129773810120156250_38"" Financial report "on March 27, the people's daily published an article on free medical care, the article quoted experts as saying, the implementation of universal free health care, can only be an ideal State. If completely free medical service, people have almost zero marginal cost, medical needs a large amount of releases, results in a waste of resources
tera power leveling, health care cost growth, resulting in giantGreat financial pressure. Following is the text of the article the paper "confirmation" column published March 26 articles of the countries which provided free medical, our foreign correspondent over more than 70 countries and medical insurance systems in health care, survey finds only a handful of countries completely free medical care, people often referred to with free medical state when seeking medical care to pay a certain feeUsed as medicines. Article due to heat. Construction of medical insurance system in China has made great achievements in a short time, but the difficulty and high cost remains the need to urgently address the problem, on the model of free medical care, underscores public anxiety over expensive. So, free medical treatment work?
How to solve the high cost of China? Question one: how the health care system more rational？ "Response" commensurate with the economic and social development with due consideration to fairness, efficiency, and sustainability of World Bank policy research report pointed that in low-income countries suffering from illness, we need a strong public policy priority configuration limited medical resources, while rich countries cannot provide unrestricted public budget for the health sector. Both in developed countries andDeveloping countries, the priority is for cost control and a more efficient use of funds. "Fairness and efficiency are the fundamental problems of the social security system. Stressed that the Government supply of basic medical security system responsibility, fairness, universal, public, and social and economic development to adapt to the principle, but with an emphasis on organizational and personal responsibility. "Huazhong University of Tongji hospitalProfessor Yao Lan said, in order to improve the efficiency of health institutions and avoid excessive use of medical and health services, many State health-care system is combination of market mechanism and Government-led. When the two sessions this year, NPC deputies and CPPCC members believe that China's national condition determines the health reform package can't rely on the Government, States, places, organizations, individuals, and even the whole society should work together with, attackG problem. Medical and health service market regulation mechanisms alone cannot guarantee that the equity of medical services
tera power leveling, all on government regulation also does not meet the diverse needs of the people and must therefore introduction of market mechanisms and insisted that the Government's leading role and achieve the maximum benefit of both parties and should distinguish between basic and non-basic needs, basic medical treatment and health protection responsibilities should be borne by the Government, non-basic medicalTherapy is mainly given to the society to do, adapt to the medical needs of the patients with multiple levels. World Bank experts Zhang Shuo that engaged in public health research, looking at a national level of medical service are commensurate with the national strength, should look at the per capita health care spending and the country's level of GDP per capita. China's per capita GDP had reached levels of middle income countries, per capita health care expenditure baseThis and other middle-income countries on average.
Zhang Shuo suggested that Chinese medical service security policies should be developed to protect those groups most vulnerable to poverty, through compensation, such as way for the second time, to provide basic health care public products. South Africa's health system is made up of two parts, that is, free medical care and medical insurance. Free of charge to the public hospital, but queuing timeLong, health care environment range, above the average income on their medical insurance, to a private hospital.
According to statistics, South Africa uses only free medical care for people; 68% 16% only use health insurance to a private hospital to see a doctor; otherwise 16% people to a private hospital, were also at the public hospital to see a doctor. Question two: free medical treatment work?"Response" to "completely free medical care" is only one ideal Zhang Shuo says, there is no completely free of free medical care, discusses free health services dealing with its definition of scope, content, make some space for free. Countries currently implementing basic free medical care fall into two categories: one is to spend less but to enjoy very low end medical services, such as some African countriesAs well as Laos, Cambodia, India and other developing countries. These countries have established public clinics, free medical service provided some basic, but low levels of protection, often lack medicines, is used for the minimum level of protection of the poor, cannot satisfy the needs of the general population; those for developed countries, generally developed medical insurance, doctor spent a relativelySmall, but in order to receive insurance, residents of the high tax burden. Experts believe that the introduction of universal free medical, can only be an ideal State.
If completely free medical service, people have almost zero marginal cost, medical needs a large amount of releases, results in a waste of resources, health care cost growth, causing great financial pressure. Sun Yat-sen University social securityProfessor Shen Shuguang, Director of the Research Center says, can be given free medical care on the system, but completely free of charge could lead to inefficient, hard to improve the quality of medical services. Yao Lan introduction, health is a "market failure" field, "if free supply of medical services, insured need not pay a percentage or ratio is too low
tera gold, will generate excessive use of medical servicesBehavior. This excessive use, is a huge waste of medical resources.
"Our foreign correspondent of the survey also confirm what the experts say. In the United Kingdom, patients in the public hospital doctor referrals, appointment wait time is too long, and some operations may have to wait a few months, a year or even longer. Journalist from inflammation of the gum clinics, ask at the reservation,Already after about two weeks.
Many patients to private hospitals for more treatment had to choose, resulting in personal health care expenditure increases. In Spain, by the end of 2009, health deficit reached 63 billion euros, and is continuing to grow. In order to reduce the deficit, some local governments have cut down fiscal expenditure on the public health care system, which had been part of citizensObjections and medical institutions.
Due to Spain's public health care system is critically dependent on government revenue to support, in the context of economic recession, sustainability of the health care system is challenged.
Question three: how to solve the problems of expensive? "In response to" improve protection standards, expanding the benefits people, speeding up reform in public hospitals, the implementation of medicine separated from 2010Year, China's total expenditure on health as percentage GDP 5.15%, health agency visits to 5.82 billion, than the increase over 2005, an increase of 42%. In 2011, the policies within the claims ratio increased to about 70%, basic drug prices declined by about 30%. It can be said that with the health-care system continues to improve, the basicThe public medical products has begun for people.
However, due to the large population, does not cause higher levels of economic development, health care lower level, in different regions, and between urban and rural areas in different populations, health care reimbursement policies are not the same, people enjoy the basic medical services are not the same. When seeking medical care, excessive drug use, high drug prices also led to a rise in the cost of。
In the United Kingdom, and India and other countries, and "dispensing" under the system, the doctor is responsible only for diagnosis, prescription, patients can take any prescription to the pharmacy to buy medicine, doctors prescribe medicine for chihuikou does not exist. "Pay attention to the three dimensional effect of the healthcare system, that level of coverage, reimbursement, service coverage. System currently in China to achieve universal basic coverage, reimbursementCases are not high, medical institutions, medical and health services do not reach full coverage.
"Yao Lan said. Renmin University of China social security research centre Director Zheng Gongcheng said: "the current Medicare actual reimbursement levels are still low, coverage there is also room for expansion, coupled with repeated during the medical examination, dachufang, many people still feel heavy medical burden."Therefore, to solve the" expensive ", the need to improve protection standards, expanding the benefits people; on the other hand you want to speed up the reform of public hospitals, practice medicine separate. In fact, China is also the direction. This year's Government work report, speed up and improve the universal health care system, promoting the reform of public hospitals, abolish the mechanism of building up one ' s health with tonics. WeiMinister of health Chen Zhu also said that the new essential medicines list is expected to cover some medical institutions including major hospitals of essential medication, 300 county-level hospitals and public hospitals in 17 countries pilot reform cities will also try water separation of medicine by 2015, individual payment ratio is lower than 30%. Health care is considered to be a worldwide problem, test the Government'sEconomic sustainability, institutional innovation capability.
Hoped that, with the reform of public hospitals, perfection of the system of basic drugs and assistance system for serious disease, a doctor can further reduce the burden of the people. "Author: the magazine Roundup" (Editor: Deng Meiling)
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