Precise Study Of Health Care To Resolve The Problem Of Excessive Medical Treatment

The basic medical insurance system,as the core of the social security system,plays a major role in reducing the medical expenses of the insured.With the "Twelfth Five-Year Plan" period,our country has basically established a social insurance system covering the whole people(hereinafter referred to as health insurance),the main task of health insurance is no longer to improve health insurance coverage and protection level,and to solve the lack of health insurance And the lack of cost control.So how to improve the fairness of health insurance and health insurance efficiency has become the main direction of health insurance research at this stage.Through the actual investigation found that the continuous growth of medical expenses will affect the implementation of health insurance to varying degrees,making the actual reimbursement of health insurance is much lower than the reimbursement within the system.And the main cause of this phenomenon is excessive medical behavior.The article describes the status of overwork medical problems and the main causes of over-medical behavior by analyzing the data on a large number of medical expenses and basic information of patients.In the case of data analysis of the status of over-medical care,health indicators were added in particular,and health levels were used as a measure of excessive medical practices.Survey shows that 10 years of provincial hospital medical expenses increased by 7 times,but the treatment effect has changed little,indicating that the problem of over-medical treatment is an objective need to solve the problem.At the same time,according to the influencing factors,the main factors influencing the over-medical treatment are the disparity of the income level of the patients and the medical level and the excessive use of the drugs and the medical treatment.And the lack of health insurance guidance mechanism and supervision mechanism also makes it difficult to solve the problem of excessive medical problems.Through the analysis of the status and causes of over-medical treatment,it is pointed out that excessive problems need to be solved accurately.Finally,this paper introduces the concept of precision medical insuranceto address the policy recommendations to solve the problem of excessive medical problems.At present,the strategies to solve the problem of over-medical problems mainly adopt the methods of total control,reform payment,economic compensation and system monitoring.Therefore,from the perspective of precision to consider how to solve the problem of excessive medical care is a new way.Over-medical individualization,diversity and broadness require "precision" and "targeted therapy".This paper proposes to classify the level of protection according to the classification and severity of the disease,so as to improve the ability of the insured to face the high medical expenses.Accredited to monitor the indicators,including hospital monitoring indicators,drug monitoring indicators and medical monitoring indicators,so that medical insurance for medical behavior in advance,after and after the fine monitoring to reduce the excessive medical behavior.At the same time establishing an independent health insurance pricing and reimbursement system,health care costs can be controlled at the source.These policy recommendations are aimed at improving the fairness,rationality and effectiveness of health insurance.