Looking back in the cold winter to see whether the medical reform is more and more partial

Source: medical economic news 2015-4-21: in the past two years, no progress has been made in the non-basic Internet Now it is hard to enter the bidding year The news of cutting the price of medicine at one stroke from Anhui, Fujian, Hunan, Zhejiang, Tianjin, Beijing and other places has left the pharmaceutical industry that has been waiting for several years in a dilemma The central government further stressed that public hospitals need to return to the public welfare In the unprecedented cold winter of medicine, it is more necessary to define the appearance of drug operation as the culprit of all medical institutions' problems without analyzing the internal causes, or even disdaining to do industry communication and dialogue It directly forces enterprises to reduce prices by force policies and arbitrarily, and it is more necessary to turn from specialization From the perspective of management, we should think calmly and improve it to avoid the sharp edge of the policy that will hurt the medical industry, while the burden of people's medical treatment is more heavy, and the problems of medical institutions remain, which greatly deviates from the original intention of medical reform Why did the medical reform suddenly change its target subject and direction in recent years? Did the root diagnosis of various medical problems and the positioning of medical reform be accurate, and whether the governance measures were appropriate? Why did the medical institutions avoid the problems and leave the problems to other industries? Could marketization and commonweal not cooperate? Is the state-owned enterprise hospital management suitable for today's China's national conditions? Will it continue to cause heavy pressure on the national resources investment? Will it not be enough to use? Will it cause serious waste? Will it breed various corruption problems? Will the efficiency and efficiency continue to be low? Will the service and management be seriously absent? Will it be further away from the needs of the developing public? Why is the medical reform so painless to the medical institutions, but take the downstream medical industry as the governance object, without considering the general rise of individual treatment costs and public satisfaction? Medical institutions lack professional management and supervision and system defects, which will cause problems If we do not trace the source, we must fundamentally strengthen and improve the management level, medical technology level, industry standardization and service level, improve the status and protection of patients, raise the awareness of health and health education, reduce the incidence rate, and ensure the reasonable demand of medical institutions Basic security, effective control of the rise of medical expenses, improve people's trust and satisfaction, deviate from the root and essence of the problem, will run more and more, the country will bear a heavy burden, the pharmaceutical enterprises will fall in an all-round way, the medical expenses will become more and more puffy, and the people will complain more and more On the one hand, it depends on drug revenue to maintain the operation of medical institutions, on the other hand, it ignores the survival and development of pharmaceutical enterprises and industries, does not govern large prescriptions and large medical treatment from the root, sets individual and overall control requirements for medical expenses, improves hospital management level, medical technology level and service standardization to reasonably reduce expenses, and simply uses the way of cost plus and minus to let the pharmaceutical industry replace it In a disguised way, hospitals are encouraged to seek alternative ways, promote the rapid rise of large-scale testing and equipment, promote the overall soaring of medical costs, cover the actual overall increase of individual costs by fuzzy comparison of per capita costs, average hospital costs and total costs, dilute the proportion of drugs by increasing the total costs, and continue to increase the overall growth of medical costs The way to fill in the hole with addition and subtraction is actually a false proposition, the core of the problem is not touched, it will only continue to aggravate and worsen, leading to the continuous runaway of medical expenses Marketization and commonweal are difficult to coordinate? Marketization and commonweal are not opposite Cutting off the wings of marketization of medical institutions will only incubate them into a modern yamen that is dependent on the country, overstaffed, inefficient and unsightly It is not only more difficult for pharmaceutical enterprises, but also the public's dissatisfaction and distrust China's public hospitals rely on state investment as the basic guarantee and market service as the dual mechanism of other cost balance is the actual situation As an important economy with rapid growth, China's international status and public demand continue to rise, and it also needs to provide better medical security for its citizens It can't be copied according to the standards of public hospitals in Russia and other countries, not to mention back to the planned economy The economic age The state-owned enterprises, with high cost, poor efficiency and service, upside down benefit and serious corruption, cannot become the model and direction of public hospitals More suitable for the modern Chinese medical system should be: on the one hand, the hospital managers should be untied, on the premise of ensuring the public attribute, the medical institutions should be given a market-oriented operation mechanism, and the management level should be encouraged to improve the source and expenditure, the medical technology and services should be standardized to reduce costs, and the national health education and the academic knowledge of medical personnel should be strengthened On the other hand, to tighten the strings for the directors, we must effectively improve the level of hospital management, reduce consumption and tap potential, not simply extend to the country and patients We will improve medical ethics, skills, products and services in an all-round way, and get back to the original intention of integrating doctors and patients Professional management and supervision must be in place, find out the root causes, clear roles, clear responsibilities and rights, so as to truly solve the problem It's not right to push everything to the state, to other industries, and to put the problems of Medicine on the medical industry We let go of the problems and continue to connive at their deterioration Professional management can effectively avoid all kinds of chaos, such as the simple sports management, which can't stand the time research and professional deliberation It is in line with the reform spirit of simplifying administration and delegating power, and all around marketization It has been put forward for many years that substantial management needs to be returned to the public welfare of medical institutions Why is it still difficult to solve the problem that medical treatment is difficult and expensive? It is necessary to return the service subjects and acceptance subjects of medical reform to patients, rather than medical institutions and medical reform experts, so as to make the public consumption clear and satisfied Many patients can find the problem, why can the hospital directly price and bill without the internal review process of professional reviewer? If patients are encouraged to have awards and complaints and rights protection like other industries, the medical institutions will think it has nothing to do with themselves, and continue such a lack of supervision mechanism unimpeded? Any reform, if it does not touch the essence, does not give the corresponding responsibility and power, will be the presidents who are the managers and the medical enterprises who are the victims of the current system of the medical institutions and should be the God Now only the masses of people who have the right to buy the single are excluded, which is contrary to the industry management and modern management The people close the door to theorize the design, enforce the implementation, while the pharmaceutical enterprises complain constantly The public opinion is bigger It is worth pondering and inquiring about whose medical reform is, whether the medical reform can solve the medical problems, whether it can be successful and popular, and whether it can understand management If we don't build the system, we can't ask the doctors to be as tolerant to poverty as the old experts If we still use the thinking of planned economy and theoretical research, and lack the concept and experience of business management and industry management, the country and industry, patients and medical institutions will be trapped If there is a lack of practical understanding and operation experience of the whole chain of medicine, and a lack of in-depth and smooth overall design and practical feasibility, only after each step is it found that the idea is out of touch with the reality, then we will study and study, continue to think about the theory and pat the head, and the effect of medical reform can be imagined Forced price reduction, forced change of medicine, regardless of the survival of pharmaceutical enterprises and the safety of public medication, the problem of expensive medical treatment before has not been solved, and more secondary problems will arise All walks of life should not deviate from substantive management It is suggested that the pace of reform be slowed down and more stable, so as to avoid the vigorous sale of hospitals in those days and the vigorous sale of pharmacies for custody and joint construction The embarrassment of the big prescriptions in those days, the big tests, the big instruments and the more expensive medical treatment for the public will continue to play out To avoid theoretical and digital management of the medical institutions and the pharmaceutical industry to turn around, deviate from the professional management and people's satisfaction of the substantive theme Several modern hospitals like Beijing Union Medical College Hospital are set up to effectively improve management and reasonably control medical expenses They are carried out in an orderly manner, and truly benefit the people with professional management and professional knowledge.