Every Chinese person has a deep understanding of "difficult to see a doctor". "Difficult to see a doctor" is first of all "it is difficult to register" - in order to hang up the expert number, people often need to wait a few hours in advance or even queue up overnight. The expert number of more than a dozen dollars is often sold to hundreds of yuan by the number of dealers. As for the special needs clinic number of two or three hundred yuan, the price of two or three thousand yellow cattle can be considered lucky.
Uneven medical resources lead to difficulties in registration
After 1949, the medical security of all Chinese people is under the planning system. There will be no difficulties in registering, because there is no other choice after illness, and only in designated hospitals, and then referral according to the condition. The ultimate cause of difficulty in seeing a doctor is the uneven distribution of medical resources. According to data released by the World Bank, for example, in 2009, the number of doctors per 1,000 people in China was 1.4, compared with 2.4 in the United States, 2.7 in the United Kingdom, 3.0 in Australia, 3.5 in Italy, 3.6 in Germany and 4.1 in Switzerland.
This is only an average. Considering the difference between the east and the west and the imbalance between urban and rural development, as well as the service targets of quality medical resources, the lack of medical resources in China should be far below this figure. Statistics show that 80% of the national medical resources are in cities, 20 % in the rural areas; high-tech, advanced equipment and excellent talents in the medical and health field are basically concentrated in large hospitals in big cities, and ordinary people may not be able to enjoy the money.
The direction of government investment has led to a serious imbalance in the total health expenditure between urban and rural areas, and the urban-rural gap has continued to widen. According to estimates, rural health costs accounted for 34.9% of total national health expenditure in 1993, 24.9% in 1998, and only 22.5% in 2000. In terms of government investment, the government's health investment in 1998 was 58.72 billion yuan, of which the health expenditure for rural areas was only 9.25 billion yuan, accounting for only 15.9% of government investment. The average urban population enjoys the equivalent of 130.0 yuan for medical and health services, while the rural population is 10.7 yuan. The same is true for medical insurance. Not only is the overall number of people in support falling, but also the low participation rate of low-income people is low due to the threshold for participating in medical insurance.
Compared with the overall lack of medical resources, the market share of China's high-precision medical equipment has reached or even exceeded the level of developed countries, and there is a clear surplus. Take the gamma knife as an example. Sweden is the country that invented the gamma knife. There is only one country in the country. In China, there are only thirty or forty units reported to the Ministry of Health.
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