This year's two sessions, on the further advancement of medical reform, renewed new ideas. Premier Li Keqiang said that this year, the pilot program of grading will be implemented in 70% of the country's counties and cities.
Then, this means that the market segmentation of reimbursement, drug use market, and drug use categories with graded diagnosis and treatment has seen new changes in the medical industry market.
As far as single-level medical treatment is concerned, in fact, this year's two sessions are also the focus of hot discussion. The current status quo, future implementation methods, etc. will have an impact on the entire medical market. Many frontline representatives have proposed the implementation of grounding gas.
Graded diagnosis can do this
Judging from the two sessions, the highlight of this year's medical reform is graded diagnosis and treatment. In the eyes of most policy circles and medical professionals, grading diagnosis and treatment can rationalize the entire medical service market, and the situation in which large hospitals are difficult to see and expensive is relieved, and the current medical market chaos can be reversed.
Deputy deputy director of the National People's Congress and Xiangya Second Hospital:
I am particularly confident in the medical reform. According to the personal work experience, I think the government will change the hospitals, especially the public hospitals, better and better.
Medical reform is a spring breeze for us. It is difficult to see a doctor now, but it is difficult at the grassroots level. It is not expensive at the grassroots level, but expensive at a large hospital. What is the truth? It is too easy to see a doctor. Now, if the patients at the grassroots level are unclear, they will run city-level hospitals and provincial-level hospitals. These provincial and municipal hospitals can directly reimburse them, and then it is very convenient to go to the localities, so this is too easy, which has caused this. There is no chaos in the medical order. Although the grassroots is now reimbursed 95%, the patients themselves do not have much burden, which means that the grassroots medical treatment is not expensive, but no one comes.
I have been proposing for three years and hope to strengthen the training of grassroots health professionals. I did a research. The first degree of medical workers at the township level is 10% of the undergraduate degree. Even some hospitals can have one or two local undergraduates who are already good, so the grassroots can't keep people. We graduated from colleges and universities with so many students that we can't go down. What is the reason or policy-oriented issue. There are no medical staff below, and the people will not go to see. Therefore, grading medical treatment, first cure the outlets, can do a good job. Because patients will see their life is very important.
NPC deputy, vice president of Guangdong Provincial People's Hospital:
In the medical reform, my idea of ​​grading diagnosis and treatment is to speed up. In order to alleviate the overcrowding of large hospitals, doctors in primary hospitals can be supported and given appropriate treatment. In addition, a mechanism should be formed to allow the primary doctors to get support from the higher-level doctors and include them in the assessment of the upper-level hospitals.
This year's Prime Minister's report, medical insurance settlement in different places, is convenient for the settlement of ordinary people. In fact, medical insurance is settled off-site, and it is necessary to conduct graded diagnosis and treatment, and not to be contrary to graded diagnosis and treatment. Really let patients better treatment, not wasting our resources and making medical insurance funds better.
It is very important to reform the medical treatment and pay for medical insurance. Medicare payment is how to make patients who are in hospital not to be hospitalized, not to be hospitalized for higher reimbursement, which will also waste more money. I recommend coordinating personal accounts for family insurance.
There are also personal accounts that minimize the outpatient service, because we are very scarce in Jiangsu medical insurance funds. Some young people are in good health and do not need to use this money. The money in the account is dead money. If the family is in the unit, the individual is cancelled. The outpatient account is for more people who need it.
Member of the National Committee of the Chinese People's Political Consultative Conference, President of the Southern Hospital of Southern Medical University:
Although the meaning of the graded diagnosis and treatment is not clear to us now, there are actually several problems in careful analysis. First of all, the top-level design, who wants to divide how to divide, this thing can not be achieved, and not done well. The top-level design, now our medical reform, the reconstruction of the medical system, is certainly government-driven, so the government must first think clearly, but I think the government has not thought so clearly now, and many objective considerations are not comprehensive enough. In addition, I also think that the government has its own self-confidence, and that the things that are released are not willing to let go. This has a great impact on the graded diagnosis and treatment.
The grading diagnosis and treatment is ideal, the small illness is in the community, and the illness is in the hospital, but this is not easy to do. In addition, the judgment is wrong. There are any safeguards in the mistakes to make up for it. Certainly, there are corresponding problems in the graded diagnosis and treatment. This is not comprehensive enough for the government to consider in this regard. Some high blood pressure and diabetes are classified and treated, and they can be taken out professionally, but in the end, the problem is settled, and how to protect all aspects. The policy has not been clearly stated.
In addition, the supply side, that is, the 135 plan emphasizes reform in particular, and must be adjusted around the supply side structure, and the supplier will provide this service. The existing medical services provided by our country are sufficient to support the grading of medical treatment. And the grade hospitals in our country, I don't think this thing is common, but there is almost no correspondence in graded diagnosis and treatment. 80% of our graded medical treatments are grassroots medical institutions, not even county hospitals, most of them villages, towns, townships, and communities. This is the most important medical institution. What do you need to plan for it?
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