Promote the medical system reform to be the responsibility of the whole society

Promote the medical system reform to be the responsibility of the whole society
Promote the medical system reform to be the responsibility of the whole society
The intersection of the people and November 22 Yue, king of staff reporter, medicine learn and people's government of Hunan Province sponsor jointly by Chinese, 2009 Chinese medical system reform which organizations such as the Chinese medical policy research center of medicine society,etc. undertake - -International summit forum holds in Hunan Governor's Shashi the opportunity and challenge. At the meeting, study to discuss together in system reform of medicine that the domestic and foreign expert seeks medical advice with the scholar, share the experience. Study 17th hygiene industry from social aspect American the intersection of Ministry of Public Health and the intersection of Richard and Carlos, CEO of public health, does not receive and say, China's economic development is prosperous, there is a very great prospect in system reform of the medical and health. Now, China and the United States have a very large number of something in common, the goals of two countries are both to seek happiness for people. We face the same challenge too, including reduction, aging population, a of all kinds one of financial budget happen suddenly public incident, chronic disease and infect with disease,etc.. How to offer more high-efficient, more proper hygiene system to people better, put very important problem in front of us. " the responsibility which everybody will bear of the public health, it is the common responsibility too " . Chad does not receive and say card, a country, a nationality, and each citizen, the most important thing is to shoulder this public community responsibility, only have public community responsibility, could push health undertaking to a new height. He says: "Can not promote the reform of the whole hygiene industry alone, must be participated in together by everybody, and should further investigate the whole health undertaking from the social aspect. " Chad's card does not receive and say, China has a very fine administration foundation, it is developed too very fast that economic over the past dozens of years. Raise inoculation of vaccines national constantly,under pregnant and parturient women mortality,expect life-span not to be lengthened per person already. How to turn such good scientific theory into culture the medical reform should be considered. In fact, the very important point is the habits and customs to be changed people, abandon unhealthy habits and customs and behavior. The basic medicine system is that the real mechanism reforms the human resources and medical insurance Yao Hong, chief of department of social security department to say during speech, our country enter the intersection of the whole people and the intersection of essence and stage that medical treatment ensure this year, the new stage taking medical reform scheme which the State Council issue as sign. This scheme has defined design, principle, frame and implementation step of the medical security system, round " Everybody enjoys basic medical treatment to ensure " Theme carry on design. Yao Hong says, China is still a developing country after all, per person GDP has only 3000 dollars, ensure competence to be impossible and mention very high. Especially China faces a large amount of population's flowing in the industrialized course in the course of developing, face the crisis of senilization, pressure and crisis coexists, so can only offer one to based on basic medical guarantee, the multi-level medical security system is a system of the framework. The subjects of this set of security systems are urban worker's basic medical insurance, basic medical insurance of urban residents and are shut newly and agriculturally, it was a social medical rescue system in urban and rural areas that held the bottom, the supplementary one has a series of measures such as civil servant's subsidizing, commercial medical insurance,etc.. The principle is wide covered, protected basically, multi-levelly, sustainably. Yao Hong says the present question is how to ensure the people's health next. Especially the development of every area of China is uneven, economic development and medical treatment ensure competence to be uneven. In the course of realizing the basic medical treatment ensuring and public health equally and melting, it is inadvisable to take the method of making it rigidly uniform to pursue the medical sageguard measure, " the central authorities make the large system frame, disperse decision in the locality " to go Way. And this medical treatment ensures a starting point of the system reform just everything proceed from the reality, it is suitable to find out our country, suitable for method and measure of each area through exploration. He thinks, during five reforms in the new medical reform, though basic medicine system has not ranked the first, but it is reformed by a real mechanism. The responsible institution ensured as medical treatment, the focal point is to cooperate with the basic medicine system, issue basic medical insurance, industrial injury insurance and birth insurance medicines catalogue as soon as possible. And need to explore next " The negotiations mechanism " ,The best medical care from the time when the medical safety unit represents all persons who effect an insurance select to buy. Medical reform want, pay close attention to the fact minister of Australian Ministry of Public Health Mike strange to point out lecture, Vawdrey have before the six key, the medical system reform should pay close attention to the following six focal points. First, health care reform correlates with people's emotion. The medical system is to a kind of care of people's emotion, have a lot of emotion factors inside, it is not decided by pure economic factor. Second, the non- elastic system of the price. People for requirement for medical care if only the price is reduced, that service quality and level,etc. that everybody sees will drop. Its price is not very flexible, the cost performance between its price and service has the relation. Third, the existence of the ethical factor. A lot of people buy medical insurance oneself to fall ill, feel, lose, will appear, let the intersection of person who falsely claim as one's own and risk of all kinds, people of house. Fourth, information asymmetry. To doctor and patient, itself information that have asymmetric, this medical a characteristic of trade too. Fifth, offer people's leading market by insurance. That is to say, there are no too many choices as to insurer. People's way to obtain the insurance through the network is more and more popular, the similar trend has appeared in China too. Six a lot of reforms can launch a pilot project in some hospitals, the health care reform trying to find out under different culture background constantly. Can get better popularization experience through the small pilot project. Can not depend on investing medicine policy and basic medicine system department's chief Zheng Hong of Ministry of Public Health to show during speech briefly while setting up basic medicine system, our country sets up basic medicine system, will not merely today, after reform and opening-up over the past 30 years pursue, in fact it is the trend of the times too. The national basic medicine system is a brand-new system, it is a system engineering, concern the sound development of the medical hygiene industry, concern the people's vital interests, concern the improvement of Chinese nation's whole quality. He says, sets up the focal point that basic medicine system is the medical reform, it is the difficult point too, need to carry on innovating and deep adjustment of the interests pattern to the current system mechanism. The links that the basic medicine system involve are many, in such a system frame, implementing effect that it is very difficult to achieve the system by the systematic action of the hygiene only. Before the system start of basic medicine, the national basic medicine system job committee has been established in the leading group of the medical reform of the State Council. This job committee has nine ministries, commissions and bureaus to participate in in fact, if add the medical system of the army to, a dozen management units make up the committee ,To organize in concert, coordinate and make relevant policy and measure that the basic medicine system advances. Zheng Hong says, setting-up and implementation of the basic medicine system, it is not merely on the aspect of the government, also involve the adjustment of each domain interests pattern, including how medical enterprises seize the opportunity while the basic medicine system implement, dissolve the difficult problem, promote the development of enterprise, this is a very great challenge too. Advance the construction of the basic medicine system by reform and innovation method, consider every possible angle each link such as production, pricing, calling for bid, circulation, providing and delivering, using, submitting an expense account of the basic medicine, make the designs of these links can be connected all linked with one anotherly and each other. Meanwhile, it can't expect the institutional improvement make success greatly in one day and two days, one year and two years to move forward in an orderly manner. Zheng Hong says, the basic medicine system puts emphasis on protecting in the design basically, widely and covering with, keeping continuing, especially when every province is carrying out central authorities' relevant medical reform policies, put forward an important slogan again, set up a mechanism through the reform. So can say, it is not the financial input to increase central authorities and locality briefly that supports this reform, it could guarantee the system sustainable development of basic medicine in this way to also set up corresponding mechanism. He says, during the reform, it is supplied that guarantee the basic medicine is produced steadily and sufficient, guarantee and quality safety that the price of basic medicine is reasonable. After the basic medicine catalogue is announced, the social response is very big, do not think the price of the basic medicine has reached expectancy yet. In promotion of the basic medicine system, the price is an important factor, but can't only emphasize that cheap, but should emphasize prices are reasonable. So, in implementation of the basic medicine system, not merely need ordinary pharmacy enterprises to join in, hope corresponding joint venture, overseas-funded enterprise can participate in the intersection of China and basic the intersection of medicine and foundation and popularization of system. The price national Vice chief of development and reform committee Pricing Department Liu ZhenQiu expresses when the forum makes a speech that make the basic medicine rationally, the totality of the system reform of China's medical and health is required, proceed from current situation of the development and developing direction of medical market of China, our country will set up the medicines price forming mechanism with reasonable science. Liu Zhen says in autumn, the basic principle of the price reform of medicines is: Insist government's adjustment combines with market regulation, encourages innovations and uses the basic medicine to regard as equally important, utilize lever of price to promote enterprises to improve product quality, the price reform is coordinated and moved forward with the system reform. Price of basic medicine " Make rationally " ,Will follow the principle of the following several respect: First, adhere to reasonable cost, reasonable profit principle, compress and circulate the unreasonable space of link, reduce the overall level of prices appropriately. Second, the price made yes favorable to to raise enterprises and guarantee both quality and quantity and produce the supplies. Third, allocate and use according to the basic medicine, should carry out the unified guide price, no longer distinguish different enterprises. Fourth, at the concrete assortment price, should rise, lower, keep according to the competition situation. Fifth, the basic medicine guide price that the government makes needs to carry on dynamic adjustment.


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