Social and Medical Resource Allocation of Learning Experience in the United States

In the United States at the University of California, Los Angeles (UCLA) of urology study clinical work for a year, in addition to the learning of medical technology, there is also experienced in our social health care resource allocation and the gap between developed countries. First of all, the United States of America’s medical team is composed of the best people. 10 years ago, Clinton had a speech in Congress, that at that time, although the doctor’s salary level has greatly exceeded the average income, but over the years the growth rate is lower than the average level of the whole society, and therefore recommended that health care workers pay raises, “to attract the best of the best of the community to engage in the medical profession, to our health! entrusted to high-quality talents”. And our country in recent years, health care workers are faced with deteriorating practice environment, and even the safety of life is not guaranteed, people are more willing to become an official, do business or engage in other industries, the quality of the new health care workers is worrisome. Secondly, economic leverage to deploy medical resources. In the United States and Japan, in small towns engaged in medical work and education and other work, its income is not much less than the big city, which attracts people from all walks of life, including the medical industry, after learning, willing to stay away from the hustle and bustle of the big city, to work in small places. In our country, being a doctor is only possible in a big city with a very large number of patients and sufficient income. When they go to small places, their incomes are drastically reduced and their children’s access to education and other restrictions make the distribution of medical resources and its imbalance. To achieve balance is not something that can be reached by administrative order. In the process of urbanization throughout the country, efforts should be made to narrow the income gap between regions and increase the investment of small and medium-sized cities and towns in various aspects such as medical care and education, so that the flow of talents to the grassroots at large can be gradually realized and services can be provided to more people living at the grassroots. Finally, there is insufficient investment in medical education. In the United States, it is not possible to find a place to work after graduating from medical school, but it is necessary to receive 4-6 years of residency training in large hospitals with government funding before being able to work as a general practitioner in a grassroots hospital; if you want to work as a specialist, you will need to have more than 3 years of specialist training before working as a specialist in a larger hospital. In our country, the experience and level of doctors at the time of graduation from medical school are not enough to be qualified as general practitioners or specialists, and some of them get a master’s degree or doctor’s degree to receive continuing education, while others who go directly to small and medium-sized hospitals seldom have the opportunity to continue their education in high-level hospitals. This has thus aggravated the imbalance in medical resources between large hospitals and primary hospitals. Under the premise of imbalance in medical resources, simple consultations and treatments that should have been resolved in primary hospitals are also brought to large hospitals for resolution, which has resulted in overcrowding in large hospitals and a general environment in which it is difficult to see a doctor. Even in developed countries, their health care problem is a big problem and we cannot copy the experience of others. However, a development plan should be formulated to continuously improve the construction of the medical team and the distribution of medical resources, so that the people will eventually be able to find trustworthy hospitals and doctors close to them to solve most of their ailments, and that only major illnesses will need to be treated in major hospitals.