Doctors freelance can "cure"

After the medical service capacity and market demand huge gap widening, the Chinese health care system is facing a huge change in the situation. Under this change in the situation, change the health care industry is the trend, but in the end where to start priority to promote the eyes of the beholder, the wise see wisdom.
In the health insurance fund increasingly tight financial subsidies can not be a large-scale promotion of the status quo, to control medical expenses become the first choice policy, whether it is implemented for many years in a variety of drug prices bidding and suppress acts of drug prices, or the recently pushing the grading clinic , all from different angles in order to control medical costs. But the drugs to support medical system can not be truly effective to control the medical practices of doctors, will not be able to implement drug price control. The three patients still preferred in many cases, resulting in the rapid growth of medical expenses. This is the main reason is the patient's trust issues, even though a clear precondition for the top three restrictions on the policy, the business volume of the top three is still growing year by year and accounted for in the overall diagnosis times increased year by year.
Therefore, the current market on how to promote medical control expenses form some consensus, cancel drug addition, at the right time might peel outpatient pharmacy, strengthen more practice until the transition to freelance. On drug prices in question, as long as the policy really determined to drugs to support medical system will eventually be neutralized. But on the question of the freedom of practicing physicians, especially the freedom to practice can really promote quality resources in order to stimulate the sinking costs of medical control problems, the current situation is still difficult to be optimistic.
First, the existing health care system restricts freedom of practicing physicians. In the current health care system, doctors mainly from its level of income and business volume in which, while the patient see a doctor more attention titles and abilities. Therefore, even if the title is not high, but some doctors ability, business acceptance of their own is still limited to large hospitals. In reality the situation had low levels of a large hospital doctors more practice the occurrence of cold, its very popular with users in the major hospitals welcome, but more practice to place but deserted. This indicates that the current health care system more "not recognize recognize only the Temple monk." In this case, the development of more practice could only make those high titles of a few experts to play a role in a large number of junior doctors still can not get recognized by the market development of the business, let alone get them out of their own free practice.
Furthermore, the need for freedom to practice good national or at least regional medical services payment standards and norms, this allows the doctor can be determined according to the standard price. Now mainly rely on Medicare to develop a model has set pricing system, but the price is determined by this system of medical services is too low, the doctor will be restricted only to return to profit by the old product, which is returned to the current large public hospitals urgently needed get rid of the road, on the whole not only can not solve the current problem of controlling costs, but may be further aggravated. This is because the current health regulatory system is not perfect, can not effectively to monitor the behavior of medical problems.
Secondly, the freedom to practice or can not solve the problem of shortage of qualified doctors. The current shortage of qualified doctors, but every year a large number of high-quality graduate medical students are not engaged in medical work, mainly because the employment needs of large hospitals have is not strong, and the grassroots low incomes, few people are willing to go. On the one hand, the market demand is huge, patients flock to three hospitals, on the one hand, the grassroots insufficient supply of qualified doctors, patient demand can not be met. This is mainly caused by the payment system problem. Due mainly rely on grassroots consultation fee, but health care system limits the increase consultation fees, which led doctors revenue still can not get promoted, but also limits its ability to attract qualified doctors.
Finally, the pursuit of personal values ​​also limits doctors to start practicing freedom. Chinese concept of health education is the long-standing good doctor in the top three, only the poor academic performance before going to the grassroots level. Under the guidance of this concept, to the exclusion of their own doctor first to go grass roots, not to mention to the grass roots also get a decent income and respect. In such a situation, the patient did not dare to believe more grassroots doctors, patients would think the grassroots doctors are not capable people, or how the work will not three. This is generally caused by a vicious cycle, and also restricting the transformation of the health care system.