Countermeasure Research On The Structural Optimization Of Basic Medical Expenditure In Shanghai

In recent years, all countries in the world is faced with pressure of fast medicalexpenses growth, our country is no exception. Especially in Shanghai, as one medicalcenter cities, has the high quality medical resources intensive, the medical service demand,and the prominent characteristics of diagnosis and treatment services in large, medicalexpense control difficulty is relatively large. Medical expenses growth is the result ofsocial and economic development. Continuing economic growth and deep changes ofsocial structure, will inevitably lead to demand change, and the changes concentratedexpression in the increase of the size and level of differentiation, and along with systemadjust, this change will be more and more obvious. Shanghai high-speed growth of localeconomy, the rapid change of population structure, steady progress of medical reform,largely driven by rising health care costs. This not only relates to each people’s vitalinterests, is directly related to economic, social and global stability. So we very necessaryto research the Shanghai what is the deep reason for the increase in medical expenses, andhow to optimize and adjust the structure of the Shanghai medical expenses.The purpose of this study is to realize scientific management of medical expensesstructure quantitatively, the rational allocation of the limited medical resources, reducewaste of medical resources, the benefit of the best medical services. Secondly, analyzed thetotal health expenses and medical expenses growth situation has carried on the empiricalanalysis.This study selects the "policy science program" as the guiding research methods,sociology survey method, statistical analysis method, economic budget balance analysis asapplied research methods. Summarized through literature analysis, secondary data andexpert advisory argumentation is used to collect data.This research mainly divided into five parts:First of all, confirm the problem. Based on the total health expenses and medical expenses growth of empirical analysis, confirm the research of medical expenses structureoptimization and made international comparison. Secondly, the structure is analyzed.Combined with the data, quantitative analysis was carried out on the Shanghai basicmedical expenses structure. Again, the feasibility. Under the balanced budget, feasibilitydemonstration of medical expenses structure adjustment. Then, the evaluation ofoptimization. Through the establishment of a scientific and reasonable measures, toquantitatively optimize medical expenses structure. Finally, research summary and outlook.Results and conclusions of this study, the proportion of drug cost is high; Inspectionfee rates rise too fast; Nurse medical service fees such as the share of relatively low; Publicmedical institution defects compensation mechanism; The macro guidance of medicalinstitutions have deviation, medical expenses structure imbalance; Lack of medicalexpenses structure optimization measures.The innovation of this study was to establish the basic policy of medical expensesmanagement idea, namely "amount is appropriate, structure optimization, to share thereasonable"; Medical expenses structure optimization is established metrics, scientific,reasonable and effective control excessive growth of medical treatment charge, at the sametime ensure the hospital compensation mechanism to the virtuous cycle.