An analysis of the causes of the grass-roots people's "difficulty in seeing a doctor"
(1) The main manifestations of the grass-roots people's difficulty in seeing a doctor and the cost of seeing a doctor
"Difficulty in seeing a doctor" is difficult in that: (1) it is a long distance, and it is inconvenient to seek medical treatment, especially for some remote mountain villages. (1) long distances, inconvenient to seek medical treatment, especially for some farmers in remote mountain villages. (2) The technical strength of medical institutions is weak, it is difficult to meet the medical needs. Such as medical personnel business is poor, poor diagnostic equipment, poor facilities, unclear diagnosis, poor treatment results. (3) The services of medical institutions are not in place, such as the unreasonable layout of the hospital's departmental settings, complex procedures, a few medical staff with a weak sense of service, the existence of the door is difficult to enter, difficult to see. (4) large hospitals are overcrowded, registration, medicine, waiting for a long queue exists "difficult to wait" difficult.
"Expensive" in: (1) expensive drugs (2) expensive examination fees (3) some special treatment equipment expensive (4) excessive treatment, minor illnesses, delayed treatment to produce unreasonable costs.
(2) "difficult to see the doctor, see the doctor" cause analysis
Through some of the hospital's current situation, combined with some of the mechanism of medical operation, it is not difficult to analyze, "difficult to see the doctor, see the doctor," the causes are:
(1) the village medical institutions geographic restrictions and health administrative departments of the village medical institutions configuration is not in place to lead to a number of farmers to seek medical treatment "difficult to travel".
(2) on the one hand, the government's lack of investment in health, affecting the hospital's facilities to update and improve the purchase of equipment, training of personnel, the development of technical projects, resulting in the hospital's poor medical treatment capacity, affecting the masses to seek medical treatment efficiently; on the other hand, the hospital's own limited level of operation, unable to solve the self-development of the economic inputs, affecting the ability to provide medical services.
(3) The hospital management is not in place, the internal restraint mechanism is not complete and ineffective, the quality of individual medical staff is poor, resulting in the masses to see a doctor.
(4) the price of health materials is too high, the management of the circulation of medicines is not standardized, the circulation of the layers of the code, the price of medicines has not made a substantial breakthrough, aggravating the degree of "expensive medical care".
(5) After the introduction of the new "Regulations on the Treatment of Medical Accidents", the implementation of the "reversal of proof" in the treatment of medical malpractice, out of their own preventive purposes, doctors in the process of diagnosis and treatment of excessive examination, increasing the patient's burden of medical care.
(6) The development of medical science and technology, new technologies, new medicines, new instruments and new materials are constantly being used, the progress of diagnosis and treatment means that patients enjoy safe, accurate and fast diagnosis and treatment services at the same time, the cost of expenditure increased accordingly.
(7) hospitals are in the rising prices of the city's economic environment, survival and development, health care costs are the inevitable result of medical and scientific progress and socio-economic development, within a certain range of growth is unavoidable.
(8) hospitals in order to survive and develop one-sided pursuit of their own economic benefits, departments or doctors in order to complete the target task, improve the effectiveness of the salary, to take excessive treatment behavior, increasing the burden on patients.
(9) individual doctors professional moral corruption, only to pursue kickbacks, commission, large prescriptions indiscriminate prescribing; individual doctors basic theory is poor, low level of diagnosis and treatment, only know with the help of large-scale equipment inspection or abusive inspection; individual doctors in order to release the heart of the dissatisfaction, the emotions brought to the work of medical care, the anger of the patients to vent their anger or "ruthless"
In order to address these problems, the hospitals to fulfill their economic benefits, in order to achieve the goals and tasks to improve the efficiency of the salary, to increase the burden of patients. p>
To address these issues, the decision put forward a series of targeted measures and requirements.
One is to adjust the allocation pattern of medical and health resources. To improve the medical and health service system, focusing on strengthening the three-tier health service network in rural areas and the construction of a new urban health service system based on community health services, and the implementation of financial security measures.
The second is to accelerate the improvement of the medical security system. In cities, to improve the basic medical insurance system for urban workers at the same time, the establishment of a sound service urban residents medical insurance system, in rural areas, to promote the new rural cooperative medical care.
Three is to strengthen the public hospital public **** service function, strengthen medical ethics and medical style construction, standardize the management of income and expenditure, and correct the tendency of one-sided income generation. The key is to clarify the government's responsibility to increase the government's investment in health care, public hospitals to implement the management of two lines of income and expenditure, and change the current public hospitals to drugs to support the medical, one-sided revenue-generating operation mechanism.
Fourth, the establishment of a national basic drug system, rectify the order of drug production and circulation, to ensure that the public basic medicine. In accordance with the national, social and personal affordability and the principle of safety, effectiveness and affordability, the establishment of a national basic drug system to ensure that the masses of basic medicines. Rectify the order of drug production and circulation, strengthen the supervision of drug prices, and strictly prohibit inflated pricing.
Fifth, the strict review of medical institutions, technical access and personnel qualifications, to guide social capital in accordance with the law to set up medical and health institutions, to support qualified personnel to practice in accordance with the law, to facilitate access to health care.
Sixth, to give full play to the advantages of traditional Chinese medicine and ethnic medicine "simple, convenient, tested and inexpensive", and vigorously support the development of traditional Chinese medicine and ethnic medicine.