First, the problem of the traditional planned economic system has been continued to the present day with all the disadvantages.
(1) Urban-rural division. For a long time, due to the constraints of the stage of development, there is a serious problem of "dual structure" in China. Under the planned economy, the rigid system further aggravates this contradiction.
(2) The urban and rural public **** medical system is not sound. Under the influence of traditional development thinking, purely focusing on the growth of GDP, and quite indifferent to health, thus leading to an unsound public **** medical and health system.
(3) Superlative hierarchy. Some people say that the current reform of the health care system has resulted in an unfair distribution of health resources, and they miss the so-called "fair" situation under the traditional system.
(4) Most public hospitals are inefficient, wasteful and have poor service attitudes. From a microscopic point of view, for a long time, a considerable number of primary, secondary and tertiary hospitals are in a state of inefficiency and loss; in terms of society as a whole, due to the lack of incentives and constraints in the health care system, the formation of the situation of "raising lazy people".
Secondly, there is the question of the current culture of corruption in the medical and health care fields, which is caused by the infiltration of corrupt forces within the Party and in society.
Third, on the imbalance of interests in economic reform and certain deviations in health care reform.
Fourth, the problem of the implementation of some new and legitimate initiatives in the reform.
Countermeasures
1, to increase financial input; governments at all levels should put into practice the concern for social health service work, increase the investment in health, set up a special subsidy for the initiation and development of community health services, to ensure that the investment in basic necessary medical equipment, and incorporate it into the regular budget of the financial and health services.
2, to improve supporting policies to meet the standards of medical and health services as a fixed point of health insurance, into the scope of the basic urban health insurance, the implementation of more favorable than the larger hospitals of the individual out-of-pocket expenses ratio, to guide the reasonable diversion of the source of disease.
3, the government should strengthen the supervision and management of medical and health services to the medical and health service organizations to implement a strict access system, but also to strengthen regular supervision and management in accordance with the law, and effectively safeguard the fundamental interests of the people.
4, to establish a set of perfect service operation and management system, a set of perfect evaluation, supervision, rewards and punishments mechanism, is also conducive to the maintenance of medical and health services, harmony, fairness, and orderly competition.