The reason why it is difficult and expensive to see a doctor is that:
First, there is a general shortage of medical resources, and the allocation is not balanced.
The second is that the medical insurance system is not sound, and a large number of people rely on out-of-pocket expenses.
Thirdly, the operation mechanism of public medical institutions tend to marketization, public welfare nature of the dilution.
Fourth, the production and circulation of drugs and medical equipment is chaotic, the price is too high.
In addition, there are difficulties for social capital to enter the medical and health care field, and the pattern of running medical services through multiple channels has not been formed, which is also one of the reasons why it is difficult and expensive to see a doctor.
Medical and health services is a special kind of service, involving public **** health, disease prevention, medical protection, clinical services, etc., should not be the government to take over all the responsibility, and can not be simply pushed to the market, the community and the residents, but should be implemented in a government-led, appropriate to play the role of the market mechanism approach.
So, to promote the reform and development of health care, a very important issue is to deal with the relationship between the government and the market.
Suggestions for the difficult and expensive to see the doctor:
1, improve the medical level of primary hospitals, to solve the problem of difficult to see the doctor
Suggestions for provincial, municipal, county, township and community hospitals to large hospitals to take the lead in the organization of the medical group of companies, to increase the primary hospitals of the medical equipment, the organization of large and small hospitals, the doctors touring hospitals at all levels of medical treatment, on the one hand, it can enhance the level of medical personnel, but also can make the grass-roots hospitals The level of medical personnel, but also enables a portion of the patients can be close to the primary hospital to see a doctor, to solve the problem of difficult to see a doctor.
2, to take the state to afford the public hospital medical staff reasonable income, to solve the problem of expensive
suggests that the state of the public hospital medical staff in accordance with the salary level of civil servants to implement the all-inclusive. National medical personnel according to statistics only six, seven million people, only about half of the primary and secondary school teachers, according to China's current financial income situation, this expenditure is fully affordable. For some of the original high income medical personnel, the state all-inclusive, take the approach of allowing multi-practice to make up for its shortcomings, mobilize enthusiasm.
3, the drug factory to clean up, the state to implement the treatment of drugs purchasing, marketing monopoly
suggests that the state to clean up the drug factory, the implementation of therapeutic drugs designated production, according to the need to issue production tasks. At the same time by the government to check the cost, reasonable pricing, pharmaceutical profit control in about 10%, and according to the plan to sell directly to the local, municipal and county pharmaceutical companies;
And give 5% spread directly to the hospital to reduce intermediate links, reduce the cost of sales, the real price of the drugs down to a reasonable level. For factories not designated to produce therapeutic drugs can be transformed into the production of health care drugs, through market-oriented operation.
4, by the national organization of new drug development
Currently, China's new drug development should be said to be very backward, the reason is that the approval procedures are cumbersome, the cost is too large, the risk is too great, including the current developed countries, many patented drugs are expired, the return of talented people who want to develop these medicines, the pharmaceutical companies do not dare to take;
The State therefore organizes the corresponding research institutes are responsible for the development of new medicines, and then The state organizes the corresponding research institutes to develop new drugs, and then organizes the production of pharmaceutical companies, the state's own research and development, their own audit can also reduce many cumbersome approval procedures, which can speed up the progress of the development of new drugs.
5, the state to organize research, the development of their own medical equipment
Most of the hospital's medical equipment are imported, expensive, but also caused by small and medium-sized hospitals, one of the reasons for the backwardness of the medical equipment, it is recommended that the state to organize scientific and technological research, the development of the medical equipment industry, to reduce the cost of small and medium-sized hospitals to configure the medical equipment to improve the level of medical equipment of primary hospitals.
6, recommended that the state significantly increase the investment in health care
Must be clear that health care is a public good cause of this nature. Since it is a public service, the government should be responsible for the income of medical personnel, responsible for basic medical care. In this regard, it is recommended that the state significantly increase its investment in health care.
Reference: China News Network - on solving the problem of difficult to see the doctor, the expensive problem of a number of recommendations
Reference: China Youth Online - how to recognize the difficult to see the doctor, the expensive problem