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What are the concerns on health care system?

03-12-2014 21:23 BJT Special Report: 2014 NPC & CPPCC Sessions |

As we just saw in Han Peng's report, trust and understanding are sometimes in short supply in China's health care system. And there are reasons for this. It's well known that seeing a doctor in China often requires long waits and a lot of money. For a closer look at the China's health care delivery system we collaborated with IZP Tec, which collects and analysis data.

We found that people who seek medical care say over prescribing expensive medicines and costly unnecessary tests are a big concern. Patients often complain that few medications are covered by medical insurance.

Another key concern is the lack of available medical professionals. According to the National Statistics Bureau, from 2006 to 2013 the number of doctors increased by less than 5 percent, while number of people seeking medical care grew by more than 13 percent. The soaring cost of medical care is also of grave concerns. The cost of medical care is increasing an average of 17 percent a year, while per capita incomes are rising only 12 percent per year. People say they are spending more while the quality of medical service they receive is declining.

At this year's NPC and CPPCC sessions both members and deputies who work in medical services made a number of suggestions on how to improve China’s health care delivery system.

"There are three core issues in medical reform - the high cost of medical services, the tense relationship between doctors and patients, and the cold attitude of some medical staff. So far these problems haven’t been resolved and some have even gotten worse. To address these problems, the key is to prioritize patient welfare in public hospitals. In many countries, the government rather than the hospital pays most of the medical staff's salaries. Doctors do not need to over-prescribe medicine or see more patients to get more money. Meanwhile in China, public hospitals have to pay 75 percent of all salaries. I admit there exists so-called "gray income". Some hospitals even divide one operation into many parts to collect more money. So the government needs to think about solving these problems," said Dr. Zhong Nanshan, China assoc. for Science & Technology.

"I think the key to medical reform is to raise the value of doctors' efforts, and to reduce the inflated price of medicine," said Dr. Gu Jin, chief physician of Beijing Cancer Hospital.

"Most of the medical indicators are related to quantity, like how many patients we receive, and how many operations we perform. But there are few indicators related to medical quality. For example, if a hospital conducts 10-thousand operations a year, but most of the patients die after leaving the hospital, then the number 10-thousand means nothing," said Huo Yong, CPPCC member.

"My friend's child caught a cold and he brought him to the hospital. The whole process took three hours, while the doctor only spoke for about 20 seconds. How should we solve this kind of problem? Currently, every hospital is an isolated island of information. If you want to transfer to another hospital, you have to go through all the procedures again. It's inconvenient and expensive. That's why we need to build up a national medical and healthcare data center to improve efficiency," said Zheng Jie, NPC deputy.

Editor:James |Source:

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