For a long time, it is always considered to be a dysentery in the Chinese medical service system because it is difficult to see a doctor and expensive to see a doctor. Although the government has introduced a variety of measures, medical institutions have made major adjustments, but it does not help. So what is the reason for this dilemma, where is the core breakthrough point, and can emerging Internet medical help solve this problem?
The core of expensive medical treatment and expensive medical treatment comes from two sets of binary paradoxes endogenous to the medical system. First, on the one hand, the rapid aging of China and the high incidence of chronic diseases have led to a rapid increase in medical expenses, which has made the government's medical insurance system with broad coverage and basic protection a strong pressure on fees. On the other hand, China's medical self-pay ratio is too high. Under the premise of lack of commercial insurance to share risks, basic medical security is far from sufficient. Second, on the one hand, the rapid increase in medical expenses is mainly due to the inability of medical treatment and the large-scale expansion of large hospitals. On the other hand, it is difficult to really separate the medicines before the doctors' incomes are significantly improved. And the increase in doctors' income is bound to cause payment pressure on medical insurance. At the same time, the development of primary health care systems is inherently subject to multiple constraints. It is difficult to obtain the trust of the patient before the recovery of his or her own ability, nor can it assume the role of diversion.
The former group of public opinion led to expensive medical treatment, and the latter group caused difficulty in seeing a doctor.
The rapid rise in medical costs is a serious problem for all countries, which is closely related to the aging of the global population. But whether it is the European model of universal health insurance, or the American model shared by commercial insurance and federal health insurance, the proportion of users' self-pay is relatively low. Due to the long-term lack of support from commercial insurance, China relies mainly on government medical insurance for low-level coverage, which leads individuals to bear a large part of medical expenses. This also raises the problem of expensive medical treatment. Expensive does not only mean that the medical charges are expensive, but more often the proportion of users at their own expense is too high.
On the other hand, the price of medical services in China has been depressed for a long time, which has caused doctors' income to be distorted. They have to rely on drug rebates to make up for the gap in their income, and form a drug-based medical system with Chinese characteristics. In order to maintain a high drug rebate system, the phenomenon of high drug prices is serious, which in turn pushes up medical expenses. At the same time, large hospitals have accumulated the best medical resources, resulting in the flow of excellent doctor resources to them, thus forming a siphon effect and attracting patients. This not only pushed up the cost of medical care, but also caused congestion in large hospitals. A large number of minor and chronic diseases should have been treated at the grassroots level, but because primary care cannot be trusted by users, it has become difficult to see a doctor. The disease is because the grassroots can not achieve a good diversion, the problem of difficult to see the disease will be so prominent.
From the above analysis, China's medical treatment dilemma mainly comes from the endogenous problems of the system, and the overall solution path in the future must also start from the system reform.
First, commercial insurance must be introduced to share the risks. Under the premise that the medical insurance fund is about to bottom out, the government is unable to enhance the depth of medical insurance coverage, and the reduction of self-funded parts can only rely on the introduction of commercial insurance. However, commercial insurance is still a profit-seeking institution. In the elderly, this still requires the government to strengthen the coverage of medical insurance. Second, medicine must be completely separated. Only when the outpatient pharmacy is completely stripped from the hospital can the chain of medicine and medicine be completely cut. Finally, we must effectively improve the diagnosis and treatment and service capabilities of primary care. This is not only the sinking of medical resources, but also the actual management system of doctors, so that doctors can practice freely, so as to attract high-quality doctor resources into the grassroots.
From the point of view of China's medical system, if we are to change the plight of medical treatment, we must start from the system reform, which is difficult to carry out without government intervention. So, can the Internet take a new path around the limitations of the system?
From the current development path, China's Internet medical treatment faces a relatively serious path dependence. Building an Internet health care system in the context of an offline medical system with no constraints on the service side may only strengthen the original development logic. The current development model of Internet medical care can only meet the expansion of the service side. The basic solution currently solved by the Internet is the problem of medical peripherals, and it is impossible to go deep into the core. Moreover, as the Internet medical treatment as a fee-control tool, it is necessary to wait for the Chinese medical payment party to carry out refined management.
Therefore, it is difficult for Internet medical treatment to solve the problem of difficult medical treatment and expensive medical treatment.
First of all, from the perspective of medical difficulties, the mismatch of resources is difficult to improve in the short term. In the short term, large hospitals will continue to focus on the most important medical resources and doctor resources, and will continue to be the first choice for patients to see a doctor, which is also doomed to improve the overall medical environment. Internet medical services mainly serve large hospitals from the perspective of registration, payment and follow-up. However, this does not fundamentally solve the current situation of patients rushing to large hospitals, and the interest of large hospitals in these Internet medical tools is not very large, and the more the hospitals with large business volume, the less competitive. But for large hospitals and sub-level hospitals and primary care that are not well developed, they are very interested in using Internet medical as a tool for their expansion, but users have little demand for them. Under this mismatched system, it is difficult to see a doctor through Internet medical treatment. To some extent, Internet medical care may exacerbate the problem of getting sick. Because with the intervention of Internet medical care, the large hospitals waiting for the price have added another channel of expansion.
Secondly, from the point of view of expensive medical treatment, it will take a long time for the payer to rebalance the service provider. The establishment of clinical pathways in China still takes a long time, but it is difficult to establish a fine management of medical insurance on the premise of lack of clinical pathways. At the same time, medical insurance itself lacks the overall operational control ability, which requires the government to transform from the access control to the strong supervision that meets the market demand, and truly establish a sound technical means to implement strong supervision over medical institutions. At the same time, it is also necessary to allow third parties like PBM to assist the medical insurance and commercial insurance agencies. In addition, the development of commercial insurance is very difficult at present. Although the tax incentive policy for personal health insurance has been introduced, there is still a big gap from the substantial benefits. After all, the preferential margin is not large. Only when the real introduction can give tax incentives to enterprises or individuals with greater preferential treatment, health insurance can really grow rapidly, which also provides an important force for the market to restrict the service.
Therefore, under the current situation that the payer is unable to restrict the service party, Internet medical treatment as a fee-control tool is difficult to develop, and it is difficult to become an independent constraint service party independently of the payer. Only after waiting for the payment party to grow up, Internet medical care can get rid of the current helplessness of the service-side expansion tool, which will lead to real development.
In short, in the context of rapid growth in medical expenses, Internet medical care itself is more of a tool for paying party fees to provide supplementary services to payers. Internet medical itself is not only impossible to change the problem of difficult medical treatment and expensive medical treatment. Under the current system, it may even become a tool for service provider expansion. Of course, the spirit of this expansion tool is contrary to the positioning of Internet medical itself, so it is also destined to be long-lasting.
Sd Card Storage Ptz Camera,1080P Driving Recorder,Industry Outdoor Camera,Vision Wireless Camera
Shenzhen Zuomi Technology Co., Ltd. , https://www.leftriceptz.com