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Review Of 20 Years Of China's Medical System Reform: Achievements And Challenges From A Development Perspective

Release time:2025-01-20

China's medical system reform has always been a hot topic of social concern.

It is related to many important aspects such as the people's medical rights, the reasonable allocation of medical resources, and the future development direction of the medical industry. In the process of reform, we have encountered many challenges and ushered in many opportunities, which are worthy of our in-depth study.

In the past, my country's medical system had certain limitations.

In the process of gradual economic development, the original medical insurance coverage was narrow.

For example, many people other than employees of early-stage companies did not receive good medical care.

The distribution of medical resources between urban and rural areas is extremely uneven. Large cities have gathered high-quality medical resources, such as well-known tertiary hospitals in Beijing, Shanghai and other places, which have cutting-edge medical technology and equipment. In comparison, the level of medical services in remote areas is relatively low.

This imbalance causes patients to concentrate in large cities for medical treatment, increasing the cost of medical treatment for patients.

People are paying more and more attention to health, and social development also has such requirements. Therefore, the call for reform of the medical system is getting louder and louder.

In order to improve people's health and ensure the rational distribution of medical resources, the reform of the medical system has been put on the agenda.

In urban areas, before the reform of the medical system, medical financing channels were relatively single.

It mainly relies on limited investment from the government and individual payments from patients.

Judging from some data, the proportion of individual payments is too high, causing many families to fall back into poverty due to illness.

Research results show that in some small-scale surveys, it was found that the medical expenses of low- and middle-income families in some towns have accounted for more than 30% of the total household expenses.

After the reform of the medical system, financing channels began to be broadened.

The government has gradually increased capital investment and actively adopted various financing channels such as commercial insurance.

Now, many urban residents have joined the ranks of commercial medical insurance. This not only supplements basic medical insurance, but also effectively reduces the financial burden that the disease may bring.

First, the problem of uneven distribution of resources still exists.

Despite the efforts to advance reform, the gap between urban and rural areas will not be completely eliminated in a short period of time.

Taking rural health clinics and urban hospitals as a reference, the gap in quality of equipment and staff is quite obvious.

Health clinics in rural areas may only have basic medicines and simple testing tools, while hospitals in cities are equipped with high-end testing equipment and a variety of medicines.

It is difficult to control medical expenses.

With the continuous introduction of new technologies and drugs, medical costs continue to rise.

Hospitals have observed that new treatment technologies and high-priced imported drugs have given patients more treatment options, but this has also led to continued increases in medical costs.

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For example, the cost of a course of treatment for some imported targeted anti-cancer drugs may reach tens of thousands of yuan.

The government plays a vital role in the reform of the medical system.

On the one hand, the government needs to carry out effective supervision.

For example, the supervision of drug prices must prevent unreasonable pricing of drugs.

The government has implemented price controls on some common drugs in the past to curb abnormal increases in drug prices.

The government needs to carry out macro-allocation of medical resources.

The government should increase investment in primary care and medical care in remote areas.

In impoverished mountainous areas, the government has sent medical teams to help build new medical facilities and train local medical staff to improve local medical service capabilities.

The reform of the medical system towards marketization faces many difficulties.

First, there is a contradiction between the public nature and marketization of the medical industry.

If medical services are priced entirely in accordance with market rules, many patients with financial difficulties will have difficulty affording the high cost of treatment.

In market competition, some medical institutions may excessively pursue economic gains but ignore the importance of medical service quality.

In order to attract patients, some private hospitals have over-promoted some treatment methods that have not been fully verified. This phenomenon has disrupted the normal order of the medical market.

In order to improve the medical system, a series of countermeasures are needed.

First, we need to strengthen the training and flow of medical talents.

To encourage more medical workers to devote themselves to providing services at grassroots and remote areas, we can motivate them by providing talent subsidies and other means.

For example, some places provide tens of thousands of yuan in annual subsidies to doctors who work in township health centers.

Improve the medical evaluation system.

Use appropriate evaluation standards to measure the service quality and cost control of medical institutions, and link these evaluation results with subsidies provided by the government to stimulate the willingness of medical institutions to proactively improve their own standards.

China's medical system reform is an arduous and long-term task.

During this process, many problems were encountered, and at the same time, various possibilities for solving these problems were discovered.

This is related to everyone's health rights and interests, and also affects the stability and development of the entire society.

What do you think is the most obvious change brought about by the reform of the medical system around you?


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