The Cause Analysis And Countermeasure Research On Medical Indigency

With the unceasing development of the social economy and medical technology, the hospital's medical criterion and service level keep raising, the medical revenue increased year by year. Meanwhile, the medical risk appeared slowly. It caused serious disturbances of hospital development. In recent years, the medical indigency becomes one of the problems in hospital management. It caused concern of China's government at all levels and health competent departments. Let common people could bear medical expenses and maintain hospital's normal order, create a harmonious environment for medical treatment became the parties'consensus.In order to achieve the goal, China formulated a number of related policies. It would control and intervene to medical indigency, and tested in some of the local hospital. However, the policies just become the basis of the overall control which from current situation analysis. The medical indigency related to multilateral reasons and it must consider from multiple levels. So, hospitals should propose appropriate measures according to their own situation. Taking medical indigency as research topic, through the literature analysis, systematically combined and compared domestic and foreign medical indigency progress in theoretical research and solution, to provide theoretical basis and countermeasures reference for China's medical indigency research. Through on-the-top investigation and expert advice, straightened out Shanghai Eastern Hepatobiliary surgery Hospital's medical indigency situation in current years, known about the hospital's management and functional division. Through retrospective analysis of medical records, quantitatively reflected the social psychology and medical indigency situation of patients, the decomposition situation of medical indigency progress which at the hospital level. Summary the cause of medical indigency, provide a basis for the study and the policy improvement of medical indigency. By Eastern Hepatobiliary surgery Hospital case study, analysis similarity and difference of the medical indigency's cause and progress between special hospitals and polyclinics, military hospitals and local hospitals. Finally, taken the public choice theory as political philosophy foundation, the institution change theory and health expenditure theory as methodology, setting up a sharing fund for medical indigency, and building a medical indigency warning management system which put prevention first, for the purpose of intervention and control, and use the electronic medical record as a console, based on the current policies which directed against medical indigency.