Health Department，Life Trust。Medical Heart，Hanging pot Ji Shi。Patients with illness seeking medical medicine，Between doctors and patients should be harmonious。But in recent years，my country's medical complaints and medical disputes are high，even occasionally violent incidents，Decrease in trust between doctors and patients，Some discordant notes have appeared，Become a government worry、Care of the people、Doctor's annoying social hotspot Questions。In a sense,，Doctors and patients can be described as a barometer of the medical and health system。Literal perspective，Doctor -patient relationship refers to the interpersonal relationship between the doctor and the patient，or the relationship between the medical prescription and the affected prescription，But the degree of harmony of the relationship between doctors and patients，But by the government、The entire medical and health system composed of many subjects such as society and the public。

The 20th report of the party pointed out，To "deepen the reform of the medical and health system，Promoting medical insurance、Medical、Medical Coordinated Development and Governance "。In this background，Improve the health legal system，The only way to promote the harmony of doctors and patients。Current，my country has formed the basic nature of the "Basic Medical and Health and Health Promotion Law"、Comprehensive laws and more than ten single -line laws、More than 40 administrative regulations and many departmental rules and regulations of the health and health legal system，Play an important role in maintaining and promoting the harmony of doctors and patients。but，The law in the field of medical and health care is far from all。

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and technology、Education、Culture and other causes different，Medical and Health Division requires bet365 Play online games both adherence to public welfare，It also involves complex cost investment and capital flow，Medical costs and benefits of realistic problems are very complicated，Diversity of the medical subject、Complexation of the medical process、Diversity of disease types、The difference between the patient and the uncertainty of the condition further exacerbate the complexity of the problem。Improve medical security legislation，It is to ensure that the physician is on the premise that the doctor has no selfishness and worries，Based on its conscience and knowledge, providing patients with medical services that are compatible with their condition，Then form a real doctor -patient interest community。Its general goal is to systematically realize basic medical insurance、Medical Rescue、Commercial Medical Insurance、Long -term care insurance and other different medical security systems of the medical insurance system。Where，Basic medical insurance as the main body and core of the medical security system，The construction of the rule of law must be accelerated。

First, in terms of medical insurance funding，It is necessary to emphasize the legal rights and obligations of national participation in insurance。my country adopts social medical insurance model，The principle of risk sharing and mutual help，It should be clearly stipulated in the law to specify the insurance rights and obligations of social members。Especially for medical insurance for urban and rural residents，People who delineate and dynamically adjust in science、On the premise of strengthening the country's financial investment in urban and rural residents，The principle of compulsory instead of insurance participation and legal obligations should be explored in the legislative.，Effectively realize and maintain national medical insurance，Avoid citizens from being unable to obtain the required medical services due to cost problems，and establish a "cost isolation wall" between doctors and patients，Reduce the conflict of interests due to medical expenses。

Bet365 lotto review Second, in terms of medical insurance treatment，To integrate the system to promote the equality of medical insurance payment。my country has established a unified urban and rural residents' basic medical insurance system，In the future, we should also explore urban employee medical insurance、Urban and rural residents' medical insurance to achieve as much as possible to pay equal medical treatment，Ensure that the national rights and benefits of basic medical insurance should be enjoined fairly。

Third, in terms of medical insurance payment，To build a healthy performance -oriented medical insurance payment system。The medical insurance payment system is a key system that connects the medical service provision system and the medical security system，To a large extent affects the doctor's salary，Medical behavior of a doctor at the deep -level plastic doctor，Face for determining the relationship between doctors and patients。The post -payment system paid by the service item should be gradually changed，Build health performance、Health results -oriented medical insurance payment system，Realize the effective restraint of medical insurance for medical and medicine，The motivation to curb medical induction needs from the system，Help the real interest community between doctors and patients。

Fourth is the supervision of the medical insurance fund，It is necessary to formulate more scientific and reasonable、More in line with the medical insurance fund use specifications that are more in line with clinical needs，Clarify the two different natures of "fraud" and "irregular use of medical insurance funds"，Reduce the occurrence of institutional fraud and fraudulent phenomenon。At the same time，In addition to the current medical insurance fund supervision methods such as flight inspection，It should also adhere to the concept of cooperative supervision and smart supervision，More stipulated incentive supervision methods。

　　Improve the legislation of the medical system

my country has established a public medical institution as the main body、Private Bet365 app download medical institutions supplemented，from the grassroots medical and health institution、Hospital、Professional public health institutions and other medical and health service systems。But in terms of legislation in the medical service system，Only the principle of "Basic Medical and Health and Health Promotion Law"、Framework and "Regulations on the Management of Medical Institutions" and Implementation Rules。Where，"Regulations on the Management of Medical Institutions" as a "management" of "management" for "medical institutions"，It mainly specifies the access of medical institutions、Practice and supervision and management problems，It is the obtaining the "medical institution's practice permit" and the administrative regulations at the core of the right medical。This regulation has played an important role in ensuring that medical institutions established and practicing in accordance with the law，But the systematic construction of the medical supply network、The rule of law operations of medical institutions cannot exert due functions，It is difficult to meet the construction of a integrated medical service system、Improve the actual needs of the legal person governance structure of medical institutions。

Improve the medical service system legislation，It should be based on existing laws and regulations，Formulate a single "medical method" for comprehensive standardized medical institutions，and provide a system for medical services、The legal person governance structure of medical institutions、Medical Safety System、The medical advertising system, etc. make detailed regulations。Where，The rule of law of the medical service provision system，Focus on four aspects of attention and properly handle four aspects。

First, we must pay attention to the legal status of regional health planning。Can be based on the regional population scale、Structure, especially aging,，Scientifically calculated the number of medical institutions and beds of different types and functions、Demand for medical resources such as distribution，Based Bet365 lotto review on this preparation of regional health planning and medical institution setting plan，The legal basis for regional health development and medical resource allocation，Avoid the disorderly expansion of a single medical institution。

Second, build a integrated type、High -quality and efficient medical and health service system，Realize the rule of law for the construction of close medical consortia and county medical community。Especially in -depth promotion of the rule of law of the construction of a close -up of the county medical community，Reform of the medical insurance payment system paid by the head，Guide the county medical community to form self -management、Function class、Healthy -oriented "Regional Resident Comprehensive Health Maintenance System"。

Third, pay attention to medical defense cooperation、The rule of law of medical defense integration，Realize the transformation from cure to health as the center of health。We must adhere to the concept of people -oriented，Provide health promotion to citizens、Disease Prevention、Treatment、Rehabilitation Nursing、Ending care and other continuity、Comprehensive、Coordinated health and health service。

Fourth to strengthen the rule of law of grassroots medical care。Institutional tilt to the grassroots through medical insurance payment guides high -quality medical resources for sink，​​Supporting grass -roots doctors such as family doctors to strengthen the "binding" relationship with local residents，Gradually build a friend -like doctor -patient relationship that is familiar with。

Improve medical service legislation

Medical Services Legislative Emphasis on the specific、In individual diagnosis and treatment activities, adjust the legal relationship between the medical prescription and the affected prescription of the subject of the subject，Sample state that directly affects the relationship between doctors and patients。

On the one hand，To formulate the patient's rights one -line method as soon as possible。Determine the health rights enjoyed by patients in medical services、Privacy、The right to know the consent and other rights，and the implementation Bet365 app download path and relief mechanism of the patient's rights，Promote the right to know the right of patients and patients，Improving the endogenous motivation of the medical party's emphasis on the rights of the patient and building a harmonious doctor -patient relationship。

On the other hand，To reconstruct the medical dispute treatment method based on the concept of "professional governance" and "medical security"。Medical disputes have strong professionalism，It is advisable to give medical professional issues to clinical experts for review under the concept of "professional governance"，To make the correct judgment。At the same time，We must pay attention to the special value of medical disputes that have occurred in medical quality and safety and medical disputes，Under the leadership of the health department，Accelerate the construction of a closed -loop management system for "dealing -prevention" for the construction of medical disputes，To effectively improve medical safety。

"Fuyi，Non -benevolent lovers cannot support，Non -clever rationality is unsatisfactory，Non -honest Chunliang is not credible。"Construction of the relationship between harmonious doctors and patients，Is a systematic social engineering，It is not enough to rely on the health and health rule of the rule of law，It should also pay attention to the professional spirit and occupational ethics construction of medical staff。In the Ming Dynasty "Pei Ziyan · Medicine · Preface": "Do not learn from ancient times，Can't know the heaven，Not near the immortal，Those who are not near the Buddha，Ning Gengfield Weaving Ear for Ears，Break can not be used to do medical! medical，Therefore the sacred karma，Non -future generations have not been completed，Life is not just，Selecting the surgery also。Is Bihui Youyin，There is a special study，The principle of poor heaven and man，Ideology is depleted in the book of ancient and modern，Then you can talk about medicine。"while improving the professional ethics of medical staff，It should also strengthen mass education and patient enlightenment，Popularization Bet365 app download of common sense of medicine，Let the public fully understand the limitations of medicine and the special nature of medical and health，Guide the public to understand medicine、Respect doctor，Then gradually form a social consensus for the doctor and patient community。

　(Author Unit: Health Law Research Center of Capital Medical University)