These sharp contradictions and conflicts. How to crack it is still a difficult problem.
From the international situation, in recent years, major developed countries have paid more and more attention to the health promotion of medical insurance system, and gradually developed medical insurance into health protection, with the goal gradually shifting from controlling medical expenses to improving residents' health. Accordingly, this requires the formation of a large-scale system to protect the health of the whole people, and the overall management of health, medical security and related health affairs.
From the perspective of management, the decentralized management system has objectively led to the division of departmental interests, resulting in a situation of multiple policies and mutual constraints, which has led to the delay in the introduction of the new medical reform plan and the loss of efficiency. The policies issued by the relevant departments put the power and interests of their own departments in the first place, which often deviate from the goal of medical security. At the same time, due to the objective existence of departmental power interests and cross-correlation of business management, it is easy to lead to the consequences of taking power and shirking responsibility in the name of respective responsibilities, and to some extent, it will also lead to rent-seeking and even corruption of business departments and their subordinate units.
We believe that China should learn from the experience of developed countries, raise the national health security to a strategic level, and establish a permanent leadership and decision-making body at the national and regional levels to systematically plan and design the reform of various health services and health security systems. When the time is ripe, we can consider centralizing the functions of health services and medical insurance that are currently managed separately, and forming a health department (or health Committee) that is responsible for the unified management of health services and medical insurance.
In fact, this is to digest the differences and conflicts between health and medical insurance departments in a large department that is fully responsible for people's health, and it is a large-scale system in the field of health. Each business department still maintains relative independence, taking responsibility under unified decision-making, reducing coordination costs and improving decision-making efficiency. After a department manages medical security and health services as a whole, it will naturally become the person in charge of national health, thus establishing an effective accountability mechanism. This is conducive to the overall planning of medical service supply and demand management, balancing the relationship between the supply and demand sides, and at the same time using its own professional advantages, effectively guiding the behavior of the supply and demand sides to develop in a reasonable direction. With the technical support of a single department, medical security institutions can intervene in the health service system according to the principle of low cost and high efficiency, and at the same time guide the medical service system to take the appropriate technical route, coordinate all forces to focus on the coordinated development strategy of health and economy and society, track the national health status, and study major health problems, priority areas, intervention priorities and expected results. Within a department, it can also break the limitation of the division of labor between medical security and health services, and the two systems work closely together to control all the risk points of medical security fund payment and medical service operation from the system and policy, effectively restraining the unreasonable behavior of medical institutions. More importantly, under the unified management of a department, the contradiction between the impulse of medical institutions to generate income and the constraint of medical insurance funds on medical institutions is digested internally, so that an effective balance can be achieved between meeting the demand for medical services and controlling medical expenses.
It should be pointed out that the overall planning of health services and medical security management by a large department has institutional advantages, but the reform is a long-term process, which needs careful design and gradual advancement. We should not only focus on solving the current outstanding problems, but also create favorable conditions for the transition to the target mode. Because it is difficult to put all the functions related to health and medical insurance into one department at present, we can consider establishing a leadership coordination mechanism composed of health, social security, finance, development and reform commission, taxation and other relevant departments first. This is a feasible scheme in the near future. At present, the reform of the national medical and health system is advancing in depth, and a leading group for medical reform composed of multiple departments has been set up at the national and provincial levels. Although the group is only a phased working mechanism, the leading group for medical reform should have certain stability because of the long-term and arduous reform of the medical and health system. In the future, at an appropriate time, the national and provincial medical reform leading group mechanism should be regularized, and its functions should be transformed into being responsible for coordinating all kinds of health-related affairs in the administrative region, forming a large department or Committee that is in charge of the health and well-being of the people. This is the long-term goal of integrating medical insurance and medical and health services. In fact, the Committee's functions can be expanded outward, including financial financing, organization and provision of public health services, supervision of medical service market, supervision of drugs and medical devices-consumables market, supervision of medical service financing (three insurances and one assistance) and payment system (including medical prices), and management of state-owned medical and health assets. Late at night on August 10, Beijing time, the Director-General of the World Health Organization, Chen Fengfuzhen, announced that the world had entered the "late stage of influenza pandemic", which means that "normal monitoring shows that the level of influenza activity in most countries has returned to the level of seasonal influenza".
Influenza A (H 1N 1) broke out in Mexico last April, and it has been 1 year and April, and the World Health Organization lifted the phase 6 alert, which also means that human beings have adapted to the existence of influenza A virus.
"During the pandemic, the virus did not mutate into a more deadly form. There was no widespread resistance to oseltamivir. " Chen Fengfuzhen said that this time, we are purely lucky.
However, after many struggles with the virus, China has also made great progress in public health. "The prevention and control of influenza A is relatively open from the Ministry of Health and the national level, which is in stark contrast to the prevention and control of SARS." Guan Yi, a professor of microbiology at the University of Hong Kong, said.
Huang Jianshi, dean of the School of Public Health of Peking Union Medical College, recognized the prevention and control of influenza A. He said that the prevention and control of influenza A adopted the means of "external blocking and internal prevention", and the external blocking was to set up quarantine offices at airports, which greatly reduced the risk of virus transmission; Internal defense is to create an environment in China, change the behavior of the public, and reduce the chance of infection of H1N1.
Huang believes that this big health model is not only applied to the prevention and control of swine flu, but also needs to be extended to all aspects of China's medical system.
He reminded that there are currently 260 million patients with chronic diseases in China, and the number is increasing at a rate of10 million per year. If it is only to provide an environment where diseases can be treated, then it is too late for the medical system to see a doctor. What the government should provide is a medical system that "maintains and promotes people's health".
"Any influenza has certain risks, which means that normal measures cannot be ignored. The public needs to cultivate healthy habits, carry out influenza vaccination and improve health literacy. It is not only possible to prevent and control viruses and bacteria." Huang Jianshi said.
Upon receiving the notification from WHO, the Ministry of Health of China indicated that it would work with relevant departments to further adjust the current prevention and control measures of influenza A and further revise and improve relevant emergency plans according to the recommendations of WHO. Zhang Boli, deputy to the National People's Congress, academician of China Academy of Engineering and president of Tianjin University of Traditional Chinese Medicine, visited Xinhuanet to talk about the development of big health industry. In the interview, Zhang Boli said, we should formulate a national strategy for healthy development.
Zhang Boli said that we should formulate a strategy for the country's great and healthy development. In the grand strategy, health education and health management of the whole nation should be strengthened. At the same time, some health concepts should be included in students' textbooks and widely publicized in various media to let everyone know that they can be healthy as long as they change their lifestyles. At the same time, in the relevant medical and health system, in the deployment of some pharmaceutical industries, and even in the active cultivation of some health industries, efforts have been made to make plans. At the same time, we should also cooperate in the medical insurance system. In this case, if the whole nation has a healthy concept of life, it will also greatly enhance the civilization of the whole nation and be of great merit to our country. At the same time, it can also cultivate a large and healthy new industry, which relies on high technology to promote the development of related industries. As can be seen from the recent survey results, Chinese medicine health care products and Chinese medicine health food are also developing rapidly, and at the same time, Chinese medicine is basically added in cosmetology, and the attention to Chinese medicine is getting higher and higher. Including pesticides of traditional Chinese medicine and veterinary drugs of traditional Chinese medicine, it is very important to cultivate this big health industry. Yan Xijun, deputy to the National People's Congress and chairman of Tianjin Tasly Group, pointed out that modern fast-paced life and unhealthy eating habits are becoming a major hidden danger to people's health. Great health education should be popularized to improve the quality of the people. He hopes that in the future, the state will help people improve their health through legislation and other means.
Yan Xijun said: "When conditions are ripe, our country should legislate the China National Health Law. As long as there is a law, people will take care of unhealthy factors, such as excessive cooking with oil in restaurants, and there will be regulations on what can be eaten in the National Health Law in the future. Our health management should be planned as early as possible and become a part of government functions, and then the whole society will pay attention to it. The strength of our enterprise is limited. If someone calls for this problem, then we have many people to call for it together, which will attract the attention of the country. Because we are now "running" with the disease, it is right to intercept the disease, but in the face of the problem that the whole world can't do well and the future of our1300 million population, what should we do? We just need to start with management as soon as possible and release the things gathered in the health sector to all aspects of society. This is to popularize a kind of "great health" education, one is to learn from textbooks, and the other is to pay attention to all systems. For example, the bosses of companies, factories and companies only care about their employees' work. When employees are sick and can't move, they will ask questions. If it is serious, they will be subsidized, but subsidies will not solve the problem. Therefore, it is necessary to release the gathered problems to all aspects of society and attract the attention of all aspects of society, so I think it is necessary to popularize big health education. " Since 2009, Qian 'an City has launched the "Healthy Tangshan, Happy People" campaign. After Qian 'an was identified as the city's pilot unit, Qian 'an Municipal Party Committee and Municipal Government attached great importance to this campaign, taking it as an important measure to improve people's happiness index and speed up the construction of a scientific development demonstration city, firmly establishing the concept of "great health" and building a "great health" pattern, so that the masses can get tangible benefits.
Qian 'an has continuously improved the health service system and invested 650 million yuan to build Qian 'an People's Hospital. Strengthen the standardization construction of township hospitals and become the first batch of standardized and standardized township hospitals demonstration counties (cities) in Hebei Province. 40 rural clinics were built and renovated, and the rural three-level health service network was further improved. Based on the principle of making effective and rational use of medical and health resources and tending to high-risk groups, the "three-in-one" management model of "one physical examination, one file and one plan" for residents over 45 years old has been explored, and the chronic diseases such as hypertension, hyperlipidemia, obesity, diabetes and cardiovascular and cerebrovascular diseases detected in physical examination have been standardized and intervened free of charge, which has benefited the broad masses. In-depth health education activities have been carried out, such as entering families, campuses, hospitals, communities, rural areas, enterprises and institutions, and the people's awareness of health care and attention has been significantly enhanced. Improve the city's farmers' physical fitness project, and the coverage rate reaches 100%. Strengthen the special rectification of food safety, adhere to the sampling and testing of 32 agricultural products every day all the year round, and the qualified rate of market sampling and testing has remained above 99%. Intensified environmental protection, carried out in-depth actions such as sintering desulfurization in iron and steel enterprises, and significantly improved the environmental appearance of Qian' an city.
The continuous and in-depth action of "Healthy Relocation, Happy People" has promoted the great changes of medical service mode, people's lifestyle, people's concept of medical treatment and people's living environment in Qian 'an, and the pattern of "great health" has taken shape initially. In today's medical field, the traditional biomedical model with a single cause and a single disease is gradually inadequate, and it has changed to a "biological-social-psychological-environmental" health model with multiple causes and diseases. A person's health is not determined by doctors and drugs alone, but also needs self-management, and it is impossible to get medical treatment only by diseases. Great health model came into being. It does not study the cause, but the risk factors that affect health. Its core is personal health management, which scientifically eliminates or reduces health risk factors and achieves the purpose of protecting and promoting health.
Lin Ling, member of the Fujian Provincial Political Consultative Conference and president of the Second Affiliated Hospital of Fujian Medical College, said in an interview that "building a harmonious society needs the promotion of the government and medical institutions to help people establish the concept of great health." Lin Ling said that government agencies should increase publicity and guidance; Medical institutions should take creating the atmosphere of correct health concept as their own goal, and promote the transformation of medicine from simple biomedicine to social, psychological and medical pluralism; Individual citizens should change their ideas and promote their own behavior revolution.
At the 20 10 Beijing Medical Conference, President Jin Dapeng pointed out in the conference report that medical reform has become a "worldwide problem", and the medical and health systems of all countries are facing challenges, and they are all exploring and reforming accordingly, with the aim of achieving a better combination of fairness and efficiency and sustainable development. Our health system workers should correctly handle the relationship between medical treatment and prevention, establish the concept of "great health", "great health" and "great medicine", and be practitioners and models of medical model transformation. With people's gradual concern for health, many people have realized that disease prevention is an effective means to promote health, and disease prevention depends on society to a great extent. At present, a major change in the development of preventive medicine is the development of preventive medicine to the society. Facts have long proved that only through extensive health education, fair and reasonable social medical security system and multi-sector cooperation can many diseases be reduced, early detection, early treatment and everyone's health be guaranteed. President Jin Dapeng said that today's China and today's Beijing have also entered the era of lifestyle. Chronic non-communicable diseases such as hypertension and diabetes have become major diseases that threaten the health of China people, especially Beijing residents, and become a burden for families and society. If we can't really control the risk factors in the unhealthy lifestyle that affect national health; If the medical model can not consciously change from biomedical model to bio-psychological-social medical model; If the development of our medical and health undertakings cannot establish the concept of "great health", "great health" and "great medicine"; If we don't know, learn from, learn from and study the problems in the development of health in developed countries, then there will be various problems that will affect people's health, and the number of people who need medical services will increase rapidly like a blowout, which will bring unbearable burdens to countless families and social medical security systems. Chen Yuanping, Dean of School of Health Management, Renmin University of China, thinks that the future development of health industry should pay more attention to the whole life process monitoring based on the changes of population age structure, health level and medical policy in China. With the change of the age structure, health level and medical policy of the national population, the development strategy will also change. The industry presents the following development trends.
First of all, the content of industry development has changed. After the new medical reform, the focus of health industry development has shifted to both urban and rural areas, and the health indicators of Chinese residents have been in the forefront of developing countries. Therefore, the content of development will shift from simple diagnosis and treatment of diseases to management of life and health.
Then, the state's investment in the health industry will increase, and the output value of the industry will rise sharply. According to the relevant national plan, by 2020, the output value of China's health industry will reach 10% of gdp, with an output value of about 4 trillion yuan, which is 100 times of the current output value of 40 billion yuan, which is the biggest advantage of developing health industry.
Finally, the advantages of the health industry are more obvious. On the one hand, the market is large. According to statistics, there are more than 700 million sub-healthy people in China, and the number of elderly people over 60 exceeds153 million, including various infectious diseases, and the number of hospital outpatient visits exceeds 3 billion every year. This market demand is quite large; On the other hand, the research and development cost is low. According to a statistic, the research and development cost of new drugs in China is 40%-60% lower than that in Europe and America. At the same time, with high-quality talents as the guarantee, nearly10,000 employees will be trained nationwide every year. In addition, with the acceleration of internationalization and the docking of the health industry with the global industrial chain, the development conditions of the health industry are unique in China.
Therefore, it is a very important development opportunity for the direct selling industry. However, the management of direct selling enterprises needs innovation. Under the influence of the new medical reform, direct selling enterprises are also facing the reshuffle of the industry. If an enterprise's products are not competitive enough, it is likely to be eliminated, so enterprises need to pay more attention to the construction of marketing team and cultivate a lean and efficient team. In the contradictory market environment, post-conference marketing came into being, which will bring new opportunities and space to enterprises. Post-conference marketing is actually a marketing model based on conference marketing, in which enterprises further ensure the quality of their products and ensure that customers can have super-value sales service quality during the sales process. In the process of post-conference marketing, we intentionally increase the guidance of event marketing, knowledge marketing, service marketing, experience marketing and database marketing, and guide consumers through media instructions and corporate image propaganda guides; At the same time, continuously improve the service level before and after sale.