The medical community stays at the service supply level, does not rise to the level of supply and demand, and lacks attention to the leading role of demand.
Demand is the basis of all supply and demand, and the supply and demand relationship of medical and health services is definitely not as simple as an institution waiting for patients to come to the door and only being responsible for the patients who come to the clinic. When a patient comes to an institution, whether his choice is suitable for the disease he suffers from, and whether the medical cost and opportunity cost are reasonable, are all important factors that affect the relationship between supply and demand.
The demand, supply and supply-demand relationship of medical and health services itself is different from the general commodity market, and the three major mechanisms of supply and demand and competition in the supply and demand of medical and health services do not play a role in accordance with the principles of textbooks, but have their particularities, and we must explore effective adjustment mechanisms according to local conditions to replace or revise the three major mechanisms.
There are many factors that determine the supply and demand relationship of medical and health services, including major relationships such as system and institution, competition and cooperation, fairness and efficiency, choice and order, etc., and it is necessary to carry out dynamic balance around reasonable supply and demand relationship to create ecological conditions for the establishment of orderly supply and demand relationship.
Supply and demand are at the center of all relationships in medical and health services, and the focus of building a reasonable and orderly supply and demand relationship lies in demand rather than supply. In the medical community, there is "production" first and then demand, and the entire supply and demand relationship is "inverted".
When resources are in short supply, the main contradiction in resource allocation is fundraising, which is mainly manifested in the lack of "production" of services, and the relationship between supply and demand is "supply-side market". However, after the basic satisfaction of resources, the main contradiction in the allocation of resources is utilization, the rational use of services, the reasonable adaptation of diseases and required services, and the relationship between supply and demand is mainly the "demand-side market".
The establishment of a supply and demand relationship of medical and health services that adapts to the allocation of resources is based on demand management, the core is the adaptability management of demand and supply, and its main means is health management, which is to carry out the whole chain of health management around the whole process of the occurrence and development of a person's disease. The central task of health management is to shape a reasonable and orderly supply and demand relationship on the basis of demand management.
With the relationship between supply and demand as the core, to ensure that the relationship between supply and demand is realized in an orderly manner according to demand, to balance the various relationships that restrict the expected effect of supply and demand, to eliminate various problems that are effectively generated by supply and demand, and to achieve the purpose of health management, this is health governance.
The transformation and development of the medical community is to establish a demand-based supply and demand relationship based on health management, and on this basis, "produce" services according to individual needs. All policy initiatives focus on ensuring such reasonable supply and demand, and enter the state of modern health governance.