Comments on various medical model

In the United Kingdom, the hospital is a national, state hospitals for the full grant, the doctor is the country's civil servants, belonging to the civil service system, the people directly to the hospital doctor. Comments: China has traversed the system, but the enthusiasm of the doctors is a problem, doctors may be argued that the provision of services and their income does not closely related. Not enough incentive mechanism, to provide the services they may not. If it is on the market, it has anti-incentive mechanisms, namely the excessive services. How to balance these two methods is a very difficult problem. In Canada, public hospitals can also be a private, the patient's doctor reimbursement by the Government pay, but patients have to pay very high taxes and fees. Comments: Canadians love this system, they are willing to pay such high taxes, because they have a good social security system. In the United States, the U.S. health care system is a very high level of the market, of which 70 percent of the service is completely on the market, the Government's commitment to less than 20 per cent, the Government's commitment to the elderly and the poor medical liability, 10 percent There is no medical insurance. But the United States is very expensive health care costs, U.S. per-capita medical expenses are more than 5,000 U.S. dollars each year. Comments: American model that we can learn many things, but we have to consider the cost of medical care. China's per capita GDP of less than 1,000 U.S. dollars, we still a developing country, in such a low-income level, we can not bear this cost since become the biggest problem. In Hong Kong, China, the hospital put the burden entirely by the Government, but the Government's annual investment of 85% of the money is used for the wages of doctors and nurses, operating costs accounted for less than 15 percent. Hospital doctors and nurses are civil servants, Hong Kong's public hospitals throughout the market share of the medical service market more than 95 percent, the proportion of private hospitals is very small, the hospital is all the countries, but governance is the management company. Comments: Hong Kong, China, the model has its advantages, but remarkable is that the doctors they are to profit approach, the patient is in trouble. Mainland China has an advantage, human capital is less expensive, the cost of training doctors is relatively low, the cost of hiring doctors is not high. Another advantage is that a very large volume of patients, from economies of scale, the quantities sufficient to reduce costs. Mainland China should find a suitable model, a model copied there will be any problems.