论“看病难、看病贵”现象中的政府责任

发布时间：2018-08-19 14:28

【摘要】：健康是衡量一个国家国力强盛与否的重要指标,事实上完善的医疗保障体制因此也成为发达国家区别其他国家的重要标志之一。随着我国的医疗卫生事业的高速发展,合理有效解决民生问题成为建设和谐社会的当务之急。“看病难看病贵”这一问题倘若无法妥善解决,势必会阻碍社会经济的发展。形成“看病难看病贵”既有医德缺失、医技欠佳、价格高昂和政策失灵等直接原因,也有政府缺乏监督等间接原因,还有制度不合理等深层次原因。因此,逐步解决“看病难看病贵”必须从就医环境、政府责任和规章制度等方面实行系统治理,切实保障人民健康权益,体现效率与公平原则,从根本上缓解看病难看病贵。本文就是从政府责任的角度出发进行探讨如何解决看病难看病贵。随着“看病难看病贵”问题越来越多成为百姓谈论较多的话题,解决这一问题成了政府工作中刻不容缓的一道难题。面对拥有13亿人口的复杂国情,政府应该抓住这一问题中的主要矛盾进行分析论证。本文选取几个比较典型的案例进行剖析,通过回顾我国的医疗服务发展历程,结合看病看看病贵问题的具体体现,理论联系实际分析看病难看病贵的真正原因,随后从宏观角度对政府责任的不足之处进行理性而深层次探讨,特别指出政府在公共卫生服务中应该做什么做和怎么做。最后结合相关公共管理理论,给出积极的对策分析。针对该课题,笔者认为看病难主要是由于政府对于医疗资源的配置不合理,看病贵主要是由于过度医疗未能有效遏制。这两点一直作为分论点贯穿于全文之中。最后的建议与对策,笔者在建议政府加大财政投入的同时特别强调减少医疗浪费。对策中着力推荐强化双向转诊和新型的“互联网+医疗”模式,以上两个中心论点和对策建议也是本文研究的创新之处,因此用较多的篇幅进行阐述。
[Abstract]:Health is an important index to measure the strength of a country. In fact, the perfect medical security system has become one of the important symbols of the developed countries differentiating other countries. With the rapid development of medical and health care in our country, it is urgent to solve the problems of people's livelihood reasonably and effectively. If the problem of "difficult to see a doctor and expensive to see a doctor" cannot be properly solved, it will inevitably hinder the development of social economy. There are direct reasons such as lack of medical ethics, poor medical skill, high price and policy failure, indirect reasons such as the lack of supervision by the government and unreasonable system. Therefore, to gradually solve the problem of "difficult to see a doctor and expensive to see a doctor", we must carry out systematic management from the aspects of medical environment, government responsibility and rules and regulations, ensure people's health rights and interests, embody the principle of efficiency and fairness, and fundamentally alleviate the difficulty of seeing a doctor. This article is from the point of view of government responsibility to explore how to solve the difficult to see a doctor expensive. With more and more people talking about the problem of "difficult to see a doctor and expensive to see a doctor", solving this problem has become an urgent problem in government work. Faced with the complicated situation of 1.3 billion people, the government should grasp the main contradiction in this problem and analyze and prove it. This article selects several relatively typical cases to carry on the analysis, through the review our country medical service development course, unifies the medical treatment to see the doctor expensive question concrete manifestation, the theory unifies the actual analysis sees the doctor to see the doctor expensive the real reason, Then from the macro point of view, the author makes a rational and deep discussion on the deficiency of government responsibility, and points out in particular what the government should do and how to do in the public health service. Finally, combined with the relevant public management theory, the positive countermeasures are given. In view of this subject, the author thinks that the difficulty of seeing a doctor is mainly due to the unreasonable allocation of medical resources by the government, and the high cost of seeing a doctor is mainly due to the failure of excessive medical treatment to contain it effectively. These two points have been as sub-arguments throughout the full text. Finally, suggestions and countermeasures, the author suggests that the government should increase the financial investment and especially emphasize the reduction of medical waste. In the countermeasures, it is recommended to strengthen the two-way referral and the new mode of "Internet medical treatment". The above two central arguments and countermeasures and suggestions are also the innovations of this paper, so we should devote more space to expounding them.
【学位授予单位】：东南大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：D630

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