Using economics theory thinking of traditional Chinese medical treatment organization reform

LiaoNing The state administration of traditional Chinese medicine of traditional Chinese medicine on Taiwan, communication and cooperation center

China's traditional Chinese medicine to

        At present, along with the deepening of the medical and health system reform, the reform of public hospital of traditional Chinese medicine are promoting. "The central committee of the communist party of the state council on the deepening the reform of medical care system opinion" proposed "to further improve the medical service system. Adhere to the non-profit medical institutions as the main body, for-profit medical institutions for complement, public medical institutions as the leading factor, the public medical institutions the principle of common development. "Insist on the unification of fairness and efficiency, the government and the market mechanism to play the leading role in strengthening the government. Combining basic medical and health system of responsibility." The author using economics theory of TCM medical organization reform for the following thought:

        From "economic man hypothesis" look, hospital of traditional Chinese medicine should belong to the "economic man" unit. Public hospital of traditional Chinese medicine is a medical institutions of traditional Chinese medicine government, assume the responsibilities of the state to do the doctor of traditional Chinese medicine, we must adhere to the principle of public welfare. At the same time, the public hospital of traditional Chinese medicine is also engaged in traditional Chinese medical treatment service economic operation of the body, though not for the purpose of making profit but public hospital of traditional Chinese medicine must, in accordance with the law of economic operation guarantee normal operation. Cancel after drug addition, breaking the "medicine have medical" traditional mode, the hospital income including medical service income, medical check income, pharmacy service, financial aid, etc. According to the economic cost-benefit method, public hospital of traditional Chinese medicine economic operation, need to use income up cost. As long as we admit that public hospital of traditional Chinese medicine is the body of economic operation, do not deny that have interests tends to maximize, only in the guarantee public hospital of traditional Chinese medicine for the normal operation condition as "interest", the hospital income can pass to input, and keep the sustainable development of the hospital, need to rely on the government's public hospital of traditional Chinese medicine operation mechanism, reflect public hospital of traditional Chinese medicine public welfare.

        From the "limited resources assumptions" look, traditional Chinese medicine is China's unique health resources and medical services limited resources scarcity. Traditional Chinese medicine clinical curative effect definite, prevention health care function, unique treatment agile, cost is cheap, traditional Chinese medicine is more and more shows the unique advantages, the people to traditional Chinese medicine health needs improve. On the one hand, we want to see Chinese medicine health resource particularity, need government support and protection; On the other hand, want to see Chinese medicine service by the economic factors, through the market mechanism to adjust the price equilibrium. In 2009 the state council about support and promote the development of Chinese medicine cause certain opinions "put forward: insist on both traditional Chinese and western medicine policy, give full play to the role of traditional Chinese medicine, and further support and promote the development of traditional Chinese medicine. Countries from the system level implementation support and indemnificatory measures, in the investment policy to tilt, is advantageous to traditional Chinese medicine resource and knowledge advantages into industrial advantages and economic advantages. Such as the national development and reform commission issued the reform drugs and medical service price forming mechanism of opinion "pointed out that" from our country medicine industry development present situation and the characteristics of medical service, and give full play to the price lever mechanism, reasonable regulation of drugs and medical service price." According to the economic equilibrium analysis method, traditional Chinese medicine and traditional Chinese medicine for medical service price to reflect the law of supply and demand market, in addition to the national essential drugs list variety of traditional Chinese medicines and basic medical services of traditional Chinese medicine practice guided by the government, all shall be made by the market supply and demand, price decided to promote the market competition mechanism to form, improve the medical institutions of traditional Chinese medicine operation efficiency and service quality. For example, Chinese medicine yinpian price along with the market supply and demand fluctuation, the expert outpatient service medical treatment special service reflect well-known traditional Chinese medicine experts service and technical value. Public hospital of traditional Chinese medicine should make full use of traditional Chinese medicine resource scarcity, and give full play to the characteristics and advantages of Chinese medicine, Chinese medicine hospitals to explore to establish small integrated big outpatient service do medical development mode, can in the public hospital reform in an invincible position.

        From "the protection of private property right assumptions" look, in law, private hold Chinese medicine hospitals, clinics, clinics should belong to private property, protected by law. In the policy, the state shall encourage and guide the social capital held medical institutions, eliminate the public medical institution development obstacle, the formation of diversified do medical pattern. Along with the deepening medical health system reform deepening, the private hospital of traditional Chinese medicine will continue to grow stronger, the public hospital of traditional Chinese medicine to play a beneficial supplement role, the public medical institutions of traditional Chinese medicine of traditional Chinese medicine and the public medical institutions of traditional Chinese medicine to make up the medical service system. According to the economics palmer tired, standard, public hospital of traditional Chinese medicine and the public hospital of traditional Chinese medicine, such as health clinic in medical service system plays a respective function, according to the regional health planning and traditional Chinese medical treatment of traditional Chinese medicine resources determine the function orientation of medical institutions of traditional Chinese medicine, according to provide medical service elements distribution income, each is in his proper place, achieve equivalent exchange purpose. Because the doctor of traditional Chinese medicine individualized treatment, the state shall encourage qualified doctor of traditional Chinese medicine professional and technical personnel, especially old doctor of traditional Chinese medicine of traditional Chinese medicine clinic offered or individual doctor of traditional Chinese medicine, the public medical institutions designated in medical, scientific research project, professional title evaluation and continue to education, etc., and the public medical institutions of traditional Chinese medicine enjoy equal treatment for equivalent exchange, provide a good policy environment for the public medical institutions of traditional Chinese medicine "private property" plays the protection and support.