“The total investment in the national health sector has increased from 145 million yuan in 2008 to more than 1 trillion yuan in 2015. The expenditure of the individual in the health sector has increased from 578.5 billion yuan to 117.5 billion yuan.†On June 18, At the 12th China Health Industry Summit held by China Europe International Business School, Wang Dongjin, special researcher of the State Council Counselor, president of the China Medical Insurance Research Association and former deputy director of the Ministry of Labor and Social Security, pointed out that China currently exists in the field of medical health. "Double growth."
"This is an unreasonable phenomenon. According to the country's (in the medical and health field) investment several times the algorithm, the personal burden should be reduced accordingly. But now, the national investment and personal burden are exponentially increasing." Wang Dongjin Say.
He took a case of appendicitis surgery as an example. Before the new medical reform in 2009, the price of an appendicitis operation in a hospital was 2,000 yuan, and now it has risen to more than 8,000 yuan. The rise in medical prices directly leads to an increase in the burden on the government and patients.
"Intuitively speaking, the reason is two words, one is 'over' and the other is 'virtual'. 'Over' is our over-diagnosis, over-examination, over-medication, over-medical treatment; 'virtual' is the price is high, high The price of quality consumables is artificially high." Wang Dongjin said.
At the China Health Industry Summit Forum, the director of the Shanghai Health and Family Planning Commission, Yan Jinglei, first publicly responded to Wang Dongjin’s question about “over-medicalâ€.
"An appendicitis operation from 2000 yuan to 8,000 yuan, the reason is very simple, the original small incision appendectomy surgery, now becomes a laparoscopic minimally invasive surgery, no need. A state-of-the-art technology is not necessarily a suitable technology." Jing Lei said that Shanghai is currently trying to use information technology to expose the "over-medical" approach, although this "exposure" is currently limited to the medical system, but the results are obvious.
In fact, big data systems can break the "over-medical" problem. Through the big data system, the health supervision department can clearly find the data and use “data to speakâ€. “Some hospitals say that their annual surgery volume increases by 20% to 30%. We look at the system and it is done with cholecystectomy. A lot, this can be done entirely by the dimethyl hospital."
In addition, big data systems can perform special analysis for a particular disease or procedure. Taking cholecystectomy as an example, Yan Lei said that Shanghai used big data to analyze more than 700 cases from 2013 to 2015, and found that one hospital had a difference of up to 40% compared with other hospitals. These data, which were disclosed inside the health system, put a lot of pressure on the hospital directors. "Why do you have to pay 40%? Is your service a norm? Is the technology you use appropriate?"
Yan Lei said that from the perspective of doctor-patient relationship, the uneven distribution of medical resources and over-medical treatment make it urgent for medical institutions to “reconstruct†the relationship between doctors and patients with big data. In addition to solving the problem of information asymmetry between doctors and patients, big data It can also bring more scientific decision-making basis to health supervision departments. The “over-medical†regulatory authorities can see at a glance, and accordingly make decisions on rectification and punishment for relevant medical institutions.
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