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    Home > Active Ingredient News > Drugs Articles > China Medical and health development report 2015 released

    China Medical and health development report 2015 released

    • Last Update: 2016-03-22
    • Source: Internet
    • Author: User
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    Source: China's digital medical 2016-03-22| public hospital reform has been continuously promoted and achieved some results However, due to the low government investment, the public welfare of public hospitals is difficult to reflect Yesterday, the report on the development of China's medical and health services 2015 - a special topic on the reform and development of China's public hospitals, compiled by Professor Fang pengqian of Huazhong University of science and technology, was released in Han Dynasty Experts suggest that the compensation mechanism should be improved in order to eliminate the phenomenon of supplementing medicine with drugs According to international practice, the salary level of public hospitals should be 2-3 times of the average salary of local institutions and civil servants The debt ratio of public hospitals can't catch up with the increase of beds The development report is divided into development part and reform part The development part systematically reviews the development process of public hospitals in China, and makes a comprehensive analysis and outlook on the operation status of public hospitals in China from seven aspects: management system, compensation mechanism, supervision mechanism, medical quality and safety evaluation, doctor-patient relationship, development of traditional Chinese medicine hospitals, and development of nursing According to the report, the number and scale of public hospitals and non-public hospitals in China are basically the same, 13314 and 12546, accounting for 51.48% and 48.52% respectively, but there is a great difference between the size of beds and the volume of services, with 83.16% of public hospitals and 16.84% of non-public hospitals In 2014, there were 2647.42 million times of diagnosis and treatment in public hospitals, accounting for 89.08% of the total number of diagnosis and treatment, and only 10.92% in private hospitals Therefore, public hospitals are the main body of medical service system in China From 2010 to 2014, the total medical revenue of national public hospitals increased from 87058 million yuan to 1695.827 billion yuan, with an average annual growth rate of 23.73% According to the data in 2014, the total assets of the national public hospitals reached 2675.828 billion yuan, accounting for 92.10% of the total assets of the national hospitals However, in recent years, the growth rate of the assets of the public hospitals slowed down, while the debt ratio increased synchronously, reaching 42% The study found that compared with the number of beds in hospitals, the growth rate of medical technicians was significantly lower than the growth rate of beds in hospitals From 2001 to 2014, the number of beds in hospitals in China increased by 10.01% annually on average, while the number of licensed doctors increased by only 3.47% annually in the same period The doctor's workload is generally increased, and the job burnout is obvious, which is not conducive to the assurance of medical quality and safety According to the report on the performance improvement of public hospitals with uneven distribution of medical resources in urban and rural areas, the phenomenon of uneven distribution of public hospital resources still exists in China Although the number of urban and rural hospitals in 2014 was 13495 and 12365 respectively, the number of beds in medical and health institutions per 1000 population was 7.84 and 3.54 respectively, with significant differences From the perspective of region, the number of beds in medical and health institutions per thousand population in the East, middle and West is 4.62, 6.88 and 5.16, respectively The performance of public hospitals has been improved From 2005 to 2014, the average bed days of patients in the second level hospital decreased from 9.7 days to 8.8 days, while the third level hospital decreased from 13.1 days to 10.7 days, down 22.43% The lack of financial investment leads to the tendency of public hospitals to go to public hospitals for medical treatment It is normal for a cold to cost hundreds of yuan Fang pengqian, an expert of the research group, said that the essence of the problem of expensive medical treatment is that at present, the direct compensation proportion of the government for the operation of public hospitals is too low, accounting for only about 8% of its total business income It is unable to maintain the salary and welfare of its staff and the cost of medical treatment activities The price adjustment mechanism of medical services is too rigid to adjust in time with the overall and rapid price rise, forcing hospitals to generally make up for the normal expenditure of diagnosis and treatment activities through charging items such as drug fees and inspection fees It is understood that from 2009 to 2014, the proportion of drugs in public hospitals has decreased from 44.02% to 38.44%, and the examination fee has increased slightly from 7.06% to 8.24%, but there is still room for further reduction compared with the average proportion of drugs in the United States of America of about 26% "It is an important policy goal of the new round of public hospital reform in China to eliminate the use of drugs to supplement medicine and improve the compensation mechanism." Fang pengqian said he expected to adjust the price of medical services in a timely manner, increase the government's direct financial subsidies to reverse the current situation of "medicine for medical treatment" and improve the efficiency of the use of medical resources Due to the lack of financial subsidies, there is a policy loss that the overall salary level is low and the price of medical services is lower than the service cost Public hospitals have to put the economic benefits in a prominent position, while the public welfare is increasingly weakened "In developed countries, the salary expenditure of public hospitals generally accounts for about 60% of the total expenditure, while in China, personnel expenditure accounts for only 29.48% of the total expenditure, only about half of that in developed countries." Bao Yong, deputy editor in chief of the report, said doctors must be paid high salaries if they want to change the "profit seeking" behavior of public hospitals It is understood that doctors' salaries in hospitals in the Middle East, especially in large hospitals, have reached three to four times of the local average social wages, while doctors' salaries in hospitals in underdeveloped regions, especially in small hospitals, are only slightly higher than the average social wages There is a large pay gap between urban and rural medical staff "In fact, the invisible income of medical staff has reached this level now." Bao Yong suggested that public hospitals should establish a salary management system in line with the characteristics of the industry, strengthen the three medical linkage, and do a good job in the top-level design of medical reform.
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