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- Analysis of China’s Medical Insurance Payment Reform Abstract: With the rapid development of today's global society, every country is looking for a better medical and health system to adapt the country's development, but the effects are variable.
- Based on China's national conditions - a large population base, unbalanced development between the east and the west, China's medical reform has a long way to go.
- Public hospital reform as an important part of the medical system reform, its effect will directly affect the result of the health care reform.
- This article from the perspective of the medical insurance payment reform, make a brief analysis and demonstration on the reform.
- Keywords: Hospital, Medical insurance payment, Reform 1.
- The Domestic Status Opinions on Deepening the Health Care System Reform and The Recent Key Implementation Plan of the Medical and Health System Reform (2009-2011) have been launched in 2009 by the CPC Central Committee and the State Council.
- Both of them set forth the goal of the public hospital reform pilot.
- In 2010 The Guidelines was jointly issued by the Ministry of Health and several other departments.
- It is a wide involves and difficult social system to Deepen the medical and health system reform, so it needs to be on the basis of clearing the direction and framework, and through a long period of explore with hard work and perseverance.
- Only in this way, we can gradually build a medical and health system, which in line with China's national condition and ensure the reform goes smoothly.[1] Reform of public hospitals involved in a game of different interest parties, multiple departments, multiple systems, so it needs a number of measures to coordinate and cooperate to promote to realize the goal of the reform.[2] However, public hospital compensation mechanism reform becomes the focus and the difficulty of the reform of public hospital.
- From the beginning of the 1950s, China has adopted administrative controls on the prices of medical services, and started the implementation of medicine markups policy, so it is been a long time that the compensation channels of China’s public hospital consists of three parts: the government subsidies, medical services charges, medicine markups.
- However, with the pace of reform and opening up, the National rising demand for health care services, but the medical services prices are still subjected to the government management.
- Public hospital can not raise the medical services prices by themselves.
- And even worse, the proportion of government subsidies falling rather than rising, government financing responsibility weakening.
- These two reasons have directly led the situation, wherein a hospital subsidizes its medical services with overly expensive drug prescriptions of public hospital.
- The price of the public hospital medicine stay high, so the difficulty and expense of medical service for residents increasingly serious.
- [1] Deng Yanyun.
- “The Practice and the Enlightenment of the Foreign Health Care”.
- [J], Journal of Sichuan Vocational and Technical College.
- 2010 (10):P39 [2] Wu Linsheng, ,“on the Reform of Public Hospitals As a Compensation Mechanism for Systems Engineering”, [J].
- Chongqing Medical,2011 (19):P1960
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