Discussion » Health & Fitness » "Squeezing out the doctor"

  • Tara ❀ 樱鬼
    Tara ❀ 樱鬼 wrote:
    <p><a href="http://www.economist.com/node/21556227">link text</a></p> <p>Just read this article from the Economist discussing about future development of healthcare system. I take out a few small parts that basically describe the main ideas I'm interested in. </p> <p>"In developed countries, excluding America, doctors with no speciality earn about twice the income of the average worker, according to McKinsey, a consultancy. America’s specialist doctors earn ten times America’s average wage. A medical degree is a universal badge of respectability. Others make a living. Doctors save lives, too.</p> <p>With the 21st century certain to see soaring demand for health care, the doctors’ star might seem in the ascendant still. By 2030, 22% of people in the OECD club of rich countries will be 65 or older, nearly double the share in 1990. China will catch up just six years later. About half of American adults already have a chronic condition, such as diabetes or hypertension, and as the world becomes richer the diseases of the rich spread farther. In the slums of Calcutta, infectious diseases claim the young; for middle-aged adults, heart disease and cancer are the most common killers. Last year the United Nations held a summit on health (only the second in its history) that gave warning about the rising toll of chronic disease worldwide.</p> <p>But this demand for health care looks unlikely to be met by doctors in the way the past century’s was. For one thing, to treat the 21st century’s problems with a 20th-century approach to health care would require an impossible number of doctors. For another, caring for chronic conditions is not what doctors are best at. For both these reasons doctors look set to become much less central to health care—a process which, in some places, has already started.</p> <p>....</p> <p><img src="http://img.dl.e.weliveinchina.com/_outimages/98617B60A1C9077E2C1D2F46170B5F06/536/WMDEditor/2/2012/6/4/536_100020120604122512972345-2.png" alt="alt text" /></p> <p>One approach to making doctors more efficient is to focus what they do. India is home to some of the world’s most exciting models along this line, argues Nicolaus Henke of McKinsey, who leads the consultancy’s work with health systems. Britain has 27.4 doctors for every 10,000 patients. India has just six. With so few doctors, it is changing the way it uses them.</p> <p>Other problems have inspired other solutions, with technology filling gaps in the labour force. The Bill and Melinda Gates Foundation supports a programme that uses mobile phones to deliver advice and reminders to pregnant women in Ghana. In December the foundation and Grand Challenges Canada, a non-profit organisation, announced $32m in grants for new mobile tools that will help health-care workers diagnose various ailments. In Mexico, worried patients can phone Medicall Home, a “telehealth” service. If a patient needs care, Medicall Home can help to arrange a doctor’s visit. But about two-thirds of patients’ concerns can be addressed over the phone by a doctor (often one only recently qualified).</p> <p>.....</p> <p>Resources are slowly being reallocated. Nurses and other health workers will put their training to better use. Devices will bolster care in ways previously unthinkable. Doctors, meanwhile, will devote their skill to the complex tasks worthy of their highly trained abilities. Doctors may thus lose some of their old standing. But patients will clearly win."</p> <p>In spite of the common hatred/complaints against Chinese medical system (including myself), I still want to say that there are many kind-hearted, professional and dedicated doctors, many of whom not even getting a fair pay, in this country. Doctors are responsible for their work ethics/skills but not the defective healthcare system (maybe some hospitals/medical companies are), which has been messed up by the policy-making authorities. They have no sufficient control over under-qualified, possibly harmful clinics in the cities, while they might just ban those “under-qualified rural doctors” in the countryside, depriving of people’s rights to get timely treatment without providing enough and effective alternatives for them. Also the healthcare resources are clearly imbalanced in terms of income levels and regions. The gov should take the responsibility of better resource allocations and it is in urgent need. But it does seem that more and more new diseases are emerging with the development of medical treatment/technology in the society.</p>
  • 叮噹叔叔 (令狐叮噹)


    Hahahahaha ... one factor is that the medical system in China is unique ... there is no GP for primary consultation ...

    maybe our gov should make some private hospitals with good quanlity involved to our medical health insurance system.

    They have ... but not many people has private insurance, while social insurance does not cover it ...

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