At the end of 2014, the School of Public Administration of Zhejiang University, as a third-party institution, published a blue book, "Restructuring of Public Hospitals: Theory and Policy". The authors of this independent study are the team of Professor He Ziying, associate professor of the School of Public Administration of Zhejiang University, and Professor Yu Jianxing, executive vice president, and Professor Gu Xin, School of Public Administration of Peking University. These Daniel are experts in medical reform.
Yu Jianxing, the chief creator of the blue book of the School of Public Administration of Zhejiang University and the dean of the School of Public Administration of Zhejiang University, believes that "the biggest problem of China's medical system today is' administrative '." There are three problems:
1. The administrative subordination relationship between the hospital and the health department;
2. Public hospitals have administrative monopoly in the market and resources;
3. Administrative pricing of drug and service prices.
The author of this blue book from the School of Public Administration of Zhejiang University believes that the most important thing in the reform of the medical system is three things:
The first and most important thing is to establish a universal medical insurance or universal medical insurance system. People, whether they have money or not, have to rely on universal medical insurance when they finally get sick.
The second thing is not to spend money to see a doctor wherever the medical insurance is fixed.
How to spend the market mechanism? We should learn from the "group purchase", which is very popular now for eating and shopping. That is to say, the medical insurance institutions, through their professional research and evaluation, list a list of basic medical care (including the level and cost of what hospitals see what diseases, do what examinations). They took the medical insurance fund of the people as the "broker" of the people, and selected a project of a hospital with the highest cost performance for different patients in this directory.
Third, the providers of medical services should be diversified, including both public hospitals and private ones, both profit-making and non-profit ones. Who does the medical insurance pay for it? To put it bluntly, whoever can do well will pay for it.
