[Depth] Solve the two major pain points of Chinese medical treatment from three levels

Since the Chinese medical reform, there has been no fundamental breakthrough in medical services. Today I want to talk about how to solve the pain points of our national medical services? Start with the pain points of medical services that I have objectively observed.

This "pain point" is caused by the asymmetry of information between consumers, patients and medical service providers; many potential conflicts are caused by acute disease treatment, chronic disease management, medical expenses, etc. This is The pain point from the perspective of patients and consumers. Conversely, there are many pain points from the perspective of hospitals and doctors, in the course of disease treatment, during the training and employment of doctors, and in hospitals. The pain points of all these medical services can be attributed to two serious pain points, the core of the pain point.

Two serious pain points

One is the situation of inverted pyramids of medical resources and services. This situation has existed for a long time in our country, and since the new medical reform in 2009, it has not only eased but has continued to intensify. The second is that the shortage of doctors and the waste of waste have long existed and continue to intensify.

Let us first look at some data, the pyramid phenomenon of medical services. In the process of reasonable medical system in most countries, a large number of patients with common diseases, frequently-occurring diseases, and chronic diseases are medical services at the grassroots level, and a large number of doctors also practice medicine at the grassroots level. Since the new medical reform in China, the government has said that it has a strong grassroots level, and has also invested funds in community hospitals and rural grassroots medical care, and has strengthened county-level hospitals in each county. However, the actual situation is exactly the opposite. In the 7 years since the new medical reform in 2009, the coverage of the original medical insurance was relatively narrow. Now most farmers can see the disease, and a large number of patients are flocking to tertiary medical care. Why does the government say it wants to be strong, but patients continue to go up?

One can look at a data. Since 2009, hospitals of different sizes have grown in hospitals in our country. More than 800 beds are more than 500 beds. Large hospitals are at the tip of the pyramid. Grassroots hospitals are small hospitals. The two groups of data are more direct, the number of outpatients and inpatients. From the perspective of the medical market share, among the 26,000 hospitals in our country, the tertiary hospitals account for 7%, and the 7% of the tertiary hospitals account for the number of outpatients. What? Nearly half reached 47% and hospitalizations accounted for 41%; while other Grade 2 and Tier 1 hospitals and 40% of hospitals without grading, outpatients and inpatients accounted for only 8%. It can be seen that the apex of the pyramid of our national medical resources accounts for the entire medical market. Moreover, since the new medical reform in 2009, the outpatient and inpatient volume of tertiary hospitals has grown much faster than the secondary hospitals, and more than one level has surpassed the hospitals without grading. This data reflects the increasing spires of the pyramids.

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