China's achievements in health care are universally acknowledged. The World Health Organization once praised China for protecting the health of the world's largest population at the lowest cost. But with what? People-oriented? Using Scientific Outlook on Development to re-examine China's health undertakings, we will find that the development of health undertakings lags behind the development of economy and other social undertakings, the contradiction between the medical and health service system and the growing health needs of the people is still quite prominent, and the development of health undertakings is not comprehensive and coordinated. To sum up, there are the following aspects:
First, health resources are generally insufficient, and health development lags behind economic development. The population of China is1300 million, accounting for 22% of the world's total population, while the total health expenditure only accounts for 2% of the world's total health expenditure. In the past, we often said that China's health undertakings were low-input, high-output, low-cost and high-efficiency. But from the perspective of Scientific Outlook on Development, this is at the expense of affecting the interests of the masses and increasing the burden on medical and health personnel, especially excellent medical personnel.
Second, the allocation of medical and health resources is unreasonable, and the situation of lack of medicine in rural and urban communities has not completely changed. China's medical and health services should be low-cost and widely covered. The allocation of medical and health resources should be pyramid-shaped, but it is inverted pyramid at present. High-tech and excellent health talents are basically concentrated in big hospitals in big cities. It is difficult for people to seek medical treatment effectively in the local area. Going to other places and big hospitals for medical treatment not only increases the burden of big hospitals, but also increases the economic burden of patients.
Third, the medical security system is not perfect, and a considerable number of people rely on their own expenses to see a doctor. Although the medical security system for urban workers has been established, the coverage is too small. Laid-off workers, unemployed people and urban low-income people have no medical insurance. At present, the pilot project of the new rural cooperative medical system has benefited more than 400 million people, but the fund-raising efforts are small. Generally, each person only has 50 yuan every year, so the guarantee is not strong. Nearly half of the urban population and rural population have no medical insurance, and they have to pay for medical treatment at their own expense.
Fourth, the medical and health management system does not meet people's health needs. A sound medical and health system in a country should include medical and health service system, basic medical security system, drug and medical device supply system, medical expense price management system, financial fund guarantee system and health supervision and management system. According to the national conditions of China, these tasks cannot be managed by only one department, nor can they be managed well. Need to strengthen the coordination between departments, form a joint force, pay close attention to * * *.