The main root causes of difficult and expensive medical treatment are as follows:
1, the total amount of medical resources is insufficient, and the development of health is lagging behind the economic development. The total amount of medical and health resources in China is seriously insufficient, and there are few high-quality resources.
2, the imbalance in the distribution of medical resources, the social equity of medical services is poor. Eighty percent of China's medical resources are concentrated in hospitals above the county and city levels. The flow of urban and rural residents to further concentrate to the higher hospitals, so that the resources of large hospitals can not be reasonably utilized, large hospitals to see minor illnesses, common diseases, overcrowding, but also cause "difficult to see a doctor, see a doctor," the reason for the long waiting time.
3, health care financing mechanism reform lagging behind, most of the people pay for medical treatment. The social basis for the widespread concern about "expensive medical care" is that more than 1.1 billion Chinese people pay for their own medical care. Of the current total cost of health care, government investment accounts for only 15 percent, and more than 80 percent of hospital revenue comes directly from individual patients.
4. National policy adjustments or new industry norms have increased the burden of healthcare on patients. The government has pushed healthcare organizations into the market with less and less funding. Hospitals need a lot of capital investment to support themselves, retain talents, purchase equipment, improve the environment, etc., and their development costs are inevitably transferred to patients eventually.
5, the social medical insurance system is not sound, the coverage is too small. There are imperfections in our basic medical insurance system and management. At the same time, China's medical insurance coverage level is not high, enjoying various forms of medical insurance are mainly institutions, institutions of management and professional and technical personnel. Half of the urban residents and the vast majority of the rural population do not have any medical insurance. According to survey statistics, only 9.35% of the population buy commercial medical insurance.
Suggested Countermeasures:
1. Considering from the government level:
①Deepen the reform of medical and health care system, and y rectify and standardize the order of medical services and drug production and circulation. Strengthen the price regulation of drugs and medical services. Regulate the medical and medication behavior of hospitals and doctors, strengthen the construction of medical ethics, improve the quality of medical services, and control the cost of medicine.
②Increase financial input to ensure the normal operation of hospitals, completely change the current situation of medicine for medicine, patients for medicine, change the management of hospitals to economic efficiency first.
2, from the hospital level to consider:
①In the financial situation can not fully guarantee the hospital funds, the hospital should firmly establish the purpose of health services for the people, social benefits first, taking into account the economic benefits, under the guidance of the increase in revenue and expenditure.
② resolutely put an end to irregular medical behavior, strictly prohibit clinical promotions, clinical promotions is to promote the sale of medicines at inflated prices behavior, not only breeding medicine corruption, but also increase the problem of expensive medical care.
③Strengthen internal management, improve the technical level of medical staff, the development of learning and training system, improve the cure rate, reduce the expenditure of patients to check and treat.
④Developing the linkage system of the national medical network, within the range of medical technology level, so that patients within each place according to the medical network referrals, reducing the flow of patients to make the cost down.