Health: the cost of medical treatment or is a doctor to decide things

        Health from reporters yesterday that the ministry of health, in order to control medical cost, the ministry of health requirements strengthen monitoring of cost growth rate faster disease diagnosis and treatment based on behavior monitoring, timely investigate not rational drug use, timber and check and repeated inspection behavior, will control medical cost into the performance evaluation. This is the ministry of health announced on October 31, of the 2012 strengthen medical cost control of the notification of the proposed. (on November 1, the Beijing times)

        If the doctor is difficult for resource allocation problems, so, the doctor is your point of this interest division. In recent years, the government around the doctor "difficult" and "your" ravel want to a lot of measures. According to the ministry of health statistics, China's personal health spending accounts for the proportion of total health expenses, already from 2001 years of 60% to 35% in 2011. Digital exciting, but medical treatment cost, especially patients buried single medical cost, obviously better than "bone" digital "full" a lot.

        This of course is not contradictory, proportion and it is not the absolute value.

        In this sense, the government good government and the doctor your no solution, become a link ravel. In fact, the so-called your doctor, strictly speaking, there are three meanings: one is relative to the income level, 2 it is relative to the cost of YaoXie itself, the third is relative to the practitioners conscience. In this paper, the latter although most by spectrum, but the most easy to arouse anger, also the most likely to become the contradiction of fuse.

        All this, of course, have been the doctor's hand. Therefore, when the famous cardiovascular specialist b said, "half of the support are not PuEr", the domestic public outcry, sound reflection to break out. Look, bring up the practise medicine embodies the integrity, or checks and balances the doctor and the diagnosis and treatment of the party over the heart, is extremely urgent things. In this sense, the health department "will control medical cost into the doctor performance evaluation" is in response to an opinion. Just, medical treatment cost if is a doctor in charge? Might as well to see a few facts: darling, March 3,, the ministry of health minister Outlines two accept reporter to interview said publicly, "public hospital reform, we also know that the biggest health department determination, but the water is very deep, and difficulty also want to cross the past". If the medicine for medical equipment, medical, up to check complement medical mechanism is changeless, and public hospital reform cannot be effective precondition, doctors and the ambiguous relation between prescription how essential change? Two, DaChuFang or excessive medical treatment, itself is "system with a bad chest cold" force. Such as medical disputes because the burden, some doctors will overuse of instrument equipment check and purpose of deposit, and became a "defensive medical". Such as the doctor again only in person for a certain amount of support after surgery can be published an article related academic papers, and published and title link up with, more than 3 article core journal papers can be on senior professional title, so, it is easy to see. Three, though in public health are increasing, but some other data or need to remember: 30 years of reform and opening up, China's GDP growth sixty multiple, and public welfare spending increased only less than ten times.

        Survival and the system of relief, "will control medical cost into the doctor performance evaluation" will be steadfast some, optimistic. Based on the information asymmetry between patient and physician, even if don't talk about medical costs, "rogue hypothesis" also as normalization of things. DengHaiJian (media)