Study On China Cities Medical Security System Reform

Since the founding of the nation, our country continuously has practiced the enterprise staff's labor insurance medical service system and the party politics institution institution's public health services system, to safeguards the staff health under the planned economy condition, the promotion productive forces development positive role. But transferred in the system in the market economy system actually to expose very many questions: On the one hand the medical expense fast growth causes all levels of finances and business unit is unable to withstand the heavy burden, the medical resources waste phenomenon is serious. On the other hand since, the economic restructuring, the management difficulty and the loss state-owned enterprise, Medical care serious has been insufficient. The massive non- public ownership system unit's staff and other workers have not implemented the medical insurance. In 1998 "the State Council about Established Cities Staff Basic Medical insurance System Decision" the issue, symbolized our country new basic medical service safeguard system and the policy frame oneself initially formed. The new medical safeguard system main characteristic is low horizontal, the broad cover, bears, the series account union together persisted is and the socialized management, implements the multi-level safeguard. But, the common people "see a doctor difficult, to see a doctor expensively" the question to be more and more prominent, this year starts changes the committee the memoir conclusion to point out "the medicine guarantees the reform basic defeat". This indicated the medical safeguard system reform also must further break through.This article through the medical safeguard elementary theory introduction and the review, according to theory and so on government involvement, analyzes our country present medical service safeguard system the developing process. Thought causes the common people "sees a doctor difficultly, to see a doctor expensively" reason, mainly has two aspects: One is the market development insufficiency, the medical resources supplies too few, on is objective causes to see a doctor difficultly, sees a doctor expensively. Two is the government function vacancy and the dislocation coexists, this tube has not managed well, the investment insufficiency altogether seeks supervising and managing to the medicine disadvantageously, lacks to the medical market order maintenance method, the medical dispute solves the mechanism to be chaotic and soon the question all does not have the very good solution.In view of the above question, in absorbs other national medical service safeguard systems in the empirical base, unifies our country the actual situation, proposed the corresponding perfect counter measure. First is enlarges the government investment and government supervising and managing, next consummates each kind of system, third is further advances the market, enlarges the medical resources the supplies.