1. Improve the medical level of primary hospitals and solve the problem of difficulty in seeing a doctor.
At present, the medical equipment in grass-roots hospitals is relatively poor, and a large number of medical university graduates are unwilling to work in grass-roots hospitals, resulting in poor medical standards in grass-roots hospitals, and patients are unwilling to go to grass-roots hospitals to see a doctor, resulting in overcrowding and difficulty in seeing a doctor. However, many master students of medical universities in large hospitals are engaged in dispensing medicines and nurses, and talents can't play a role. Moreover, due to overcrowding, doctors only see a doctor for a few minutes, relying on laboratory reports to determine the condition and dispense medicines. In fact, the quality of medical care is not satisfactory. It is suggested that provincial, prefectural, county and township community hospitals should take the lead in establishing medical group companies with 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 make some patients go to primary hospitals nearby to see a doctor and solve the problem of difficulty in seeing a doctor.
2. The reasonable income of medical staff in public hospitals should be borne by the state to solve the problem of expensive medical treatment.
Seeing a doctor is expensive, mainly because the hospital is responsible for part of the income of medical staff, so the hospital must charge patients a certain fee to pay their wages, so the overall medical expenses have not come down. Therefore, it is suggested that the state should implement all-inclusive 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.
Of course, after the state implements the all-inclusive salary bonus for medical staff in public hospitals, it needs to consider a dynamic problem to prevent the enthusiasm of medical staff in public hospitals from decreasing and the quality of medical services from retrogressing. Hospitals should assess medical staff according to their real technical level, medical ethics and service quality, and implement performance pay. Hospitals should accept social supervision, and the government should organize a public evaluation of their medical skills, medical ethics and service level, and decide the amount of financial allocation according to the evaluation results.
3, clean up the pharmaceutical factory, the state implements the monopoly of unified purchase and marketing of therapeutic drugs.
Now, due to lax management, local interests, too many pharmaceutical factories, excessive competition, too many sales links, inflated prices, and the quality cannot be guaranteed. 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 cost is approved by the government and the price is reasonable. The profit of pharmaceutical factory is controlled at about 10%, and it is directly sold to local, city and county pharmaceutical companies as planned, and the difference of 5% is directly sold to hospitals, so as to reduce intermediate links and 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 return to China to develop these drugs, but pharmaceutical companies dare not take them. Therefore, the state organizes corresponding scientific research institutes to develop new drugs, and then organizes pharmaceutical companies to produce them. The state can also reduce many complicated examination and approval procedures and speed up the development of new drugs.
5. The State organizes scientific research and independently develops medical devices.
At present, most of the medical equipment in hospitals is imported and expensive, which is one of the reasons why the medical equipment in small and medium-sized hospitals is relatively 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.
To solve the problem of difficult and expensive medical treatment and reduce the cost of patients, we should not only ensure the reasonable income of medical staff, but also increase the investment in medical equipment and strengthen the research and development of new drugs. It is impossible without state input. In recent years, although the state's investment in health care has increased, it is still seriously insufficient on the whole. According to statistics, China's total medical expenditure burden is about 17%, while the EU is 80%-90%, the United States is 46%, Thailand is 56%, and India, Cuba, North Korea and Myanmar are all borne by the government. China's investment in health care accounts for about 2.7% of GDP, while developed countries account for more than 10% of GDP, Brazil and other emerging countries account for 7.9%, and India accounts for 6. 1%, which shows the big gap. At present, our financial input accounts for about 1%-5% of hospital expenditure. Some hospitals don't even spend enough water and electricity, and all expenses depend on hospitals to generate income. This is the root cause of many problems such as difficult and expensive medical treatment. We believe that it is necessary to clarify the nature of medical and health care as 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.