鄂尔多斯市公立医院改革研究

发布时间：2018-01-27 07:02

本文关键词： 鄂尔多斯市公立医院改革　出处：《内蒙古师范大学》2014年硕士论文　论文类型：学位论文

【摘要】：深化医药卫生体制改革是世界性的难题，是人民群众最关心的社会热点问题之一，各国都经历了不同的改革阶段。公立医院在我国医疗服务体系中处于主导地位，是人民群众看病就医的主要场所，担当着为人民群众提供基本医疗卫生服务的重任，是体现政府公益性的主要载体。公立医院改革的成败直接关乎本轮深化医药卫生体制改革的成败。2010年，鄂尔多斯市被列为内蒙古自治区公立医院改革两个试点地区之一，，最根本目的就是解决群众看病难、看病贵的问题，实现人人享有基本医疗卫生服务的目标要求。但是在政府财政投入有限、旧的体制机制难以打破的现实下，如何扭转公立医院的逐利行为，构建新的医疗秩序，回归公益性成了急需解决的难题。本文以公共产品、新公共管理、新公共服务理论为基础，从鄂尔多斯市公立医院改革现状入手，借鉴国内外公立医院改革理论研究和实践经验，在鄂尔多斯市公立医院改革所取得成绩基础上，进一步从公立医院公益性淡化、医疗资源配置不合理、基层医疗卫生机构服务能力差、基本医疗保障体系不健全、公立医院绩效考核缺失、公立医院的有效监管未建立等方面，分析了鄂尔多斯市公立医院改革中存在的问题及其原因。并针对上述问题从强化责任合理投入、优化布局合理配置、深化公立医院体制机制改革、建立完善公立医院绩效考评体系、建立有效的医保控费机制这五个方面为鄂尔多斯市公立医院未来改革提出了建议。
[Abstract]:Deepening the reform of the medical and health system is a worldwide problem and one of the hot social issues that the people are most concerned about. Public hospitals are in the leading position in the medical service system of our country, which is the main place for the people to see a doctor. Bear the responsibility of providing basic medical and health services for the people. The success or failure of the public hospital reform is directly related to the success or failure of deepening the reform of the medical and health system. 2010. Ordos City is listed as one of the two pilot areas in the reform of public hospitals in Inner Mongolia Autonomous region. The most basic purpose is to solve the problem of difficult and expensive medical treatment for the masses. But in the reality of limited government financial investment and difficult to break the old institutional mechanism, how to reverse the profit-driven behavior of public hospitals and build a new medical order. Returning to public welfare has become a difficult problem that needs to be solved urgently. Based on the theory of public goods, new public management and new public service, this paper starts with the current situation of public hospital reform in Ordos, and draws lessons from the theoretical research and practical experience of public hospital reform at home and abroad. On the basis of the achievements made in the reform of public hospitals in Ordos, the public welfare of public hospitals is further desalinated, the allocation of medical resources is unreasonable, and the service capacity of primary medical and health institutions is poor. The basic medical security system is not perfect, the performance evaluation of public hospitals is missing, and the effective supervision of public hospitals has not been established. This paper analyzes the problems and causes in the reform of public hospitals in Ordos, and aims at the above problems from strengthening the reasonable input of responsibility, optimizing the distribution and rational allocation, and deepening the reform of the system and mechanism of public hospitals. The establishment and improvement of public hospital performance evaluation system and the establishment of an effective medical insurance fee control mechanism provide suggestions for the future reform of public hospitals in Ordos.
【学位授予单位】：内蒙古师范大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.3

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