Recently, a Swiss friend working in China said that he prefers to see a doctor in China. In Switzerland, he first sought his own GP, and if it wasn t good after a few weeks, the GP would recommend a specialist. Even at the hospital, in addition to taking a long time to check up, it often takes months to make an appointment for surgery. However, in China, there is sometimes no need to make an appointment, you can register at the hospital, especially the emergency department is more efficient.
Right now, more and more foreigners like Chinese medical treatment. Sitting alone on the boat, it is difficult to feel the speed of the boat if there are no reference objects around. However, if there is contrast, the feeling will be different. Most Chinese people are sensitive to the shortcomings of Chinese medical care because they have no experience of seeking medical treatment overseas, and they have ignored the huge progress of Chinese medical care. However, after comparing foreigners, they found that seeing a doctor in China is not as difficult as the legend, and even more convenient than abroad.
Medical insurance has heavy financial burden, wool comes out of sheep
During the decades of implementing universal health insurance in the United Kingdom, there have been many problems such as huge expenditures, malfeasance in hospitals, misdiagnosis and medicine, and doctor fraud. Among them, inefficiency is one of the most criticized ills.
The reporter has visited the community medical center and emergency hospital. At the community medical center, to wait for four hours to see a designated GP, make an appointment for a test one week later, and wait for several days to see the test results. Generally speaking, in the community hospital, there is almost no immediate treatment except for consultations from doctors and nurses. It is also common for patients to be hospitalized for several months. Therefore, many British people go to the emergency department directly in order to get treatment more quickly, causing many emergency departments to be overcrowded, the medical staff is overloaded, and the medical quality is difficult to guarantee.
In the early days, the British medical insurance system was completely free of charge, and the government s fiscal revenues covered all the expenditures; later, prescription drugs and dental treatments began to be partially charged. Over the past few decades, the UK s health care system has been spending more and more money, and the government is overwhelmed. The government is currently pursuing a series of reforms. According to British media reports, data from the British Treasury show that despite public financial pressure due to the economic depression , the government s expenditure on the medical insurance system has increased in the past two years, increasing by 0.3% in the 2011-2012 fiscal year, and in the 2012-2013 fiscal year. The increase was 0.8%, with expenditure reaching 105 billion pounds (1 pound is about 10.4 yuan).
The high expenditure of the government s medical insurance system is actually wool comes out of sheep . It is also true that British taxes are high, especially personal income tax, which is the government s largest source of fiscal revenue. According to reports, Chancellor of the Exchequer Osborne recently announced the government budget for the current year. For those with annual income in the UK of more than 41,865 pounds, income tax is subject to 40%. In addition, personal deposits of more than 15,000 pounds and daily consumption are also subject to tax.
Public hospital insurance is basic, it is expensive to see a doctor without insurance
US public hospitals provide basic medical services. The majority of the poor are uninsured. As the oldest public hospital in the United States, Bellevue Hospital provides medical services to approximately 60% of homeless people in New York City. Private hospitals provide basic and high- end medical services for most Americans, especially intricate specialist hospitals or research institutes, dental or eye clinics with higher levels of cancer are private hospitals. However, this does not mean that public hospitals are inferior in medical technology to private hospitals. For example, Bellevue Hospital ranks among the top nationwide in emergency treatment and psychiatric treatment.
Most Most people in the United States purchase medical insurance through their employers when they are employed; retirees over 65 years of age can enjoy full medical insurance; the poor, pregnant women, etc. can receive medical assistance; special veterans can enjoy medical treatment . In the United States, all hospitals must not deny patients emergency needs based on their ability to pay.
US Medicare employers pay between 80% and 90%. Individuals pay the rest, and some companies pay half of them. The amount of reimbursement is related to the choice of insurance company and the payment of premiums. New York white-collar workers in the general industry pay a monthly salary of between 2,500 and 4,500 US dollars (1 US dollar is about 6.2 yuan). Personal health insurance is about $ 600 per month, and you have to pay $ 60-120.
Go People with medical insurance usually go to the hospital to check before paying, and only provide the insurance card type and social security number. People without medical insurance usually go to public hospitals. If you have an old card, a low income card or a disabled card, many medical services in public hospitals are free.
If there is no insurance, it will be very expensive to see a doctor in the United States. The cost of going to the hospital alone is about 200-400 US dollars, and an X-ray is about 800-1000 US dollars. The total cost of an appendicitis operation may be as high as 10,000 US dollars.
Public-sponsored medical treatment is good, but the waiting time is long
Canada has a relatively complete medical security system. Canadian citizens, long-term residents, and migrant workers with work visas enjoy free medical services provided by the Canadian government.
The medical security system is funded by the federal government s special appropriation and the provincial government s financial appropriation, plus less than 1% is deducted from personal tax income. Take Ontario medical insurance as an example. If you have an annual tax income of 100,000 Canadian dollars (1 Canadian dollar is about 5.7 yuan), you have to pay a medical insurance fee of 750 Canadian dollars per year, you do not have to pay annual income below 20,000 Canadian dollars.
The Ministry of Health of Zhao an Province issues free medical insurance cards to residents of this province, and people don t have to pay for their own medical treatment by themselves. If you are not hospitalized, the cost of medicines will be paid out of pocket or paid by the company s supplementary medical insurance. In the case of hospitalization, the medical, hospital and food expenses are paid by the government.
However, free lunch is not easy to eat. Due to resource constraints in the Canadian medical system, many surgical treatments are queued for too long. A friend of the reporter got gallstones and asked for surgery. After waiting for more than two months, he couldn t get on his turn. One day, the perforation of the gallbladder was taken to the hospital by an ambulance and the operation was performed immediately. During the entire hospitalization, including food and medicine, the individual did not spend a penny, and only paid $ 50 for the emergency ambulance because it was not included in the insurance the company bought for him. He sighed afterwards, saying that Canadian public medical care is really good, but it is too long to wait in line to save the life but not help the wounded.
According to 2013 statistics from the Fraser Institute, the average waiting time for patients in Canada from the recommendation of a family doctor to a specialist visit is 17.8 weeks; the average waiting time for CT diagnosis is about 1 month, and the average waiting time for B-ultrasound is 4 weeks.
In addition to the long waiting time for surgery and examinations, even if a patient performs an ordinary blood test, he must wait for half a month to obtain the test results, and then return to the clinic based on the test results for another few weeks or even months. time. Therefore, some patients simply go to the emergency room for medical treatment regardless of whether the condition is urgent or not. In addition, many patients have to seek medical treatment abroad in order to have a quick treatment, and their expenses can be reimbursed after returning to China. However, expensive treatment must be approved in advance, otherwise it cannot be reimbursed.
The Zhaoan Provincial Government spends about 40% of its total fiscal expenditure each year, and is the government s largest expenditure item. As the Canadian population is aging, public health care has become an unbearable financial burden for the federal and provincial governments of Canada How to solve it is still under discussion.
Common diseases in the community, equipment conditions are simplified
The Singapore government has vigorously developed community hospitals. Government housing estates in which more than 80% of Singapore s population live have community hospitals and clinics.
The reporter once interviewed in Singapore s Tampines New Town. There is a community general hospital, a community rehabilitation hospital and a geriatric hospital in the center of the town. The new town is divided into a dozen communities, and each community has a general practitioner s clinic. Both government and private.
My friend Ms. Fu, Singaporean, formerly a civil servant, is now the head of a consulting firm. She told reporters, Generally, we dont go to major hospitals for minor illnesses such as colds and colds. 85% of common illnesses go to the downstairs clinics, where there are general practitioners. Major hospitals are mainly responsible for serious illness, emergency and surgery. Government clinics have government subsidies. Children pay only S $ 6.85 (S $ 1 for about RMB 4.97) for adults and S $ 12.9 for adults. Ms. Fu said that doctors in government clinics will not recommend hospitals because of your cold. The emergency room will not give priority to these conditions.
Government clinics do not open every day, and they close early. Ms. Fu usually goes to private clinics for convenience. Private clinics register, see a doctor, and get medicines. They usually cost S $ 20-60. The fees are higher than government clinics, but they are open every day, and only close at 9pm. Some are even even 24 hours. Miss Fu said, the community hospital Clinic charges are lower than large hospitals, but the general equipment is relatively simple. Some community hospitals only use electric fans and do not have air conditioning. The doctor prescribed all essential medicines.
It is understood that there are 7 public hospitals in Singapore, the hospital equipment is very advanced, and the medical environment is very good. In addition, some private hospitals have better equipment and have good doctors. Of course, the cost is higher than public hospitals, and the government does not subsidize them.
70% of Singapore s inpatients are admitted to the emergency department, and a large number of patients with chronic diseases are concentrated in the community for treatment and rehabilitation. According to local industry insiders, small illnesses are in the community, serious illnesses go to the hospital; surgery is in the hospital, and postoperative care is in the community. .
At the government level, in order to ensure that everyone has a fair opportunity to seek medical treatment, Singapore has implemented the “triple safety and health network”: First, the Medisave plan, which is mandatory, and each Singaporean has his own medical insurance account, The government, individuals and enterprises jointly pay; the second is a comprehensive health insurance plan for individuals and immediate family members to cope with the huge medical burden of serious patients or chronic illnesses; the third is the health fund, which is a special fund established by the government, For low-income patients, if the amount of Medisave is insufficient and they are unable to pay for medical expenses, they can apply for this fund on their behalf.
In addition, Singaporeans generally purchase additional insurance through insurance companies.
In general, the quality of domestic medical care is indeed inferior to some developed countries, but it is not lagging in many aspects. Recently, The Lancet released the latest global medical quality and accessibility ranking. China s medical quality and accessibility ranking has increased from the 60th in the world in 2015 to the 48th in 2016, which is a medium SDI (Sociodemographic Index). According to the World Health Statistics 2018 published by the World Health Organization, the healthy life expectancy at birth of Chinese babies exceeds that of the United States for the first time. According to statistics, in 2017, the average life expectancy of residents in China increased to 76.7 years, infant mortality and maternal mortality decreased. The main health indicators of residents are generally better than the average level of middle -and high-income countries. These data strongly prove that the level of medical services enjoyed by Chinese people today is not low.
In recent years, China s medical quality level and medical technology capabilities have been continuously improved. For example, the anesthesia technology application population in China ranges from fetuses in the womb, newborns to centenarians, and it solves the problem of dare and cannot surgery.. In 2017, more than 16,000 cases of surgery were completed in China, ranking second in the world, and quality indicators such as the survival rate of transplant recipients are among the highest in the world. At the same time, regional coordination capabilities have been strengthened, quality medical resources have been sunk in an orderly and effective manner, and county-level hospitals technical capabilities have been greatly improved. According to incomplete statistics, the city s tertiary hospitals helped county hospitals develop nearly 15,000 new technologies and new projects, and 50% of county hospitals have been able to carry out craniocerebral tumor surgery, cervical spine surger y, lung lobe and pneumonectomy and endoscopic treatment. Technology and other complicated operations.
The Advancement of medical technology reflects the obvious results of medical reform. The government continues to increase investment in health care, and the proportion of total health expenditure in GDP has increased year by year, and the country s basic public health service expenditure has continued to increase; comprehensive reforms of public hospitals have been launched, the 60-plus-plus drug policy has been cancelled, and the maintenance of public welfare New mechanisms for mobilizing enthusiasm and ensuring sustainable public hospital operation; accelerating the improvement of the universal medical insurance system, and weaving the world s largest basic medical security network, with more than 1.35 billion people insured and a stable participation rate of more than 95%. Supported by the three-medicine linkage of medical treatment, medicine, and medical insurance, the medical and health service system has become increasingly powerful, effectively alleviating the public s di fficulty in seeing a doctor.
The Advancement of medical technology is inseparable from the selfless dedication of the majority of medical workers. In 2017, the total number of visits to medical institutions in the country reached 8.18 billion, with an average of 5.9 visits by residents, and the total number of medical services ranked first in the world. In China, there are only 2.44 medical practitioners per 1,000 population, which is lower than many developed countries. This shows that the efficiency of doctors in our country is extremely high. Especially in large hospitals, it is common for a doctor to see 70 or 80 patients a day in outpatient clinics, while doctors in developed countries often see only 7 or 8 patients a day. On the Internet, there are many touching moments of doctors fighting for themselves. Some Achilles tendon ruptures still stand on their crutches on the operating table; some sweat soak their backs after the operation; some do more than 30 hours of surgery and are paralyzed on the grou nd … Medical workers are selfless Contributing to our country s medical development.
Of course, what foreigners see is only one aspect of Chinese medical care, and it does not represent the whole picture of Chinese medical care. Vertically, China s medical progress has been great; horizontally, China s medical gap is not small. At present, China is still the largest developing country. The total amount of medical resources is insufficient and unevenly distributed. The technical hardware and service software do not match. The problem of unsightly and expensive medical treatment still exists. We must focus on the key points, make up for shortcomings, and strengths and weaknesses, and start with the most direct and most prominent issues reported by the people, increase the total amount of high-quality medical resources, reduce the regional medical gap, further improve the quality of medical services, and effectively improve the experience of seeing a doctor.