health, disease prevention, medical security, clinical services and so on. It should not be borne by the government, nor should it be simply pushed to the market, to society and residents. But should be guided by the government and give full play to the role of the market mechanism.
Therefore, to promote the reform and development of medical and health undertakings, a very important issue is to correctly handle the relationship between the government and the market.
Suggestions on difficult and expensive medical treatment;
1. Improve the medical level of primary hospitals and solve the problem of difficulty in seeing a doctor.
It is suggested that provincial, prefectural, county and township community hospitals should set up medical group companies led by large hospitals, increase medical equipment in primary hospitals, and organize doctors from large and small hospitals to visit hospitals at all levels, which can not only improve the level of medical staff in primary hospitals, but also let some patients go to primary hospitals nearby to see a doctor and solve the problem of difficult medical treatment.
2. The reasonable income of medical staff in public hospitals should be borne by the state to solve the problem of expensive medical treatment.
It is suggested that the state should implement all-inclusive treatment for medical staff in public hospitals according to the salary level of civil servants. According to statistics, there are only 67 million medical staff in China, only about half of the teachers in primary and secondary schools. According to China's current fiscal revenue, this expenditure is completely affordable. For some medical staff with higher income, the state will allow them to practice more to make up for their shortcomings and mobilize their enthusiasm after the overall package.
3, clean up the pharmaceutical factory, the state implements the monopoly of unified purchase and marketing of therapeutic drugs.
It is suggested that the state clean up pharmaceutical factories, implement fixed-point production of therapeutic drugs, and issue production tasks as needed. At the same time, the government will check the cost and make reasonable pricing. The profit of the pharmaceutical factory will be controlled at around 10%, and it will be sold directly to local, city and county pharmaceutical companies as planned.
And give the difference of 5% to the hospital directly, reduce intermediate links, reduce sales expenses, and really reduce the drug price to a reasonable level. For factories that do not produce therapeutic drugs at fixed points, they can transform to produce health care drugs and operate through market.
4. The state organizes the development of new drugs.
At present, the research and development of new drugs in China should be said to be very backward, because the examination and approval procedures are complicated, the cost is too high and the risk is too great. At present, many patented drugs in developed countries have expired, and returnees want to develop these drugs when they return to China, but pharmaceutical companies dare not take them;
Therefore, the state organizes corresponding research institutes to develop new drugs, and then organizes pharmaceutical factories to produce them. The state can also reduce many complicated examination and approval procedures and speed up the research and development of new drugs.
5. The State organizes scientific research and independently develops medical devices.
Most of the medical equipment in hospitals is imported and expensive, which is also one of the reasons why the medical equipment in small and medium-sized hospitals is backward. It is suggested that the state should organize scientific and technological research, develop the medical equipment industry, reduce costs, equip small and medium-sized hospitals with medical equipment, and improve the level of medical equipment in primary hospitals.
6. It is suggested that the state greatly increase its investment in medical and health care.
It must be clear that medical and health care is a public welfare undertaking. Since it is a public welfare undertaking, the government should be responsible for the income of medical personnel and basic medical care. Therefore, it is suggested that the state greatly increase its investment in medical and health care.
Reference to the above content: Zhongxin. Some suggestions on solving the problems of difficult and expensive medical treatment
Refer to the above content: Zhongqing Online-How to understand the problem of difficult and expensive medical treatment?