济南市县级政府基本医疗卫生服务均等化问题研究

发布时间：2018-06-09 13:05

本文选题：县级政府 + 基本医疗卫生服务　；参考：《延安大学》2017年硕士论文

【摘要】：改革开放三十多年来,经济的腾飞、社会的发展,我国基本医疗卫生服务领域取得了显著的成绩。然而在县级政府之间人民群众享有基本医疗卫生服务是不均等的,这不仅不利于人民群众健康的维护,而且影响社会安定。如何实现县级政府基本医疗卫生服务均等化,推进“人人享有基本医疗卫生服务”目标,对济南市这个东部省会城市来说意义重大。论文以济南市县级政府基本医疗卫生服务均等化为研究对象,采用实证研究分析济南市县级政府基本医疗卫生服务现状,通过“理论基础→现状分析→经验借鉴→解决对策”的思路展开进行论述。首先,论文详细的阐释了基本医疗卫生服务均等化的相关概念和理论基础。公平正义理论、福利经济理论和新公共管理理论为探讨济南市县级政府基本医疗卫生服务均等化问题提供了有力的理论支撑。其次,论文构建济南的基本医疗卫生服务评价指标体系,并通过详实的数据分析济南县级政府的基本医疗卫生服务情况,得到两个结论,即济南市县级政府确实存在基本医疗卫生服务的不均等、济南市市区与周边县级单位基本医疗卫生服务差距较大。通过进一步的数据分析论证,发现济南市县级政府基本医疗卫生服务均等化问题,具体表现为基本医疗卫生资源配置差异较大、基本医疗卫生服务质量有待提高、基本医疗卫生服务管理存在漏洞。紧接着分析造成不均等化的原因,具体是医疗卫生资源投入不均、各县级政府经济发展不均衡、基本医疗卫生服务体系不健全、医疗卫生机构结构问题突出。再次,论文借鉴了国外推进基本医疗卫生服务,促进均等化的先进实践经验,为济南市各县级政府提供有益参考。最后,笔者针对济南市基本医疗卫生服务不均等化问题,并结合国外经验,提出了一系列对策,以实现济南市县级政府基本医疗卫生服务均等化。论文系统而全面的分析了,济南市县级政府基本医疗卫生服务情况,发现不均等化问题,并找出造成不均等问题的原因,最后为实现均等化提出对策。这样不仅能够实现济南市县级政府基本医疗卫生服务均等化,而且有利于为其他地市解决相类似问题提供了有益借鉴。
[Abstract]:In the past thirty years, with the rapid development of economy and society, remarkable achievements have been made in the field of basic medical and health service. However, it is not equal for the people to enjoy basic medical and health services between county governments, which is not conducive to the maintenance of people's health, and affects social stability. How to realize the equalization of basic medical and health services for county governments and promote the goal of "basic medical and health services for all" is of great significance to Jinan, the capital city of eastern China. This paper takes the equalization of the basic medical and health services of the county government in Jinan as the research object, and analyzes the present situation of the basic medical and health service of the county government in Jinan by using the empirical research. Through the theoretical basis of the current situation analysis and experience to learn from the solutions to the idea of the development of the discussion. First of all, the paper explains in detail the basic medical and health services equalization related concepts and theoretical basis. The theory of fairness and justice, the theory of welfare economy and the theory of new public management provide powerful theoretical support for discussing the equalization of the basic medical and health services of the county government in Jinan. Secondly, the paper constructs the evaluation index system of the basic medical and health service in Jinan, and analyzes the basic medical and health service of the county government in Jinan through the detailed data, and obtains two conclusions. That is, the county government of Jinan does not have equal basic medical and health services, and the gap between the basic medical and health services between the urban areas of Jinan and the surrounding county-level units is large. Through further data analysis and demonstration, it is found that the problem of equalization of basic medical and health services of the county government in Jinan shows that the distribution of basic medical and health resources is quite different, and the quality of basic medical and health services needs to be improved. There are loopholes in the management of basic medical and health services. Then it analyzes the causes of inequality, such as uneven input of medical and health resources, unbalanced economic development of county governments, imperfect basic medical and health service system, and prominent problems in the structure of medical and health institutions. Thirdly, the paper draws lessons from the advanced practical experience of foreign countries to promote basic medical and health services and promote equalization, which provides a useful reference for the county governments in Jinan. Finally, the author puts forward a series of countermeasures to realize the equalization of the basic medical and health services of the county government in Jinan. The paper systematically and comprehensively analyzes the situation of the basic medical and health service of the county government in Jinan, finds out the problem of inequality, finds out the causes of the problem, and finally puts forward the countermeasures to realize the equalization. This can not only realize the equalization of the basic medical and health services of the county government in Jinan, but also provide useful reference for other cities to solve similar problems.
【学位授予单位】：延安大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1

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