In response to the difficulty of establishing a truly effective corporate governance structure in the reform of state-owned enterprises, Prof. Zhang Weiying had a very pungent remark: "Drawing a road on the back of a horse does not turn it into a zebra." This reminds us of the reform of our public hospitals. Have we not engaged in the behavior of drawing black paths on the back of a white horse and calling it a "zebra"? If the public hospitals are not really placed in the environment of the market economy, and continue to be keen to make the public hospitals into a market economy in the ocean of the planned economic system of the "lonely boat", then it will not only be unable to provide to meet the people's health care needs of the supply, but also will still be a sponge sucking up the taxpayers' hard-earned money.
The second revelation: efforts to expand the effective supply of medical services should become an important focus of health care reform. May as well take the recent online speculation in the Beijing number trafficking incident as an example - a price of 300 yuan according to the hospital to give the expert number, why was the number of traffickers fried into 4500 yuan? The crux of the problem lies in the serious shortage of quality medical resources and rigid price control! If there is no huge price difference from 300 yuan to 4,500 yuan, how can the number traffickers be so "professional" and do whatever they want in the matter of dumping numbers? With the lack of high-end medical supply formed a strong contrast, is the low-end supply of a serious surplus - with the city hospitals hard to find a ticket compared to many grass-roots hospitals in towns and villages can not be found. This situation is very similar to the phenomenon of upgraded consumer demand in the commodities sector, where domestic goods are unavailable on the one hand and the country's demand for upgraded consumption on the other!
The insufficient supply of medical services, especially the insufficient supply of high-quality medical resources, involves a series of problems such as hospital personnel training mechanism and personnel management system, precisely on these issues, the current management system leads to is still the reverse elimination and the bad money to drive out the good money! Expanding effective supply and eliminating ineffective supply are two sides of the same coin. To solve the "zombie enterprises" in state-owned enterprises is an important task of the "supply-side reform" in the economic field, what about the medical field? For those inefficient supply or even ineffective supply of zombie medical institutions how to do? Some places in the wrong view of performance stimulation, not only the existing "zombie medical institutions" can not afford to keep and can not be put down, and even let go to let such primary health care institutions continue to be "born". The disease to this extent, is not the central "supply-side reform" of the medicine to cure a good cure?
The third revelation: adjust the direction of medical service supply, supply and demand for better matching and docking, is the health care industry to practice "supply-side reform" of the title of the meaning of the right. Looking back from the temple to the community, "quality medical resources sinking" this slogan has been shouted for how many years? When the baby probably also from croaking to grow into a handsome man and beautiful woman and even talk about marriage, right? But how much of our quality medical resources have been "sunk"? It must be known that in all medical resources, doctors are the most valuable medical resources, only the orderly flow of doctors, in order to make full use of medical resources. Therefore, the key is to start from the level of institutional arrangements, so that they can become freelancers as soon as possible, so that they can live a decent and dignified life through free practice and honest labor.
While "untying" doctors, we should also "untying" patients by allowing them to choose the hospitals and doctors they want to see. In order to promote orderly medical care, health insurance and other policy leverage is not impossible to use, but can not be turned into the hands of the Tang Monk "gold band". The government should return to the role of the game rule maker and regulator, can not indulge in acting as a doctor and patient "nanny" or keen to engage in "pulling the strings".
The fourth revelation: the relationship between the government and the market, both in the economic field to promote the "supply-side structural reform" of the important guarantee and the fundamental requirements, but also to deepen the health care reform must face the problem. For many puzzling and even inconceivable phenomena in the medical reform, if from the perspective of "supply-side reform", the crux of the problem will be more clearly presented. For example, the problem is originally caused by the lack of supply, but the demand side to find the cause! Take the issue of hierarchical diagnosis and treatment, through a reasonable guide to achieve the hierarchical diagnosis and treatment of patients and orderly access to medical care, of course, is a good thing, but unless the head of the person, which patients will be close to the distance? And lead to the flow of patients to large hospitals in the allocation of medical resources "inverted triangle" state, but also the results of government control.