How to meet the increasing demand for medical care has become an important issue to be solved urgently. With the proposal of the strategy of actively coping with the aging of population, medical institutions represented by hospitals will assume more important responsibilities. As the main body of medical services, public hospitals will become an important force to comprehensively promote the construction of healthy China.
Chen Qiulin, secretary general of the Academic Committee of Pangu Think Tank and deputy director of the Health Industry Development Research Center of the Chinese Academy of Social Sciences, a member of the forum of 30 Members of the Aging Society, said at the symposium on "High-quality Development and Social Management of Public Hospitals in a Healthy Aging Society" hosted by Pangu Think Tank on July 28. Health care is the fastest growing need of the elderly population, while other needs of the elderly population generally decline.
Since last year, China has pledged to vigorously promote the high-quality development of public hospitals. Chen Qiulin pointed out that there were three main reasons. First, the goal of medical reform was improved, from providing basic medical services for the people to providing all-round full-cycle health services. However, the new challenge was that the total health expenditure was growing rapidly with an annual growth rate of over 10%, comparable to that of middle and high income countries. Second, high-quality medical care has become the inherent need of the new stage of development. China's transition to high-quality development is fundamentally about high-quality development of human beings, which is the basis for high-quality and healthy development of human beings. The key point is to develop high-quality medical care, but the difficulty lies in high-quality hospital management and medical service system management. Third, the needs of national health security. Public hospitals have played a major role in the fight against COVID-19.
The so-called "high-quality" development of public hospitals, According to Chen Qiulin, is mainly reflected in high-quality medical services and hospital management, as well as high-quality medical service system and medical service system management.
The key to high-quality medical service is to improve the quality of medical talents. On the one hand, we should try our best to homogenize the medical human resources; on the other hand, we should develop grassroots medical and health talents by solving the problems of income and career prospects. At the same time, the lack of capacity can be supplemented by scientific and technological means, such as remote diagnosis and treatment to empower the city's high-level doctors at the grassroots level, and intelligent medical treatment to achieve human-machine cooperation to promote intelligent medical treatment.
High quality hospital management requires the establishment of modern hospital management system, including operators' internal management of production factors, and government's supervision and governance of market subjects. At present, we should establish and perfect the hospital management system, perfect the hospital management system and strengthen the construction of the hospital Party.
As for the high quality medical service system, it is necessary to reform the current medical service system function layout, the future should be through effective layout form referral, connection, realize the medical fusion, slow partition, grading treatment and medical combination linkage, and gradually from medical resources according to the administrative division layout to layout according to the population as a whole medical resources. The high quality management of medical service system can make use of information disclosure, scoring ranking, performance appraisal and other mechanisms.
Chen Qiulin said that "reform and innovation as the driving force is the core of high-quality development of public hospitals". Sanming Medical reform, which is being vigorously promoted by the whole country, is an important model of reform, and Yinchuan demonstration of the new generation of information technology in the medical and health field is an important model of innovation.
About under the new pattern of social do medical, he said, social do medical has been high hopes on policy in recent years, in addition to expanding supply meet the demand of diversity, and promote the reform of public hospitals, an important means to improve the management level, also become an important gripper, promoting economic transformation and upgrading to enhance the level of service industry, effective expanding employment, to form a new growth point.
He also pointed out that the relaxation of market access is a double-edged sword, which will lead to the entry of medical institutions that do not meet the quality of joint venture, which is not good for the overall image of social hospitals. Designated medical insurance is also a double-edged sword. After designated medical insurance, the price of social medical insurance can only be based on basic medical treatment, and the advantages of social medical insurance cannot be highlighted. Multi-site doctor practice is also a double-edged sword, which will lead to a decline in the motivation of hospitals to train doctors in the long run, which is not conducive to the long-term development of the industry.
From the practical effect, although the policy has been very favorable and the social medical market has developed rapidly, there are not many social medical institutions with real strength. "There are more than 24,000 private medical institutions, but the real strength may not exceed 1,000." Chen qiulin analysis, the key lies in the deviation between the policy intention and market practice:
Non-profit society is the most encouraged, but social capital cannot be non-profit; Abundant market supply is expected, but in order to obtain medical insurance, social hospitals focus on basic medical care, and high-end medical care is difficult to develop. We hope to force the reform of public hospitals through the high-level management of social hospitals, but many directors of private hospitals come from public hospitals. It is expected to improve efficiency through competition, but effective competition has not been formed in fact, and a large number of international studies show that competition among hospitals does not necessarily bring higher efficiency.
Chen Qiulin said, let the social do medical development combined with the new development pattern, around realizing dual cycle, promote the development of green, security, realize the innovation in the field of health care, medical equipment innovation, solve the problem of equipment, vaccines, drugs thetime, attaches great importance to a new generation of information technology application in the field of medical and health, restore health management and service mode.
"The first principle of developing medical and health care is to serve the people, in accordance with the requirement that public welfare should be unwaveringly written on the banner of medical and health care undertakings, and total marketization and commercialization should not be pursued." He bluntly said that to properly handle the relationship between the government and the market, the government should do something in the field of basic medical and health services and rely on the government to achieve universal benefits and universal access.
Looking to the future, he believes that platform medical treatment will definitely be the future direction. He called for the development of Internet medical care in a direction conducive to equity.