Cancel " raise medicine with medicine " The key lies in it is single to buries the medical insurance

Cancel " raise medicine with medicine " The key lies in it is single to buries the medical insurance
New medical reform scheme and implementing regulation in the past three years will be issued soon. According to relevant reports, have defined a series of policy in new medical reform scheme and implementing regulation announced soon, including: Will improve to the medical insurance of urban residents and new agricultural subsidy standard shut by 120 yuan for each person every year in 2010; Advance the reform of compensation mechanism of public hospital; Cancel the policy of the medicines addition 15%, eliminate " raise medicine with medicine " .
The new medical reform scheme that this text will issue soon and change that the implementing regulation may bring to medical treatment ensuring, medical care, and ensure the improvement, cancellation of competence in medical treatment " Raise medicine with medicine " And then source of revenue of the public hospital,etc. has put forward one's own opinion, has represented the opinion of a respect, only for reader's reference.
It is that our government pays attention to a very important action of the people's livelihood to deepen the medical reform. In this text, I will perfect the medical security system and cancel " raise medicine with medicine " And then the income question of the public hospital puts forward one's own view.
Competence is improved to use good service to bring along and raise funds
Perfect the medical security system, two things are very important that have: First, expand the coverage rate, realize the whole people's medical insurance; Second, improve and ensure competence, let the medical insurance organization see the doctor to cure the disease to pay the major part for the persons who effect an insurance. January 21, the State Council that standing meeting review and pass in principle " the suggetion on deepening the system reform of the medical and health " and>, the phased performance goal of defining the following 3 years. Including: In 2010, the government will participate in people the medical insurance of urban residents and new agricultural subsidy standard shut to bring up to 120 yuan for each person every year. This action, in order to improve the fund-raising level of the medical insurance, thus improve and ensure competence accordingly.
Is 120 yuan enough? The problem is, is it suitable to what extent ensure competence high on earth? To this question, must be according to two respects. On one hand, medical insurance can't 100% pay the bill for person who effect an insurance, otherwise person who effect an insurance will abuse medical insurance, ask for great treatment only minor illness. So, a proportion of paying for itself is essential, it is essential too. On the other hand, it can't be too high than either to pay for itself, otherwise the medical treatment of the persons who effect an insurance is born and shared effectively, it is still expensive to see the doctor. The more important thing is, if pay for itself than very higher, the main source of revenue of the medical organization is the patient's purse, medical insurance organization can't form purchasing power of group purchase and negotiate strength then, unable to use diversified paying the mechanism to restrain the medical organization, it is difficult to avoid that the medical organization induces patient's excessive consumption.
How is high paying Bizet for itself suitable on earth? In 1960, American RAND Corporation carried on an experiment on this question, found finally, to pay for itself is more suitably than in 20%. This and our daily experience is identical - -If the persons who effect an insurance pay 20% of the medical fee for itself, then the persons who effect an insurance of overwhelming majority would not ask for great treatment only minor illness; If 80% medical expenses pay by organization by medical insurance, medical organization would not rack one's brains, keep watch on purse of patient then, but should try every possible means to pay the bill in the competition from medical insurance organization. The medical insurance organization becomes the main buyer of medical services, may try every possible means to restrict the medical organization, impel the latter to offer cost performance relatively high making a diagnosis the scheme and scheme of using medicine to persons who effect an insurance.
At present, it is 80 yuan for annual per person that medical insurance and new agricultural lowest government shut of urban residents replenish competence. In fact, the subsidy level of the developed area is a little higher. The horizontal all parts vary from 50 yuan to 300 yuan that the residents of the medical insurance of urban residents pay the fees, and the new agricultural peasants that shut are the lowest to pay the fees the level is 20 yuan, some developed areas have exceeded 100 yuan.
|