Analysis On The Effectiveness Of Medical Compensation Mechanism In Public Hospitals Of Five Western Provinces

Research theme and background:Since 1984,when the Ministry of Health and the Ministry of Finance jointly issued A Notice on Further Strengthening the Management of Public Health Care,China has been exploring the reform of medical treatment for more than 30 years.In the past thirty years,China has opened up two kinds of reform roads,namely,the basic medical insurance system in cities and towns and the new rural cooperative medical insurance system,and has made brilliant achievements.These more than 30 years have been three decades of rapid economic development in our country,and are also the key period for the implementation and development of the concept of"getting rich first and then helping others to become rich".The economic development of the eastern and western regions of China has been seriously divided.The western region is relatively backward,especially the five western provinces,including Shaanxi,Gansu,Qinghai,Xinjiang Uygur Autonomous region and Ningxia Hui Autonomous region.The level of regional medical treatment and the distribution of medical resources are also closely related to their economic development.Therefore,the western poor area medical reform appeared with the big direction policy inadaptability.Due to insufficient government investment in public hospitals,unreasonable compensation mechanisms,inadequate supervision and other problems,the public hospitals in the five provinces of the West are gradually playing down the commonweal nature of serving the public,and the profit-driven behavior of different degrees is beginning to be highlighted.The problem of "Difficult and expensive to see the doctor" has become increasingly prominent.Therefore,it is necessary for us to study the effectiveness of the compensation mechanism of public hospitals in the five provinces of western China under the direction of medical reform at the present stage,so as to find out the contradictions and problems faced by the compensation mechanism of public hospitalsResearch ideas:This paper mainly analyzes the medical status of five western provinces,and focuses on the analysis of the structural growth of medical expenditure and the financial subsidy and supervision policy of public hospitals in Ningxia.This paper studies how to ensure the rational use of public medical resources through the means of policy control,control the rise of medical expenses and reduce the medical burden of the common people,and analyze the effectiveness of the medical compensation mechanism of the five western provinces in China at this stage by using various analytical methods.By comparing the market-oriented reform and policy guidance of medical system in other countries,this paper sums up and abstracts the experience and lessons,and provides some suggestions and thoughts for the new round of medical compensation mechanism reform.Research conclusions:Under the reform of the medical system,the compensation mechanism of public hospitals in the western five provinces and regions is not in place due to insufficient government compensation and inadequate supervision of funds.The confusion of subsidy standards leads to the problems of "expensive" and "difficult"medical treatment in these areas.Therefore,in order to better adjust and implement the medical compensation mechanism to solve the problem of medical treatment among the people,the government should ensure financial input,perfect the price system of medical services,the medical insurance service system,and establish a diversified pattern of medical insurance.Promoting the reform of drug production and circulation system to reduce the people's medical burden and promote the rational and healthy development of the medical market.