3.1.Original characteristics of villages In the medical institutions of Chinese villages, more than eighty percent of them are private clinics. They are main supplier of medical service in villages.
3.1.Original characteristics of villages
In the medical institutions of Chinese villages, more than eighty percent of them are private clinics. They are main supplier of medical service in villages. But if the treatment is related to hospitalization, then the national medical institutions play the major role.
Constructing good medical institutions will cost plenty of money. In many places of Chinese villages, it is nearly not possible for any private clinics to provide medical service related to hospitalization. As a result, the existence of national medical institution is necessary. The nation is responsible to set up medical institutions that can provide basic medical service for farmers and increase the availability. In conclusion, the monopoly of national medical institution is caused by the own characteristics of villages to a great extent.
3.2.The choice of designated hospitals under the background of new type of cooperating medical mechanism
As the reimbursement of expenses of new type of cooperating medical service is basically limited in the public medical institution, it can eliminate the competition between public medical institutions and private clinics. Moreover, it also removes partly the marketing pressure of medical institutions which have not been reformed. Every public medical institution can get a part of the market even their quality of service is bad or the cost is too high. Especially for those hospitals in towns or counties which do not operate well, they can reborn due to such new policies.
4.Analysis On the Intensive Mechanism Under the Background Of New Type Of Cooperating Medical Service In Villages
The profession of medical service and the asymmetry of medical information caused the monopoly in medical service directly. To solve this problem, the author of the text proposes the idea of setting up a kind of probable intensive mechanism.
4.1.Improve the farmers' ability of payment
Payment is always the basic method of excitation for those people who provide professional medical service. It is common for us to notice that the lack of patient's economic condition will limit it. The new type of cooperating medical service can relieve some pressure of farmer's economy to a certain degree. As a matter of fact the reimbursement rates are too low. It limits the effects on helping increasing the ability of farmers under the background of new type of cooperating medical service.
4.2.Strengthen the competitive among different medical institutions
To strengthen the competitive among different medical institutions in villages, there are two aspects we can work on. One is through the choice of patients for medical institutions. The other is the overall planning of cooperative medical institutions for designated hospital.
First of all, to start the competition for a single patient is not the key to open the door of this problem. Due to the difference with the informed consumer in general market, the patients are usually lack of medical knowledge which is necessary and not informed. This will put them into the situation that they will be easily made use of for those people who provide medical service especially those providers who do not have the certification. Secondly, there are lots of problems to solve in a single patient's choice for medical institutions. We should let one single institution unit to represent patients to finish this work, which can save lots of time and money.
4.3.Intensive mechanism in the agent relationship between government and public medical institutions
Before the government gets involved in the provision of medical service, the agent relationship only contains the relations between doctors and patients. However with the quite serious failure problems coming in the medical market, governments of all countries have to get involved in the medical market of their nations. Nowadays, it is widely accepted that citizens have the right of accepting probable basic medical service. The government can pay to set up large-scale public medical institution or thorough other methods to increase the level of the availability of basic medical service.
With this, there comes the second important agent relationship in the medical market. That is the agent relationship between the government and the public medical institution. In such situation with two-side agency, the government can never ensure the fairness that every citizen can get basic medical service without certain intensive mechanism. Only with a probable intensive mechanism and public medical institutions can the government gives the provision for people's right to get basic medical service.
This kind of managements can also work on the bad phenomena of wrong or over medical treatments. This can help improving the quality of the medical service and also cut off the cost of medicines which is not necessary.
Both of two relationships must work in a probable and sustainable way. And a strong and probable intensive mechanism can help us to ensure these two relations are normal. (责任编辑:南粤论文中心)转贴于南粤论文中心: http://www.nylw.net(代写代发论文_毕业论文带写_广州职称论文代发_广州论文网)
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