1、Medical system CONTENT S The medical system in the U.S. The medical system in China Compariso n Conclusio n0 1 0 2 0 3 0 4 Q&A0 5 The medical system in the U.S. 01 The medical system in the U.S. 01 The total cost of health in the United States is 3 trillion dollars, accounting for 18% of GDP The med
2、ical industry has also become the most employed sector in the United States. Hospital operations (mainly new medical technology) and medical human resources have higher market value in the United States Insurance payment is the main source of income for doctors and medical institutions. Doctors act
3、as independent providers of services and negotiate with the medical department separatelyDoctors clinics are the cornerstone of the whole service system, and also solve most common diseases and frequently occurring diseases. Classification of hospital types according to the scale of treatment The me
4、dical system in the U.S. 01 The medical system in China 02 The medical system in China 02 01 02 03 04 Health expenditure in China accounts for 6% of the total value of GDP. Setting up different medical sites in rural and urban areas. The sources of health financing include government general tax, so
5、cial medical insurance, commercial health insurance and residents own expenses. The most important part of hospital income is hospitalization expenses Comparison of two countries 03 01 02 04 03 Procedures and management Provision of Public Institutions Hospital Finance and Costs Medical Insurance Co
6、verage Compared with American Medical System 03 Low-level Low-level Low-level Low-level Provision of Public Institutions3.1 Not that BadR&D: Relatively Low Procedures and Management3.2 01 02 03 0 4 One day: Private clinic draw blood 2 days later: Community Clinic Examinations After 5 days: No any re
7、sults Hospital 7 hours later: Emergency department 4-month Appointment of Professional surgeon Cholecystitis! 4/30 Come back China 5/2 30-minute Operation 6-hour rest on bed 5/5 Discharged from hospitalEfficient! (胆囊炎 ) Coverage of Medical Insurance3.3 Need improvement Nominal figure: Over 95% Uncom
8、plete expenses claim system (报销制度 ) Hospital Finance and Costs3.4 Yearly Avg Freight China $278 The U.S. $8608 YAF/GDP China 4.6% The U.S. 17.2% Cheap! Gov. Burden Other facts3.5 01 02 03 The pressure and income of doctors The trust on doctors “Medical trouble” (医闹 ) Unfairness when being servicedNe
9、ed improvement! Conclusions and Suggestion s 04 Conclusions and suggestions04 Things we can do better: Environment & Surroundings Management of Personnel Research and Development Patients trust Care on Hospital Medical care system Allocation of Medical Services Reference 1 Patti M G, Fisichella P M.
10、 The American Health Care System: A Practical Guide for Foreign Medical Graduates Who Want to Enter the SystemM. 2018. 2 Ministry of health of Peoples Republic of China. White paper of Chinas medical and health undertakings J. China Practical Journal of rural doctors, 2013, 20 (4): 1-5. 3Meghan Arno
11、ld, A journal during the visit to the Chinese hospital, University of Michigan Health, 2014 4David Mou, Aaetik Sarma. The State of Health Policy Education in U.S. Medical Schools, New England Journal of Medicine, 2011,364:e19 5Bloomberg: the efficiency ranking of medical systems around the world, 2012 MANY THANKS ! Q&A05
