Problem And Countermeasure About The Public Health Reforms

The health is one of the point contentses of the overall middle-class family, providing for the social member the basic medical treatment guarantee is the basic condition of the healthy movement of modern society, is also the important body of the social civilization degree now.The everyone possesses the health care, the healthy character of civil clan raises continuously, is an improved and important marking of the life quantity of people. This text looked back the process of the Chinese public hygiene business development first, main clarify the health business with the data for guarantee the crowd healthily, raise the healthy level of civil clan, valid protection labor force, promote contradiction, society of overall development. Along with the continuously and deeply turn of the reform, at turn toward market economy from the planned economy in the progress of the track, the development of the health business faces the antinomy of many deep layers, region health development unbalance, village hygiene, prevention health care the work is weak, the medical treatment insurance system is not sound, the hygiene devotion shortage, the resources install not to the utmost reasonableness.The ever fruitful public hygiene policy has already can't adapt the request of the modern and social development completely, the equity of the health service is significant to descend, hygiene devotion and produce the efficiency also have to lower, crowd of gradual rising of dissatisfied rate, affect the economy, society of coordination and stamina the development.The key problem exist currently has seven aspects mostly: The first, the health expenses that crowd undertake quickly increases, total expenses of health in significant rising of the comparison that personal devotion have, the hygiene consumes the level to increase continuously," see a doctor expensive" became the social hot problem;The second, the government devotion severious shortage, the ratio of health expenditure has the comparison of the total public finance expenditure descend year by year, the rate that shares the section to the education ,the science the hygiene business also falls significantly, budget for preventing and health care make basic public hygiene's service to be subjected to the restrict;The third, the public hygiene system is not sound, control, defending the important epidemic situation, handling abrupt public hygiene affairs...etc. exist the latent crisis in the disease;The fourth, the trend of the hospital reform meets the predicament gradually, the market presents an excessiveness turns, the whole profession management is still the difficult implementat;The fifth, the city country health resources installs the unbalance, the city countryside health care level margin is huge;The sixth, the medical treatment guarantee system is not perfect, the medical guarantee system that aims at the minority crowd needs to establish urgently and perfectly;The seventh, income structure of the medical treatment organization be out of balance, the income policy of medical treatment loss in business, keeping to cure with the medicine.The reason that produces these problems is multi-layer, returning to mainly knot have: First, the public service working talent of the all levels government does not arrive, the responsibility is not enough clear, the next, the hygiene market of reform target and measures are not explicit, the dependence degree lead high, again, kept to cure to foster the unhealthy tendency with the medicine, further increased the burden of the medicine consumer, end, raise funds the outlet is not smooth , the situation of the diverse investment can't become. To solve these problems, have to take into the correction in the system and the policy level, but how carry on the relation between hygiene ,equity, and efficiency is a premise that draws up the health policy, choose what kind of health policy, be worth to have the close relation with these. That Carry out the fair principle is the worth target of the socialism, with maximum limit in the socialism fair principle also is overall construction middle-class family and the harmonious diapason society of essence request and important contents.The public hygiene realm and fair try to work hard the of lower unjust positive the various strata of society serves make use of at the health and hygiene, trying to make each social members be able to possessthe basic medical treatment service.Whether the health service product can satisfy the basic demand of the different region, different crowd that decision maker should mainly consider to provide, lately the result is fair, on this foundation, then the opportunity to consider is fair, after satisfy the basic hygiene demand, square can body now the people are in the margin on the health. The efficiency target of the hygiene section usually includes the healthy condition, people's satisfaction, the government devotion and feasibility etc. The equity and efficiencies are the targets that the government draws up the policy, carrying out the equity and feasibility is also the public hygiene policy, the basic health care includes two big parts of the public hygiene service and basic medical treatments, the citizen possess basic health care is a national, political order and societies that can keep on the development of demand, the basic health care should have the initiative to guarantee the equity and feasibility.Therefore, for basic health care should measure with result equity.But for especially need the medical treatment service, then can acquire voluntarily according to personal economic condition, can embody now rule equity. Owing to this, this text puts forward seven measure to solve the controdiction of public hygiene equity currently and be within the feasibility. One, clarify public hygiene policy target, enhance the initial responsibility of the government and predominate the function.The leading thought of the public hygiene policy and the value mindset should be:Take people as the origin, moderate the development, can keep on the development;Insist the prevention is a lord, taking village as the point;Have the initiative to guarantee the basic health service, raise the equity of the health service and be within the reach of sex.Enhance the responsibility of the government, is money raising responsibility and the allotment responsibilities that toes enhance the government and enhance the government to the intervention of the medical treatment service system. Two, the sound public hygiene work mechanism, continuously perfect public hygiene system.The public hygiene system includes the public hygiene management system and the health directs to enforce the law the system, the...