April 2009，"Opinions on the Reform of the Central Committee of the Communist Party of China on Deepening the Reform of the Medical and Health System" and "Recent Implementation Plan for the Reform of the Medical and Health System" were released one after another。New medical reform requires a significant increase in medical insurance coverage，This means that the number of consultations from medical institutions will increase significantly，Then the operating cost of medical institutions will increase greatly。On the other hand，New medical reform requires public medical institutions to gradually cancel the drug increase，This means that the income of medical institutions will drop sharply。Cost increase、Revenue reduction，The hospital will gradually form a situation that is not available，Therefore, the hospital seeks various methods to increase income and become an inevitable choice，and the "Drug Concentrated Bidding Procurement System" provides the hospital with policy loopholes。
Rural is the focus of medical reform
Chen Zhu pointed out a few days ago，The Chinese government attaches importance to maintaining and promoting the health rights of urban and rural residents，Always put development of health in an important position of economic and social stake betting appdevelopment。stake sports betting appThe basic concept of Chinese medical reform，It provides medical and health services as public products to the whole people，Realize everyone with basic medical and health services。
Chen Zhu said，Key points for medical reform、Difficulties are still in the countryside。Although in recent years, the rural health business has developed greatly，But the situation of obvious lagging has not changed fundamentally。
According to "2008 China Health Statistical Yearbook"，In 1990, China’s total health expenses，Urban and rural health costs are 39.6 billion yuan and 35.139 billion yuan, respectively，and 2006，Urban and rural health costs are 658.131 billion yuan and 326.202 billion yuan, respectively。
Public hospitals must be positive, private hospitals must develop
November 23, 2009，The website of the National Development and Reform Commission announced the "Opinions of the Price of Reform Drugs and Medical Services"，China Medicine (600056，Stock Bar) The president of the Corporate Management Association Yu Mingde told reporters，Including the people、Hospital、Pharmaceutical and circulation enterprises。That is to say，Try to compress the price of drugs as much as possible to ensure that the people take medicine，Also allows companies to have the appropriate profit，Guaranteed continuous production and development。
The main task of medical reform is，Improve medical price management policy。Adjust the price scope of government management drugs and medical services，Improve price management method，Further improve the price decision -making procedure，Improve the scientific and transparentness of price supervision; reasonably adjust the price of drugs。Based on the comprehensive verification of government management drug prices，Further reduces high pharmaceutical prices，Properly increase the cheap drug price of clinical necessary clinical。Scientific formulation of national basic drug prices; further rational。On the basis of standardized medical service price projects，Properly improve clinical diagnosis and treatment、Nursing、Surgery and other medical services prices that reflect the value stake betting appof technical labor services in medical My stake betting appstaff，At the same time, reduce the inspection and treatment price of large medical equipment。Strengthen the supervision of the price of high -value medical devices such as planting (media); strengthen cost price monitoring and supervision and inspection。Improve the cost of drug cost price monitoring system，Enhanced drug price situation analysis，Open market price information，Give play to the role of public opinion supervision。Regular medical price inspection，Standardize production and operation enterprises、Price behavior of medical institutions。Further improve the medical expenses list system，Improve the transparency of charges。
"Under the original system，The government should control it，It should be controlled too much。”
Some people in the industry said，Hospital's asset management、Development plan、major decision -making problems，involved multiple departments，Unclear responsibility，Basically in a state of laissez -faire; use human rights、distribution rights, but belong to various departments，The hospital basically says it is not counted。
To ensure the return of public welfare in public hospitals，The health administrative department should increase the management of the hospital，The general accountant system of the public hospital was implemented，Anyone involved in the hospital development plan、Major decision、Big expenditure, etc.，All by the Municipal Health Bureau will be approved uniformly。At the same time，By establishing an assessment and evaluation and reward and punishment mechanism to guide public hospitals to ensure the nature of public welfare，Get quality、Efficiency、Service and social satisfaction as the main indicator of the assessment。
Actually，Well -known，Like all public institutions，The organization and institutional model of Chinese public hospitals are administrativeization。Public hospitals and health administrative departments form up and down administrative relations。The biggest problem caused by this system is "Management of Management"，That is the organizers and regulators stake online sports bettingof the public hospital，So the absurd phenomenon Stake Sports Bettingof athletes and referees of athletes appeared。Inadequate supervision in the field of medical services、The root of unfairness is here。In the institutional structure that is not distinguished by the management office，Private hospitals cannot start fair competition with public hospitals，This is the fundamental reason why private hospitals can only be small fish。
February 2010，my country issued "Guiding Opinions on Pilot Reform of Public Hospitals"，Start the pilot reform of public hospitals。Promoting appointment diagnosis and treatment、Optimized outpatient process、Improve the hospital referral process ... while promoting the innovation of the system and mechanism，The Ministry of Health also issued the "Several Opinions on improving the service management of public hospitals to facilitate the people to see a doctor"，Promote public hospitals to strengthen internal management、"Practice Internal Gong"，Improve the operating efficiency of public hospitals，Convenient to see a doctor for medical treatment。
"Deepening medical reform in 2009 has taken a key step in difficulties，Basically realized a good game、Starting goals。"The relevant person in charge of the Ministry of Health said。The person in charge said，2010 is the key year for deepening medical reform，To further increase the implementation of the organization，Continue to protect the basic、Strong grassroots、Construction mechanism is centered，Promote five key reforms in overall plan。
Member of the National Committee of the Chinese People's Political Consultative Conference、Gao Chunfang suggestion，To change the opinions of the masses, we must first increase the positioning of community hospitals，Community hospitals should clearly treat the scope of general diseases。Difficulty and major diseases can be transitioned to the upper -level hospital by establishing a "transfer mechanism"，This needs to ensure that the grass -roots medical institutions have the function of immediately transfer。Gao Chunfang also said，A information platform can also be formed between hospitals at all stake online sports bettinglevels，enables doctors to give stake sports betting appfull play to their role through multiple points。
my country's medical system reform is in a stage that has just started，The reform resistance faced by、Difficulties will be a lot。But the government must implement it，Not only must I execute it，Also execute。It will be "expensive to see a doctor，Difficult to see a doctor "is related to the problem of society and people's livelihood.，This is both the success of the new medical reform，It is also the responsibility that the government should serve the people wholeheartedly。Before the current medical reform has not formed a unified "experience"，We can also learn from the successful experience of medical reform in developed countries in Europe and the United States，Do what I use for me，Summary in time，Timely rising into a higher level of institutional arrangement，Promote as soon as possible，benefit the people。