Too much government regulation is the biggest problem of the medical system

Guo Jianying, deputy inspector of the price department of the national development and Reform Commission, revealed at the second academic seminar on the cultivation and research of strategic large varieties of traditional Chinese medicine on the 13th that the relevant departments of the state are studying the scheme of drug price reform, which is still some time away from the formation of policies But the general idea is in line with the law of market economy development "The biggest problem with the medical system right now is that government regulators have too much control." He pointed out that the government should not only be responsible for the choice of drugs into the medical insurance catalogue, but also for the use of drugs by hospitals Too much government control will inhibit the enthusiasm of the main body of purchase and sale, so in the formation of drug prices and drug production process, the interests of production enterprises, business enterprises and medical institutions are inconsistent with the government's objectives In the game, the government is not strong enough and there are not many ways In order to achieve the goal of government regulation and coordination of multiple interests, we need to think about reform from the perspective of establishing and improving the market, and reform from the perspective of market economy He believes that in drug price management, the key is that the drug transaction price should be formed by the market, and the price is formed based on market competition, which is closely related to the payment price of medical insurance "At present, the biggest problem in drug bidding and purchase is that it has not realized commercial operation, price volume linkage and integration of bidding and purchase Therefore, the price of drugs is unreasonable and untrue " Guo Jianying revealed that the ideas of drug price reform include: first, taking measures to control the ceiling price From the perspective of treatment cost, the specific maximum price limit for related varieties is removed without breaking the treatment cost standard Under the premise of controlling the treatment cost, the market price is designed by the enterprise according to the market production and other changes Second, in terms of price management, especially in the retail price of drugs, the maximum price limit will be removed The purpose is to encourage the production of low-cost drugs Maybe the prices of these drugs will rise in the future, but from the perspective of overall cost control, more low-cost drugs will help reduce the overall cost burden The third is to study how the new policy can replace the previous evaluation method and promote the research and development innovation and product quality upgrading of Chinese patent medicine in terms of price Zhu hengpeng: the malpractice of the medical system is that there is no hierarchical diagnosis and treatment system A big malpractice of our medical system today is that we have not formed a hierarchical diagnosis and treatment system Now, whether we are in the general outpatient service, the minor diseases of headache and fever, or the chronic diseases such as diabetes, hypertension, or cancer, which need to be hospitalized, we all go to the top three hospital This is obviously inconvenient for everyone, especially for the elderly In fact, community doctors and family doctors should be able to bear most of the problems of hierarchical diagnosis and treatment and the management of chronic diseases of the elderly They don't need to go to the top three hospital So this involves that we must develop the community and family doctors together How to make the community have doctors to let the elderly family members and the elderly rest assured? This is a key point of our medical treatment in the future If we do this well, then a considerable part of the medical resource beds of the top three hospitals can be saved Under such circumstances, some serious diseases that we really need to be hospitalized in the future can also be effectively alleviated.