The direction has been already clear The medical reform marches towards the medical system of covering the whole people

The direction has been already clear The medical reform marches towards the medical system of covering the whole people
The direction has been already clear The medical reform marches towards the medical system of covering the whole people
Wang WeiBo, " it is the inevitable direction to set up the basic health care system of covering the whole people, also essential. " The southwest securities general manager of research and development centre Zhang ShiYuan say, because of the particularity of the basic health care service, commercialization its being intolerable, practice that was reform in the past it proves to be inappropriate too. The insider points out, the further reform scheme of the medical and health system of our country basically takes shape, direction and goal already clear, use for a long time, of our country resident no matter in urban and rural areas to assign the old and the young, obtain basic health care, serve. Covering the State Council of the whole people a few days ago reviews " suggetion on deepening the system reform of the medical and health ", determine to solicit the opinion to the society publicly again. Cathay monarch set up the intersection of analyst and JingMing Yi, say these indicate medical reform move forward in an all-round way soon. What made people aroused in interest in " opinion " most is, by 2020, basically set up the basic health care system of covering urban and rural residents, including more complete public health service system and medical service system, sounder medical security system Offer safe, effective, convenience, cheap health care service to masses, realize everybody enjoys the basic health care service. This shows, the health care system reform goal put forward at present is to let the whole people obtain the basic health care service, and not only a few people. The statistical data of State Statistics Bureau according to 2007, the national number of participants in urban basic medical insurance is 223,110,000 at the end of 2007, consider the personnel of the government departments and institutions who enjoyed public health services, it is a figure not big too compared with national population. Certainly, the new medical cooperation system of countryside established and popularized in recent years covers the number of people to increase, the end of 2007 has already been up to 726 million people, the participating in rate is about 86.2%. The basic health care system in the past of reform and opening-up made significant success, its proportions of people covered have been up to 90%. But with the proceeding of reform, the health care system based on planning system disintegrated rapidly originally, especially the rural cooperative medical service system nearly disintegrates overnight, the urbanite's medical system gets into a difficult position with the state-owned enterprise reform, get in time the population of medical care reduces rapidly. Zhang ShiYuan thinks, the 80th of last century, the medical system reform was mostly explored in the 1990s. Because the government puts into insufficiently, the medical organization has intention to seek the economic benefits in exploration more, the commercialized atmosphere is strong. Through reforming these years, has made many achievements, but look from angle meeting all resident's basic health care's needs, and unsatisfactory. Just as what the seminar of Development Reseach Center of the State Council appraises in " appraisal and suggestion on the system reform of China's health care " like that: On the whole, the reform is unsuccessful. Zhang ShiYuan is thought, serves and talks on the basic health care, must insist on public beneficially, it is for the entire people to insist on. The reform scheme put forward now has been already very clear on this, namely should basically set up the basic health care service system of covering the whole people in 2020, this progress is enormous, will promote the improvement of the resident health level of our country greatly, the development of the whole society exerts a far-reaching influence. The mechanism needs to improve the goal to be already clear, but realize this goal must there should be complete system arranging and effective operating mechanism. According to " opinion ", the medical reform will make great efforts to set up and coordinate unified medical and health management system, high-efficient and normal medical operating mechanism of health organ, government's leading plural hygiene is put into the mechanism, medical price forming mechanism with reasonable science, strict and effective medical and health regulatory ystem, medical and health mechanism and talent's security mechanism, practical medical and health information system that shares of scientific and technical innovation of sustainable development, set up and amplify the legal system of the medical and health. It was government's input that involved at first. Since basic medical care is public beneficial, need the government to increase input. The past experience indicated too, it was the important reason causing the medical organization to pursue the commercial interest excessively that the government invested insufficiently. According to the statistical data of Ministry of Public Health, some proportion of the government, social, personal expenditure is 25.1%, 39.2%, 35.7% respectively during 1990, it was 18.0%, 35.6%, 46.4% respectively in 1995, it was 15.9%, 24.1%, 60.0% respectively in 2001, it was 18.1%, 32.6%, 49.3% respectively in 2005. By the look of proportion of hygiene expenses to government's expenditure, " the Seventh Five-Year Plan Period " It is 2.53% during this time, " the Eighth Five-Year Plan Period " It is 2.37% during this time, " the the Ninth Five-Year Plan " It is 1.98% during this time, 1.71% of 2000, only 1.59% of 2002. Therefore, over these years, though the absolute volume that the government invests is rising, but proportion is obviously dropping, but individual bears some to increase by a wide margin, parts born probably account for 60%. By the look of present situation, increase with economic development and fiscal revenues of our country, have possessed the economic strength of increasing input. If the fiscal revenues of our country reach 5,130,403 million yuan in 2007, increase by 32.4% compared with the same period of last year. Meanwhile, must set up and improve the system of prevention from suffering from the diseases. Our country obtained and accomplished greatly in this respect, but weakened to some extent later in the past. Take Center for Disease Prevention and Control as examples, the whole country have 3618 1990, 3741 in 2000, 2005-2006, 3585, 3548, 3585 respectively in 2007. This shows, is engaged in reducing to some extent in mechanism that disease is prevented and cotrolled these years. The operation goal of the medical organization should carry on essential adjustment. Since the government offers corresponding funds, the medical organization should not attach primary importance to obtaining the economic benefits, and should regard it as the important goal to improve the medical service level. It should be a purpose to improve the medical service level, instead of the means, the inclination that excessively pursues the economic benefits must be corrected. It is inevitable that the difficulty can solve the difficulty in reality, but in with already clear direction cases, so long as catch the principal contradiction, it is can't be more difficult can solve either. First of all, should ensure the funds. The economy of our country increases fast, this has offered guarantee for setting up health care system of covering the whole people, but the economic development of all parts is different, some local capability is relatively bad, or even there are financial resources, but could guarantee it is a question. So, the expert points out, must set up one set to guarantee the system from system, make the medical reform scheme implemented in the whole country. Secondly, the use that medical resources should be sufficient. During the reform in recent years, for various reasons, some medical organizations have been cancelled, some contract individual, the intersection of resource and the intersection of trend of purchasing and big medical organization more. The result is the hygiene at the basic level The organization is insufficient seriously, but the large hospital in the city is overstaffed, the contradictions of doctors and patients increase. Zhang ShiYuan thinks, " both ends " Especially pay attention to: The medical organization at the basic level must keep a grip on, guarantee he bears duty of preventing and basic medical treatment; The upper strata should manage well, should bring about an advance in him on behalf of the organization of our country's medical science and technology level, R D institution, in order to the one that drive medical science and technology of our country? Good for � V bits Ru chaff purport create Peng chaff value bag last apple accumulate Gou last Qiu �� dung head �� Ge garden �� Xu barium wood hertzs of �� s reals awakes bored Pan in hoop tip musical sound for the � s Certainly, speaking from the microcosmic, set up such health care system to involve the surface numerously, there is problem of perception, operate questions, there are decision questions, but under the situation that the goal direction is clear, can all be solved. In addition, the reform of the medical system has brought the opportunity for development for the medical trade. The industrial securities king Xi thinks, in the long run, the medical trade will have a longer fast growth stage, this high growth is expected to maintain until 2020. It says, it is covered with that what the medical reform will bring on the benefited number of people is wide that the monarch of Cathay fits analyst Yi JingMing, benefited amount of money invest great disease and chronic disease,etc. for a long time in mainly, so producing advanced prescribed medicine company improve in the Cheng it benefits to be can relatively louding in medicine.


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