Medical reform should adhere to the basic orientation of public hospitals

Source: what is the ultimate goal of health care reform on April 17, 2015? Obviously, it is to let the majority of patients have access to medical services and no longer cause poverty due to illness Therefore, the basic orientation of public hospitals should be adhered to in health care reform, that is, public welfare "The medical reform has been going on for six years, and the discussion on public hospitals is still focused on the issues of public welfare, enthusiasm and fairness, and these problems have not been solved In the future, only by making medical insurance and hospitals form a joint force, can they play a maximum role." On April 10, Gao Qiang, the former Minister of health, said at the "2015 first joint seminar of hospital and medical insurance" held by the medical insurance Economic Professional Committee of the Chinese society of health economics in Zhenjiang, Jiangsu Province In order to form a joint force between medical insurance and hospitals, we should adhere to the basic orientation of public welfare of public hospitals, take fairness, accessibility and public benefits as the starting point and foothold of reform, and break the profit-seeking mechanism of public hospitals At the same time, when the medical reform in Chongqing was stopped urgently, general secretary Xi Jinping made the above statement at the deep reform group meeting It can be seen that medical reform is related to everyone's vital interests, and a little careless reform will have a negative impact on society Health insurance has always been the key to the reform of public hospitals At the conference hosted by Zhenjiang rehabilitation medical group and health media, the leaders of the medical insurance department and the hospital sat down to be frank Gao said that the meeting is still focusing on the old problems in the past, that is, the medical insurance department wants to ensure the safety of funds, while the hospital wants to increase its income and ask for more money from the medical insurance department Gao Qiang believes that this is the wrong direction Both sides should jump out of their respective departments to study strategies and implement measures Therefore, only by uniting common understanding and forming joint forces can they play a maximum role The old problems of public hospitals have not been solved "The problems of public welfare and fairness of public hospitals have not been solved in recent years It is not that the government invests little, but that the money is not used where it should be used." Gao Qiang said that the financial investment in the hospital is mainly used in infrastructure construction, equipment purchase, scientific research projects, etc., so the hospital has the momentum of accelerated expansion, resulting in the inevitable increase of the medical burden of the masses, which is also the result of the failure of various departments to form a joint force In Gao Qiang's view, medical insurance and medical treatment are like two hands to maintain people's health, or two wings that are highly integrated The duty of medical insurance is to alleviate or solve the burden of patients' medical treatment, help patients to enjoy fair medical services economically, and medical care is to maintain people's health through technical labor services The two should complement each other and jointly protect the interests of patients With the gradual improvement of the medical insurance system, basic medical insurance has achieved full coverage in China However, the burden of medical treatment has not been significantly reduced, and the proportion of self payment is still very high The problem now, Gao said, is that the medical insurance department only cares about the reimbursable part and doesn't care about the expenses not reimbursed, which really makes the patients weak "I advocate that medical insurance should play a greater role in ensuring the interests of patients in a more scientific and standardized way, and negotiate and communicate on behalf of patients and hospitals." Gao believes that medical insurance should be the guarantor of patients' interests, not the restrictor of medical services Gao Qiang always disagrees with the implementation of double track system for reimbursement ratio The so-called dual track system means that the medical insurance only reimburses the medical expenses in the catalog, and the parts outside the catalog are borne by the patients themselves "All medical expenses that meet the needs of basic medical services should be included in the scope of reimbursement, and the proportion of reimbursement should be appropriately reduced, and corresponding supporting policies should be studied to take special measures to reduce the burden of severe patients." Gao Qiang believes that in the initial establishment of a directory, what can be reimbursed in the directory is basic medical treatment, and what can not be reimbursed is not Such a provision is very unreasonable, which is also the performance of the current unclear concept of basic medical treatment in China.