Judge Jim Gray Part 3: Medical Marijuana
Send municipal Party committee of fair party Shanghai
Well-known, the medical services resource of Shanghai and medical services level are located in countrywide front row, and enjoy high reputation, get be admissived extensively. In recent years, advance as concerned respect energetically, shanghai is already preliminary form mutiple level medical services to serve a system, on one hand service of citizen basics medical services can be satisfied basically, on the other hand, according to the demand of specific medical services of partial group, service of high-end medical services also is in work up: As we have learned, shanghai has 34 the home is public 3 class hospital is opened want outpatient service especially, the setting needs hospital bed 2729 pieces especially; 50 public 2 class hospital is opened want outpatient service especially, 55 installed 1522 pieces to need hospital bed especially, business gross income was 1.98 billion yuan 2008. Additional, 2008, this city joint-stock medical establishment finishs 19 China and foreign countries total person-time of door emergency call 273 thousand, be in hospital and operation person-time 12 thousand, business gross income is 1.94 billion yuan.
This shows, service of medical services of Shanghai high end has had preliminary development, on one hand, public hospital is offerred want service of diagnosis and services especially, on the other hand joint-stock medical establishment already entered China and foreign countries market of medical services of this city high end. But, compare with photograph of gross of resource of level of Shanghai medical services, medical services, building the positional photograph with metropolitan international to compare with Shanghai, the service of high-end medical services that this city can provide still cannot satisfy requirement of high-end medical services far, main body is the following now two respects:
It is service of high-end medical services " small and complete " , won‘t do climate, gross is inferior, cannot satisfy the swift and violent development of demand of high-end medical services far. For example, 2008, this city joint-stock medical establishment finishs 19 China and foreign countries total person-time of door emergency call 273 thousand, and total person-time of emergency call of door of branch of this city sanitation exceeds the same year 150 million, two-phase is comparative, service of high-end medical services is in service of whole town medical services what hold proportion too low.
A few regulation with the 2 medical servicess that are Shanghai and current international are not quite consistent still, conform completely hard. For example, the whole world passes through to be sure without the commercial medical services of block, as a result of,be in Shanghai all sorts of elements, often the obstacle is heavy, the public figure of many Hong Kong, Macao and Taiwan that affected job is in Shanghai and life and foreign nationality personage satisfy his demand of high grade medical services, many people turn and not hesitate expenditure more time and money abroad metropolitan go to a doctor, this kind of circumstance, make the international consequence of resource of Shanghai medical services gets already bad influence, and the personage outside the place that gives job is in Shanghai and life brings inconvenience, shanghai was affected on this certain also level the appeal to outstanding talent and the effort that promote internationalization rate.
Accordingly, no matter from the angle of demand of high grade medical services that satisfies all sorts of personages, still serve as metropolitan internationalization level angle to look from promotion Shanghai, shanghai is necessary to expand service of high-end medical services further, perfect mutiple level medical services to serve a system soundly further.
High-end medical services a level to promote ceaselessly, be helpful for promoting whole of career of Shanghai medical services the standard on one hand, stimulative Shanghai cure maintains the development of the career, because level of medical services whole rose, citizen medical services ensures horizontal nature " when the river rises the boat goes up too " , and the partial revenue that gains through market of high-end medical services still can complement to ensure fund to medical services, raise citizen cure to maintain a level directly; On the other hand, also be helpful for promoting development of line of business of Shanghai contemporary service. Line of business of medical services also is contemporary service line of business, service of high-end medical services has been done, to promoting people life quality, promotion is in Shanghai the job, living crowd is comfortable degree, satisfaction is spent very advantageous, and develop a standard as our country and Shanghai rise ceaselessly, high-end medical services also will be the huge market that increases ceaselessly together, can say, build international as Shanghai the acceleration of metropolitan process, make top-ranking high-end medical services a cause, should become compose to build the indispensable part in contemporary service line of business. As we have learned, in personage of Shanghai foreign nationality and good-paying crowd, and of level of trustful Shanghai medical services other receive person crowd high, the demand that serves to high grade medical services is quite exuberant. Shanghai regards income as taller public figure‘s more city, size of high-end iatrical market will increase ceaselessly, shanghai does servive routine of medical services of good high end to also appear more and more pressing.
Concrete analysis shows, crowd of demand of high-end medical services basically has the following kinds: It is job is in Shanghai and living abroad personage, at present the amount of crowd of Shanghai this part makes an appointment with 60 thousand person; 2 it is job is in Shanghai and personage of living Hong Kong, Macao and Taiwan 100 thousand more than person; 3 it is one part first rich the Shanghai person that rise, sheer quantity is not little; The 4 good-paying crowds that are long triangle and even whole nation. The embellish that occupy moustache 100 rich a list of names posted up 2009 statistic, our country deducts own house property outside, the rich personage that owns property of 1 million dollar has exceeded 800 thousand person, and annual with 20 ％ - the rate of 30 ％ increases. When in primary medical services safeguard system is perfected, a few kinds of medical services sanitation that the crowd of good-paying has higher administrative levels serve above demand, often cannot get however contented. According to market research statistic, in Beijing, Shanghai, Guangzhou and Chengdu prep above of total assets of front courtyard of the 500 a person of academic or artistic distinction in 4 cities in 5 million yuan consumer, 86% think home lacks service of high grade and private medical services. Apparent, demand of high-end medical services very exuberant and the state that presents constant growth, this is the very big market that exists objectively together, below this kind of circumstance, although Shanghai does not expand service of high-end medical services, same meeting has other city, other country to strive for a palm to dominate this market.
In fact, shanghai does medical services of good high end completely also to serve a cause conditionally. According to statistic, by 2008, shanghai shares wholesome orgnaization 2809, wholesome technology personnel one hundred and twenty-seven thousand seven hundred person, courtyard of its doctor of traditional Chinese medicine 301, fifty-one thousand two hundred person of doctor, every 10 thousand people have a doctor 27 people, every 10 thousand people have sickbed bed 41 pieces (data originates Shanghai statistic net) . Ought to say, gross of this city medical establishment is enougher, level of configuration of medical services resource is higher, go up in facilities of service of high-end medical services " further upward " completely possible. From say on the other hand, shanghai has so good medical services base, if do not strive for further progress,high grade medical services, do do medical services of old high end by force to serve industry, instead too regrettablly.
For this, the proposal builds the height with metropolitan internationalization about Shanghai of respect with a view to, from perfect Shanghai mutiple level, stereo change medical services to serve a system, from medical services career long-term development sets out, arrange as a whole, expand service of high-end medical services energetically. The proposal is as follows:
1, concerned respect height values service of medical services of development high end, improve knowledge further, go up in the foundation of thorough investigation and study, advance fixed position of iatrical of Shanghai high end and relevant principle in time. It is metropolitan to development and Shanghai international photograph matchs, the high-end medical services that suits serves development to make overall planning, strive for actively in this city " 925 programs " in reflect in time, try equitable distribution. 2 it is to concern a respect to answer service of medical services of development high end to advance a series of principles, medical services of correct directive high end serves development. When handling fundamental medical services and high-end iatrical relation for example, the means such as the partial revenue income that the government can consider to be obtained in order to extract medical services of development high end will enrich cure to protect fund to wait.
2, publish high-end medical services in time to serve the relevant code such as industry government measure, begin service of high-end medical services to give to concerning an orgnaization rigid standard, in reducing high-end medical services to serve the market as far as possible " good and evil people mixed up " phenomenon, for high-end medical services market health develops the law with relatively perfect work up to guarantee a system.
3, the admittance doorsill that reasonable setting enters market of high-end medical services, drive medical services of Shanghai high end to commercialize run, iatrical orgnaization does development high end strong ceaselessly build favorable market environment greatly, excellent, service has believed the quality that education offers high-end medical services one batch to serve, in have domestic and internationally know what the name spends very high " brand " orgnaization, promote Shanghai medical services the standard further with this, enlarge Shanghai iatrical force.
4, high end of development medical services industry, to avoid to produce undesirable effect in the citizen, should reach the designated position on conduct propaganda, service of medical services of demonstrative high end and the relation that medical services ensures are to supplement each other actually, mutual complement, service of medical services of development high end won‘t be squeezed not only occupy medical services to ensure resource, can promote Shanghai medical services to ensure a level to rise instead.
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