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, and the goal has gradually shifted from controlling medical expenses to improving the health level of residents. Accordingly, this requires the formation of a large-scale system to ensure the health of the whole people, and the overall management of health, medical security and related health affairs.
From the management point of view, the decentralized management system objectively leads to the division of departmental interests, which leads to the situation of multiple measures and mutual constraints, resulting in the delay in the introduction of the new medical reform plan and the loss of efficiency. The policies issued by relevant departments put the power and interests of their own departments in the first place, often deviating from the goal of medical security. At the same time, due to the objective existence of departmental power interests and the cross-correlation of business management, it is easy to lead to the consequences of abusing power for personal gain and shirking responsibility in the name of their 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, establish permanent leadership and decision-making bodies at the national and regional levels, and 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) to be responsible for the unified management of health services and medical insurance.
In fact, this is to digest the differences and conflicts between the health and medical insurance departments in a large department that is fully responsible for people's health, and it is a large system in the health field. All business departments remain relatively independent, 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 naturally becomes the person in charge of national health, thus establishing an effective accountability mechanism. This is conducive to coordinating the supply and demand management of medical services, balancing the relationship between supply and demand, and at the same time, using its own professional advantages, effectively guiding the behavior of 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 an 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 issues, priority areas, intervention priorities and expected results. Within a department, it is also possible to break the division of labor between medical security and health services. 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, and effectively restrain 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, thus achieving an effective balance between meeting the demand for medical services and controlling medical expenses.
It should be pointed out that there are institutional advantages in coordinating health services and medical security management by a large department, 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 transformation to the target model. 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 and coordination mechanism composed of health, social security, finance, development and reform commission, taxation and other related departments first. This is a feasible plan 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 established at the national and provincial levels. Although the group is only a phased working mechanism, due to the long-term and arduous reform of the medical and health system, the leading group for medical reform should have certain stability. In the future, at an appropriate time, the national and provincial medical reform leading group mechanism should be formalized, and its functions should be transformed into coordinating various health-related affairs within the administrative region, forming a large department or Committee to be responsible for people's health and well-being. This is the long-term goal of integrating medical insurance and medical and health services. In fact, the functions of the Committee 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 price), 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 epidemic", 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 has been 1 since it broke out in Mexico last April. In April, the World Health Organization lifted the level 6 alert, which also means that human beings have adapted to the existence of influenza A virus.
"During the epidemic, the virus did not mutate into a more deadly form. There is no extensive 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 to the national level, which is in stark contrast to the prevention and control of SARS." Guan Yi, 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 adopts the means of "blocking the outside and preventing the inside". The external blocking is to set up a quarantine office at the airport, which greatly reduces 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 with H 1N 1.
Huang believes that this big health model is not only suitable for 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 an annual rate of 65.438+million. If we only provide an environment where diseases can be treated, it will be 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 flu 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. Not only can it prevent and control viruses and bacteria. " Huang Jianshi said.
After receiving the notification from WHO, the Ministry of Health of China indicated that it would further adjust the current prevention and control measures of influenza A and further revise and improve the relevant emergency plans in conjunction with relevant departments and 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 that we should formulate a national strategy for healthy development.
Zhang Boli said that it is necessary to formulate a strategy for the healthy development of the country. In the grand strategy, we should strengthen health education and health management for all. At the same time, some health concepts should be written into students' textbooks and widely publicized in various media to let everyone know that as long as they change their lifestyles, they can be healthy. 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 plan. 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 greatly enhance the civilization of the whole nation and be of great benefit to our country. At the same time, it can also cultivate a huge and healthy new industry and rely on high technology to drive the development of related industries. From the recent survey results, it can be seen that Chinese medicine health care products and Chinese medicine health food are also developing rapidly. At the same time, Chinese medicine is basically added to beauty, 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 health hazard. General 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, China should legislate the National Health Law of China. As long as there are laws, people will take care of unhealthy factors, such as excessive cooking with oil in restaurants, and what can be eaten in the national health law in the future. Our health management should be planned as soon 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 issue, then many of us will call for it together, which will attract the attention of the country. Because we are now in a "race" with the disease, it is right to intercept the disease, but what should we do in the face of the problem that the whole world can't do well and the future of our population of more than 654.38+300 million? We just need to start with management as soon as possible and release the things gathered in the health field to all aspects of society. This is to popularize a kind of "great health" education, one is to learn from textbooks, the other is to pay attention to all systems. For example, the bosses of companies, factories and companies only care about the work of employees. Employees ask questions when they are sick and can't move. If it is serious, they will be subsidized, but subsidies will not solve the problem. Therefore, it is necessary to release the problem of gathering to all aspects of society and arouse the attention of all aspects of society, so I think it is necessary to popularize general health education. "Since 2009, Qian 'an City has carried out the activity of" Healthy Tangshan, Happy People ". After Qian 'an was identified as a pilot unit in the whole city, Qian 'an Municipal Party Committee and Municipal Government attached great importance to this activity as an important measure to improve people's happiness index and accelerate the construction of a scientific development demonstration city, firmly established the concept of "great health" and built a "great health" pattern, so that the people could get tangible benefits.
Qian 'an has continuously improved its 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 township hospitals demonstration counties (cities) in Hebei Province. 40 rural clinics have been built and renovated, and the rural three-level health service network has been further improved. Based on the principle of effective and rational use of medical and health resources and leaning towards high-risk groups, the "three-in-one" management model of "one physical examination, one file and one plan" for residents over 45 years old is explored, and the chronic diseases such as hypertension, hyperlipidemia, obesity, diabetes, cardiovascular and cerebrovascular diseases detected by physical examination are standardized and intervened for free, benefiting the broad masses. Health education activities have been carried out in depth, and people's awareness and attention to health care have been significantly enhanced in families, campuses, hospitals, communities, rural areas and enterprises and institutions. Improve the city's farmers' physical fitness project, with a coverage rate of 100%. Strengthen the special rectification of food safety, insist on sampling 32 agricultural products every day throughout the year, and keep the pass rate of market sampling above 99%. Strengthen environmental protection, carry out in-depth sintering desulfurization and other actions in iron and steel enterprises, and the environmental appearance of Qian' an city has been obviously improved.
The continuous deepening of the action of "healthy relocation and happy people" has promoted great changes in Qian 'an's medical service model, people's lifestyle, people's concept of medical treatment and people's living environment, and the pattern of "great health" has taken shape initially. In today's medical field, the traditional biomedical model with single cause and single disease is gradually insufficient, and it has changed to a "biological-social-psychological-environmental" health model with multiple causes and diseases. A person's health can not be decided by doctors and drugs alone, but also by self-management. It is impossible to get medical treatment only by disease. Great health model came into being. It does not study the causes, 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 aim at creating a correct atmosphere of health concept 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 all countries' medical and health systems are facing challenges and are carrying out corresponding exploration and reform in order to achieve a better combination of fairness and efficiency and sustainable development. We health system workers should correctly handle the relationship between medical treatment and prevention, establish the concepts of "great health", "great health" and "great medicine", and be practitioners and models of medical model transformation. As people pay more and more attention to 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 society. Facts have long proved that only through extensive health education, fair and reasonable social medical security system and multi-sectoral cooperation can many diseases be reduced, and early detection and treatment can ensure everyone's health. President Jin Dapeng said that today's China and Beijing have also entered the era of lifestyle. Chronic non-communicable diseases such as hypertension and diabetes have become the main diseases that threaten the health of China people, especially Beijingers, and become the burden of families and society. If we can't really control the risk factors that affect national health in unhealthy lifestyles; If the medical model can not consciously change from biomedical model to bio-psychological-social medical model; If we can't establish the concept of "great health", "great health" and "great medicine" in the development of medical and health undertakings; If we don't understand, learn from, study and study the problems existing in health development in developed countries, then there will be various problems that 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 the School of Health Management, Renmin University of China, believes that based on the changes of the population age structure, health level and medical policy in China, the future development of health industry should pay more attention to the whole life process monitoring. With the changes of population age structure, health level and medical policy, 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 China residents' health indicators have been in the forefront of developing countries. Therefore, the content of development will shift from simple disease diagnosis and treatment to the management of life and health.
Then, the state's investment in the health industry will increase, and the industrial output value will rise sharply. According to the relevant national planning, 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 there are more than 654.38+53 million elderly people over 60 years old, including various infectious diseases, and the number of outpatient visits in hospitals 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 the guarantee of high-quality talents, nearly 654.38 million employees will be trained nationwide every year. In addition, with the acceleration of internationalization and the connection between health industry and global industrial chain, the development conditions of health industry are unique in China.
So 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 product competitiveness is not 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-meeting 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 product quality and customers can have superior sales service quality in the sales process. In the marketing process after the meeting, we will intentionally increase the guidance of event marketing, knowledge marketing, service marketing, experience marketing and database marketing, and guide consumers through media explanations and corporate image publicity guides; At the same time, continuously improve the level of pre-sales and after-sales service.