Wei Zexi event exposes the absence of government role or forces the speed up of medical reform

Source: on May 3, 2016, the death of Wei Zexi, a young man, was blamed by many parties, from the hospital concerned, the competitive ranking search engine company, to the visiting doctor system, etc However, from another point of view, many problems can be avoided and solved by improving the system, so the death of Wei Zexi will also push forward the marketization reform of the medical industry for more than 30 years At present, the reform of public hospitals makes it difficult to cure the chronic diseases such as difficult to see a doctor, expensive to see a doctor, and using medicine to make up for a doctor, while the "penetration" of private hospitals has brought about the layer of illegal behaviors such as false propaganda and excessive medical treatment, which reflects the partial deviation of the way of hospital marketization, and the medical reform needs to be speeded up and improved Recently, many malpractices emerged in the medical industry An article named "a young man who died in the hands of Baidu and the military hospital" put the malpractices that have long existed in the medical industry into the spotlight Before her death, Wei Zexi once posted a question on the Internet about Baidu's behavior with the hospital, saying that she regretted and trusted Baidu's bidding ranking, and belittled the biological immunotherapy of the second hospital of the Beijing headquarters of the armed police As soon as the above-mentioned news came out, netizens began to criticize and write Some industry analysts pointed out that it can be predicted that a storm of law enforcement will soon blow up: investigate the ranking of medical bidding, clean up the illegal contracting of hospital departments, conduct centralized investigation on private hospitals, especially Putian hospitals, and even tighten the license approval of private medical institutions However, whirlwind law enforcement is familiar in the medical industry For example, the medical management department and the number traffickers have played a game for nearly 20 years, but they have been defeated many times The patients and their families who have been queuing up all night often can't hang up the number, and the originally cheap expert number has changed into the sky price For another example, the long-standing grey interest chain of "medicine for medical treatment" in the hospital is also repeatedly forbidden It can be said that the way of headache treatment will never cure the symptoms, and it is time to reflect on how to do the right thing "The problem of market-oriented operation of hospitals is still unsolved In recent years, it has been said that the medical reform will enter the deep water area In my opinion, if the old problem is not solved, the medical reform will enter the drowning area." Zhong Nanshan, academician of the Chinese Academy of engineering, said directly The confusion of market-oriented medical reform has been carried out for decades, and the confusion of "market-oriented" in domestic hospitals has a long history More than 30 years ago, the state began to propose the pilot "enterprise management, independent operation and self financing" for hospitals, and the government implemented "quota subsidy and economic accounting" for hospitals Since then, hospitals have begun to falter on the road of market A group of widely quoted figures show that before 1978, more than 50% of the revenue of public hospitals came from financial subsidies After the 1980s, the hospitals gained more independent operation rights, but the subsidies from the government were also less and less In 1980, the government subsidies accounted for 30% of the hospital's income In 1987, they dropped to 19% By the end of the 1990s, the proportion of subsidies had further dropped to 6% Subsequently, the public hospitals that did not adapt to the market-oriented operation began to fall into financial crisis, especially the first and second-class hospitals and fire-fighting and armed police hospitals that relied heavily on national blood transfusion Therefore, some hospitals try to copy the rural land contract responsibility system into the hospital management, and the "water test" department contracts Later, more hospitals and doctors took advantage of policy loopholes to turn the markup of drug sales into a profit-making channel For a while, more drugs and more inspections became an open secret of the industry, while patients complained that it was difficult to see a doctor and expensive to see a doctor In terms of private hospitals, China once regarded allowing social capital to enter the medical industry as an important step to promote the market-oriented reform of hospitals In order to quickly reverse the disadvantages, some private hospitals began to attract patients through illegal means such as false propaganda "There is no problem for the hospital to follow the road of marketization, but there must be a lack of top-level design, unclear positioning of public hospitals, and medical staff have become the" Resistance Army "of medical reform These problems need to be solved." Zhong Nanshan said In terms of private investment, due to the fact that doctors and other resources are still inclined to public hospitals, a fair and healthy market-oriented competition pattern has not yet formed According to the past experience, the exposure of the problem will often promote the reform of the industry It is generally believed in the industry that the "Wei Zexi incident" will promote the process of medical reform, and the first problem to be solved in the market-oriented reform of hospitals is to position public hospitals clearly as soon as possible Because for large public hospitals, the way of self financing can only make hospitals "recognize money but not people" Next, we should strengthen the public welfare of these public hospitals and increase the government financial subsidies For private hospitals, they should be allowed to pursue interests, but they must be strictly supervised under the framework of compliance In addition, the market-oriented reform in any field is inseparable from strict supervision In the "Wei Zexi incident", the role of the government is to some extent absent "The reason why patients use Baidu competitive ranking to search hospital information is directly related to the opacity of information disclosure by government departments," said Cai Jiangnan, director of the center for health management and Policy Research of CEIBS in an interview with Beijing business daily“ In fact, the health sector has a very important job, which is to actively collect and disclose industry information, especially medical quality However, the information we can learn now mainly includes some basic data, including the number of beds in a hospital As for the medical accident rate and violations in a hospital, they are rarely disclosed Because we can't get effective information from the health department, patients can only search through the search website, which leaves a chance for bad hospitals " There are also industry experts who do not want to be named to point out that in fact, a lot of information is not not not mastered, but not released, because the public hospitals in China occupy an absolute monopoly position, and it is difficult for the health management department to make a firm hand on their own "children" After the hospital takes the road of market-oriented reform, it must rely on the continuous improvement of the system and strong regulatory measures to escort ·Data shows that by the end of February 2016, there were 28000 hospitals nationwide, of which private hospitals accounted for more than half Of the more than 700 hospitals in Beijing, about 63% are privately funded Due to the absolute monopoly position of public hospitals, private hospitals have been in a state of survival for a long time