1, improve the medical level of primary hospitals, to solve the problem of difficult to see a doctor
Currently, the primary hospital medical equipment is relatively poor, a large number of medical graduates are also reluctant to employment in primary hospitals, resulting in poor medical level of primary hospitals, patients do not want to see a doctor in the primary hospitals, are crowded to large hospitals, resulting in overcrowding, causing the difficulty of access to medical care. And large hospitals, many master's degree students of medical universities in the dispensing of drugs, nurses and other work, talent can not play a role, and because of overcrowding, the doctor to see a few minutes a patient, relying on test reports to determine the condition of the disease, dispensing drugs, in fact, the quality of medical care is also unsatisfactory. Suggested provincial, municipal, county and township community hospitals to large hospitals to take the lead in the organization of medical group companies, increase the medical equipment of primary hospitals, hospitals, large and small hospitals to organize the doctor circuit at all levels of hospitals to see patients, one can improve the level of primary hospitals, medical personnel, but also to enable a portion of the patient can be close to primary hospitals to see a doctor to solve the problem of difficult to see a doctor.
2, by the state to bear the reasonable income of public hospital medical staff, to solve the problem of expensive
The expensive, mainly because the hospital is responsible for part of the income of the medical staff, so the hospital will have to charge the patient a certain amount of money to pay the salary, and thus the overall cost of medical care has not come down. For this reason, it is recommended that the state of the public hospital medical staff in accordance with the salary level of civil servants to implement all-inclusive. According to statistics, there are only six or seven million medical personnel in the country, which is only about half of the number of teachers in primary and secondary schools, and according to the current financial income of our country, this expenditure is fully affordable. For some of the original higher income medical personnel, the state all-inclusive after the adoption of allowing multi-practice approach to make up for their shortcomings, mobilize enthusiasm.
Of course, the state of public hospitals, medical staff salaries and bonuses after the implementation of all-inclusive, but also to consider a problem of vitality, to prevent the emergence of public hospitals, medical staff to reduce the enthusiasm, the quality of medical services regression. Each hospital should be assessed according to the real technical level of medical staff, medical ethics, quality of service, the implementation of performance pay. Hospitals should be subject to social supervision, by the government organization of the hospital level of medical skills, medical ethics, service level of public evaluation, according to the evaluation results to determine the amount of financial allocations.
3, the pharmaceutical companies to clean up, the state to implement the treatment of drugs purchasing and marketing monopoly
At present, due to lax management and local interest-driven, there are too many pharmaceutical companies, excessive competition, too many sales links, prices are inflated, and the quality can not be guaranteed. It is recommended that the state clean up the pharmaceutical companies, the implementation of designated production of therapeutic drugs, according to the need to issue production tasks. At the same time by the government to check the cost, reasonable pricing, profit control in the pharmaceutical companies in 10% or so, and according to the plan to sell directly to the local, municipal and county pharmaceutical companies, and give a 5% spread sold directly to the hospital to reduce the 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 complicated, the cost is too large, the risk is too great, including the current developed countries, many patented drugs are expired, returnees want to develop these drugs, the pharmaceutical companies do not dare to take, so the state organization of the corresponding research institute is responsible for the development of new medicines, and then the organization of the pharmaceutical company production, the state own research and development, their own review and approval is also the production of drugs. The state's own research and development, their own audit can also reduce many cumbersome approval procedures, can speed up the progress of new drug development.
5, the state organization of research, the development of medical equipment
At present, 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 organization of 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, suggested that the state significantly increase the investment in health care
To achieve the solution to the problem of difficult to see a doctor, the problem of expensive to see a doctor, to reduce the patient's expenses, not only to ensure that the medical staff of a reasonable income, but also to increase the investment in medical equipment, but also to strengthen the research and development of new medicines, without the state's investment can not be done. In recent years, although the state's investment in health care has increased, it is still seriously insufficient in general. According to statistics, our country's burden on the total cost of health care is about 17%, while the European Union's is 80-90%, the U.S. is 46%, Thailand's is 56%, and the government of India, Cuba, North Korea, and Myanmar is all-inclusive. China's investment in health care accounts for about 2.7% of GDP, while developed countries account for about 10% of GDP or more, emerging countries such as Brazil is 7.9%, India is 6.1%, which shows the huge gap. Our current financial investment in hospitals accounted for the proportion of expenditures of about 1% -5%, some hospitals are not even enough to spend on utilities, all costs rely on hospitals to generate income, which is difficult to see a doctor, expensive and many other problems at the root. In our opinion, it is necessary to clarify the nature of health care as a public service. Since it is a public service, the government should be responsible for the income of medical personnel and basic medical care. In this regard, it is recommended that the state significantly increase the investment in health care.