thedoctor medication must produce the cost ,the cost is not a personal commitment ,is the finance pays .even the finance pays &ldquo ;free medical &rdquo ;,finance money also comes from the national taxes of medical mode is not the core of whether or not free ,but how to balance fairness and efficiency the article causes heat to discuss .
chinese medical insurance system construction in a short time has made great achievement ,however ,medical treatment is difficult ,expensive is the urgent need to address the issues of free medical care ,pattern ,highlight the public to see a doctor expensive anxiety .
then ,
lunettes oakley,free medical feasible ?china how to hack your doctor ?question :how a health system more reasonable ? in response to social and economic development, fairness ,efficiency and sustainability, world bank policy research report pointed out ,low income countries suffering from illness ,need more the strong public policy of giving priority to the allocation of the limited medical resources ;rich countries is also not possible for health departments to provide unrestricted public budget .
no matter in developed countries or developing countries ,a pressing matter of the moment is to control the cost and make more effective use of funds .&ldquo ;fairness and efficiency are the fundamental problems of social security system .
the basic medical insurance system on government supply responsibility ,adhere to justice ,common ,public welfare ,and social economic development to the principle ,but also emphasizes organizational and individual responsibility .
&rdquo tongji medical college ;huazhong university of science and technology professor yao lan said ,in order to improve the medical and health institution efficiency and avoid excessive use of health services ,many countries have paid attention to the medical security system of governmental dominant and market mechanism union .
npc and cppcc this year ,some members considered ,our country national condition decided the reform could not rely on the government package ,national ,local ,units ,individuals and the whole society should joint force,
oakley pas cher, overcome the problem .
health services rely on market mechanism cannot guarantee the fairness of medical services ,rely on government regulation can not meet people diversified needs ,therefore, must introduce market mechanism and adhere to the leading role of the government ,to achieve the maximum benefit ;at the same time ,
vente oakley,to distinguish between the basic and non-basic needs ,basic medical care and health protection responsibility the government, non basic medical care is given to the society to do ,adaptation of patients with multilevel medical needs .
the world bank is engaged in research on public health expert zhang shuo think ,looking at a country medical service safeguard level whether suit with national power photograph ,should see average health care expenditures and the country gdp levels .
gdp of chinese average per capita has reached the level of medium income country ,per capita health care expenditure basically and other middle-income countries the average level .zhang shuo suggests ,china medical service security policy security the poorest vulnerable groups ,through the two compensation and so on ,to provide them with basic public health products .
south africa is composed of two parts ,namely, free medical care and medical insurance .to the public hospital basic free, but long queuing time ,medical environment ,so the number of above average income will be on their own medical insurance ,to a private hospital .
according to statistics ,south africa using only free medical people accounted for 68% ;16% of thoseusing only the medical insurance to a private hospital ;another 16% people to a private hospital ,also to the public hospital .
question two :free medical feasible ? in response to &ldquo ;free medical &rdquo ;is only an ideal state and zhang shuo said ,there is no completely free free health care ,free medical services to the discussion of free range ,connotation ,make some defined space .
the current implementation of universal basic free medical care of the country is divided into two categories: one category is less money but can enjoy very low-end medical services ,such as some countries in africa as well as laos ,kampuchea ,india and other developing countries .
these countries have established public clinics ,to provide some basic medical services free ,but the security level is very low ,often underserved ,is used for the country poor population in the lowest level of security ,far cannot satisfy the needs of residents in general ;another kind is developed ,are generally developed medical insurance ,medical treatment cost relatively little ,but in order to enjoy insurance ,residents of the tax burden is high .
the expert thinks ,the implementation of universal free medical treatment ,is only an ideal state .if the free medical service ,people pay the marginal cost is almost zero ,medical demand will release a lot of ,certainly will causes the waste of resources ,medical expenditure growth ,resulting in huge financial pressure .
zhongshan university social security research center director professor shen shuguang said ,in the system can be considered free medical care ,but completely free may lead to low efficiency ,it is difficult to improve medical service quality .
yao lan introduced ,medical and health market failure belongs to &ldquo ;&rdquo ;&ldquo ;if it is free ,the supply of medical services, the insured person need not pay a certain percentage of ,or is too low proportion ,may produce excessive use of behavioral health services .
the excessive use of medical resources ,also is one kind of huge waste .&rdquo ;in spain ,at the end of 2009 ,medical deficit amounted to 63000000000 euros ,and continue to grow .in order to reduce the deficit ,some local government cuts in the public health system of fiscal expenditure ,which was part of the citizens and medical institutions against .
as a result of the spanish public health systems mostly depend on government revenue to support, in an economic downturn ,health system sustainability is challenged .question three :how to break your doctor ? in response to enhance security standard ,expand benefit crowd ;accelerate the reform of public hospitals, the separation of medicine from 2010 ,china total health expenditure percentage of gdp was 5.
15% ,medical visits to reach 5820000000 ,1720000000 more than in 2005,increased 42% .in 2011, policy within the scope of the reimbursement ratio increased to about 70% ,the basic drug prices fell by an average of about 30% .
can say ,with the medical security system, basic medical care the public product has started for the national share .however ,because of the large population ,economic development level is not advanced reason ,medical security level is still relatively low ,in different regions ,different populations and between urban and rural areas ,health insurance reimbursement policy is not the same ,people enjoy basic medical services are not the same .
the doctor, over-medication ,high prices also led to the rise of medical expenses .in britain ,india and other countries ,the separation of medicine &ldquo ;&rdquo ;system, the doctor is responsible only for diagnosis ,prescription, the patient can take the prescription to the drugstore to buy any medicine, physicians do not exist for kickbacks and indiscriminate medicine situation .
&ldquo ;medical insurance system pays attention to three-dimensional effect, namely the coverage ,reimbursement level ,service coverage .our system is currently implemented national basic coverage ,but the expense ratio is not high ,medical institutions ,medical and health service also did not achieve full coverage .
yao lan &rdquo .renmin university of china china social security research center director zheng gongcheng said :&ldquo ;current medical insurance actual reimbursement level is still low ,the scope of protection and expansion of space ,together with the process of medical test duplication ,the prescription and the existence of the phenomenon, many people still feel the medical burden is heavy .
&rdquo ;therefore ,to solve the expensive &ldquo ;&rdquo ;,hand need to upgrade the security standard ,expand benefit people ;on the other hand to speed up the reform of public hospitals ,implements the separation of medicine .
in fact ,china is also moving in the direction of .this year government work report put forward ,accelerating the establishment of national health care system ,promote the reform of public hospitals ,break to medicine medicine mechanism .
health minister chen zhu said ,the basic drug list is expected to cover medical institutions including some large hospitals must use, 300 county hospitals and17 countrieslinked to the public hospital reform is pilot city also will test the water separating medicine ;to 2015 ,individual payment ratio less than 30%.
medical security is considered to be a difficult problem in the world ,is a test of the government economic capacity ,innovation ability .hope that with the reform of public hospitals ,the basic drug system and serious illness relief system perfect ,people can further reduce the burden of illness .
