Recently, there are many people are more interested in how to understand the public health care, but in fact, most people do not know much about how to understand the public health care, Xiaobian has organized the relevant information, I hope to bring you help. First, the concept of publicly-funded health care refers to the state through the medical and health sector, to provide free medical and preventive services to state employees of the system, the funding mainly from all levels of finance. Second, the background and process of the reform of public medical care Publicly-funded medical care began in 1952, is the state through the health sector to provide free medical care and preventive services for state workers, a social security system, all the funds from the financial burden, individuals do not have to pay. With the establishment of the socialist market system and the deepening of the reform of state-owned enterprises, the shortcomings of this system have become more and more obvious. A set of public data shows that in 2009, the per capita medical and health care costs in Beijing were 4,179.87 yuan, with an average personal burden ratio of 26.2%, while in 2010 Beijing's actual expenditure on publicly-funded medical care amounted to 2.62 billion yuan, an increase of 6.27% compared with 2009, and calculated on the basis of the 220,000 people enjoying publicly-funded medical care in Beijing, with the average per capita medical cost exceeding 11,000 yuan. In the era of publicly-funded medical care, the more patients a hospital has to bear means the more serious the hospital's losses. For patients enjoying public medical care, the hospitalized portion of the cost exceeds the lump sum fee, with the hospital bearing 20% and the finance bearing 80%. Pinggu District Hospital, for example, the hospital's medical insurance office billing clerk Ms. Xing began to take over the public health care in 2005, when the hospital lost hundreds of thousands of dollars on public health care, and in 2008, this figure rose to more than 2 million. Because of the excessive financial burden, all regions have introduced some implementation rules and mechanisms to restrain wastefulness in publicly-funded medical care. For example, Beijing Municipality in 2000 issued ((on further deepening the reform of publicly-funded health care notice on relevant issues, put forward the number of people covered by the quota management approach to achieve the total amount of publicly-funded health care expenditure control, and formulated the public health care to enjoy the staff of the burden of medical costs standards: annual outpatient costs less than or equal to 3,000 yuan, the employee's personal responsibility for 20%, more than 3,000 yuan above the part of the individual responsibility for l0%; annual hospitalization fees are less than or equal to 3000 yuan, employees personally bear l0%; annual hospitalization medical expenditures less than or equal to 10,000 yuan, the employee's personal burden of 10%, more than 10,000 yuan above part of the personal burden of 6%; retirees personal burden ratio of 50% of the active employees. However, the binding force of these measures is not strong, and because of the existence of public medical care, the higher the cost, the lower the proportion of costs borne by the individual system design shortcomings, so that the phenomenon of "minor illnesses" and other phenomena are very common. Some medical units in the interests of the drive, a large number of distribution of expensive drugs, imported drugs, and even the sale of nutritional supplements, non-medical supplies; blindly imported and use of CT, nuclear magnetic *** vibration and other high-grade medical equipment. These institutional shortcomings have increased the government's financial burden and intensified the reform of publicly-funded medical care.In December 1998, the State Council issued the Decision on the Establishment of a Basic Medical Insurance System for Urban Workers (Guo Fa [19983] No. 44), which called for nationwide reform of the medical insurance system for urban workers, with all employers (including institutions) and their employees participating in the basic medical insurance system for urban workers. All employers (including organizations and institutions) and their employees were to participate in the urban workers' basic medical insurance system. Since then, in accordance with the spirit of the document, most regions of the country have successively abolished publicly-funded medical care for civil servants and introduced medical insurance for serving and retired civil servants (with the exception of those who have retired). To date, of the 31 provinces, autonomous regions and municipalities in the mainland, at least 24 have abolished publicly-funded medical care and all participate in medical insurance, while other provinces are in the process of gradually abolishing publicly-funded medical care. Third, the characteristics of publicly-funded medical care Publicly-funded medical care and labor insurance medical care are both characterized by medical expenses that do not have to be borne by oneself, and they have two advantages: one is conducive to the timely prevention and control of diseases and infectious diseases, so as to eliminate the hidden dangers of infectious disease epidemics, and the patients do not have the economic pressure, which is conducive to their physical and mental health, and family harmony, and social stability. The second is that it is more organized and "free of charge", which is conducive to the smooth implementation of preventive health care, health education and other health activities. However, due to the lack of an effective monitoring and control mechanism for those who enjoy publicly-funded medical care, labor insurance medical care, and the health-care sector, there is a serious waste of health resources, which, if prolonged, will overburden the State and its units. Therefore, the publicly-funded medical care system and the labor insurance medical care system also need to be improved. The above is a small amount of knowledge to organize the relevant aspects, however, the written knowledge is theoretical knowledge, in practice, for how to understand the public health care or to analyze the specific circumstances, if you still have questions about this, you can go to the relevant institutions and departments for further consultation and understanding. I hope my answer is helpful to you! If you still have any questions, welcome to the legal counseling, I wish you a happy life!
Legal basis:Publicly-funded medical management measures Article 7 The scope of expenditure of public medical funds. Where the following expenses of the personnel enjoying public medical treatment can be reimbursed in whole or in part in the public medical funds, the specific reimbursement ratio is reasonably determined by the localities. (1) The medical expenses (including bed charges, examination fees, drug fees, treatment fees, surgical fees, etc.) incurred by persons who are entitled to publicly-funded medical treatment and who seek medical treatment at designated medical institutions. Medical fees for medical treatment at the nearest medical unit (national or collective) due to an emergency that prevents the person from going to the designated medical unit for treatment. Medical expenses incurred in the local medical unit (national or collective) when visiting relatives on business or vacation. (D) Medical expenses for short-term convalescence or rehabilitation treatment during the recovery period after hospitalization for surgery or critical illness, as suggested by the original treatment unit, agreed by the host unit and approved by the competent authority for publicly-funded medical treatment; and for convalescence or rehabilitation medical treatment during the recovery period for non-surgical or non-critical illnesses, as suggested by the designated hospital, agreed by the host unit and approved by the competent authority for publicly-funded medical treatment. V. The cost of medicines that must be purchased out of the country (i.e., to the national medicine store or other medical units) with a hospital certificate because the original treatment unit does not have the medicines. (vi) Medical fees for treatment at a medical institution (national or collective) outside the country in accordance with the regulations. Medical expenses for family planning surgery. Fees for imported artificial organs installed on the basis of a certificate issued by the treatment unit due to the needs of the condition, not exceeding the maximum price of domestic products. Nine, due to medical conditions, organ transplantation, according to the principle of public medical care, units and individuals *** with the same burden, should be borne by the public medical care costs. X. Medical expenses for injuries and disabilities incurred in the line of duty. XI, for critical illness rescue or treatment of public injuries must be expensive, tonic drugs (including blood products) costs.