郑州市推行社保健身一卡通的可行性及运行模式研究
发布时间：2019-05-23 02:30
【摘要】：在2016年8月召开的全国卫生与健康大会上,习近平总书记出席并发表重要讲话。他强调:没有全民健康,就没有全面的小康。要把人民健康放在优先发展的战略地位。以普及健康生活、优化健康服务、完善健康保障、发展健康产业为重点、加快推进健康中国建设。习总书记提出了大健康、大体育、大卫生的健康理念,让体育和医疗成为推动健康中国的共同动力。社保健身一卡通即持卡人在买药、看病的同时,资金余额也可以去定点健身场所健身消费。将体育、医疗与社会保障三者相结合,增加了社保卡的使用功能与支付范围。我的导师郑州市政协委员张原教授,从2014年到2016年在郑州市政协会议上曾先后三次提出了此项提案,郑州市主管部门以在政策层面缺乏法律依据、管理体系构建与有效进行机制需要进一步论证为由,至今未全面启动此项工作。郑州市社保局委托提案人承担部分可行性调研工作,为郑州市政府相关决策提供参考。郑州市市民高度关注此项惠民政策,急切期待这项政策的实施。同时,在调研过程中市民希望郑州市在借鉴其它省份推行经验的基础上有所创新,提升健身场所延伸服务的功能,对持卡人建立运动功能档案,通过定期开展运动功能筛查,出具相应的运动处方,有针对性的进行科学健身,做到从形式到内容上真正的体医结合。本文通过文献资料法、访谈法、问卷调查法、个案研究法和数理统计法对体医结合模式下郑州市推行社保健身一卡通可行性及运行模式进行了分析和研究,得出以下结论:一体医结合对推进健康中国建设具有重要意义。体育与医疗结合的模式是将传统的以药物治疗为主向健康预防的方式转变,由体育学科提供手段和方法,医学学科提供思路和路径,把防病关口前移,从而达到一种增强人民体质,没病防病和储蓄健康的目的,它对于推进健康中国建设具有重要的意义。二社保健身一卡通是体医结合的有效平台。社保健身一卡通在全国许多城市已经成功实施,这一平台将体育、医疗与社会保障三者相结合,这一模式得到了社会各界的普遍认可。通过对全国首个推行城市苏州和山东试点城市泰安的系统研究发现,此项惠民政策受到社会各界普遍欢迎。它带动和提高了人们的锻炼意识和参加体育运动的机会,提高了体育人口的总量,在增加人们体质的同时,也在一定程度上影响和改变了人们的生活方式和生活习惯,对拉动当地的体育消费和体育产业的发展也起到了积极的作用。三郑州市具备推行“社保健身一卡通”的基础条件。郑州市中心五城区共有大小不等的健身场馆195家,其中规模超过1000平方米以上的健身场馆达到30家,综合条件和基础设施符合健身人群的需求,为郑州市推行“社保健身一卡通”奠定了良好的硬件基础。市民迫切希望尽早在郑州市推行此项惠民政策。研究认为,郑州市目前具备实施的必要性和可行性。四构建“锻炼-测试-评价-指导”为一体的体医结合新体系。郑州模式在实施的过程中,增加健身场所延伸服务的能力,要求挂牌单位为持卡人群建立运动功能健康档案,定期组织进行运动功能筛查,通过科学评价,出具运动处方,指导人们有针对性的科学健身。力求逐步形成“锻炼”-“测试”-“评价”-“指导”为一体的健康管理服务新体系。通过调研发现:健身指导从业人员中普遍存在的问题是:(1)健身教练的指导能力还停留在教动作、练肌肉的层面(2)不具备制定个性化健身训练方案的能力(3)不能对健身人群做出运动能力评价(4)没有出具运动处方的能力。
[Abstract]:At the National Conference on Health and Health, held in August 2016, General Secretary Xi Jinping attended and delivered an important speech. He stressed that there was no comprehensive well-off in the absence of universal health. It is important to put the people's health in the strategic position of development. In order to spread the healthy life, optimize the health service, improve the health guarantee, develop the health industry as the key, and accelerate the construction of the healthy China. The general secretary put forward the concept of health, sports and health, and made sport and medical treatment a common power to promote healthy China. The social security body-building one-card, that is, the cardholder is at the same time of buying medicine and seeing the doctor, the fund balance can also go to the body-building consumption of the fixed-point body-building site. The combination of sports, medical and social security has increased the use function and the payment range of the social insurance card. This proposal has been raised three times from 2014 to 2016 in the Zhengzhou Political Consultative Conference, and the construction of the management system and the effective mechanism need to be further demonstrated as a result of the lack of legal basis at the policy level, This work has not been fully initiated to date. The Municipal Bureau of Social Protection of Zhengzhou City has entrusted the sponsor to undertake some of the feasibility research work, and provide reference for the relevant decision-making of the municipal government of Zhengzhou. The city of Zhengzhou is highly concerned about the people's policy and is eager to look forward to the implementation of this policy. At the same time, in the course of the investigation, the public wants the Zhengzhou to innovate on the basis of reference to the experience in other provinces, improve the function of the extension service of the body-building site, establish a sports function file for the cardholder, and issue the corresponding sports prescription through regular exercise function screening, The aim is to carry out the scientific body-building, so as to combine the real physical medicine from the form to the content. This paper analyzes and studies the feasibility and operation mode of social security and fitness in Zhengzhou under the combination of literature, interview, questionnaire, case study and mathematical statistics. The following conclusions are drawn: The combination of integrated medicine is of great significance to the construction of healthy China. the mode of combining the sports and the medical treatment is to transform the traditional medicine treatment to the health prevention mode, provide the means and the method of the physical education subject, provide the train of thought and the path of the medical science subject, advance the disease prevention gate, It is of great significance to promote healthy Chinese construction for the purpose of disease prevention and saving health. The second social security body-building one-card is the effective platform of the combination of the body and medicine. The social security and health-care one-in-one card has been successfully implemented in many cities throughout the country, and the platform combines sports, medical and social security, which has been widely accepted by all sectors of the society. Through a systematic study of the first pilot city of Suzhou and Shandong, the people's policy has been widely welcomed by all sectors of the society. It drives and improves the people's exercise consciousness and the opportunity to take part in sports, improves the total amount of the sports population, and also influences and changes people's life style and living habits to a certain extent while increasing the physical constitution of people, It also plays an active role in the development of local sports consumption and sports industry. Third, Zhengzhou has the basic conditions for implementing the "Health-care one-card for social security". In the five urban areas of Zhengzhou, there are 195 health-care venues with different sizes, among which, the fitness venues with a scale of more than 1000 square meters reach 30, the comprehensive conditions and the infrastructure meet the requirements of the body-building population, and a good hardware foundation is laid for Zhengzhou's implementation of the "One-Card" for Social Security. The public is eager to implement the people's policy in Zhengzhou as soon as possible. The research shows that Zhengzhou has the necessity and feasibility of implementation. And the four-step construction of the "Exercise-Test-Evaluation-Guidance"-based body medicine combined with the new system. In the process of implementation, the Zhengzhou model increases the ability of the body-building site extension service, and requires the listed company to set up a sports function health file for the cardholder group, regularly organize the exercise function screening, and issue a sports prescription through the scientific evaluation, and guide the people to have the targeted scientific body-building. To gradually form a new "exercise"-"test"-"evaluation"-"guide"-integrated health management service new system. The research has found that: (1) The coach's guiding ability is still in the teaching action. The level of exercise muscle (2) does not have the ability to develop a personalized fitness training program (3). The exercise capacity evaluation (4) of the body-building population cannot be evaluated (4) without the ability to issue a sports prescription.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：G812.7
[Abstract]:At the National Conference on Health and Health, held in August 2016, General Secretary Xi Jinping attended and delivered an important speech. He stressed that there was no comprehensive well-off in the absence of universal health. It is important to put the people's health in the strategic position of development. In order to spread the healthy life, optimize the health service, improve the health guarantee, develop the health industry as the key, and accelerate the construction of the healthy China. The general secretary put forward the concept of health, sports and health, and made sport and medical treatment a common power to promote healthy China. The social security body-building one-card, that is, the cardholder is at the same time of buying medicine and seeing the doctor, the fund balance can also go to the body-building consumption of the fixed-point body-building site. The combination of sports, medical and social security has increased the use function and the payment range of the social insurance card. This proposal has been raised three times from 2014 to 2016 in the Zhengzhou Political Consultative Conference, and the construction of the management system and the effective mechanism need to be further demonstrated as a result of the lack of legal basis at the policy level, This work has not been fully initiated to date. The Municipal Bureau of Social Protection of Zhengzhou City has entrusted the sponsor to undertake some of the feasibility research work, and provide reference for the relevant decision-making of the municipal government of Zhengzhou. The city of Zhengzhou is highly concerned about the people's policy and is eager to look forward to the implementation of this policy. At the same time, in the course of the investigation, the public wants the Zhengzhou to innovate on the basis of reference to the experience in other provinces, improve the function of the extension service of the body-building site, establish a sports function file for the cardholder, and issue the corresponding sports prescription through regular exercise function screening, The aim is to carry out the scientific body-building, so as to combine the real physical medicine from the form to the content. This paper analyzes and studies the feasibility and operation mode of social security and fitness in Zhengzhou under the combination of literature, interview, questionnaire, case study and mathematical statistics. The following conclusions are drawn: The combination of integrated medicine is of great significance to the construction of healthy China. the mode of combining the sports and the medical treatment is to transform the traditional medicine treatment to the health prevention mode, provide the means and the method of the physical education subject, provide the train of thought and the path of the medical science subject, advance the disease prevention gate, It is of great significance to promote healthy Chinese construction for the purpose of disease prevention and saving health. The second social security body-building one-card is the effective platform of the combination of the body and medicine. The social security and health-care one-in-one card has been successfully implemented in many cities throughout the country, and the platform combines sports, medical and social security, which has been widely accepted by all sectors of the society. Through a systematic study of the first pilot city of Suzhou and Shandong, the people's policy has been widely welcomed by all sectors of the society. It drives and improves the people's exercise consciousness and the opportunity to take part in sports, improves the total amount of the sports population, and also influences and changes people's life style and living habits to a certain extent while increasing the physical constitution of people, It also plays an active role in the development of local sports consumption and sports industry. Third, Zhengzhou has the basic conditions for implementing the "Health-care one-card for social security". In the five urban areas of Zhengzhou, there are 195 health-care venues with different sizes, among which, the fitness venues with a scale of more than 1000 square meters reach 30, the comprehensive conditions and the infrastructure meet the requirements of the body-building population, and a good hardware foundation is laid for Zhengzhou's implementation of the "One-Card" for Social Security. The public is eager to implement the people's policy in Zhengzhou as soon as possible. The research shows that Zhengzhou has the necessity and feasibility of implementation. And the four-step construction of the "Exercise-Test-Evaluation-Guidance"-based body medicine combined with the new system. In the process of implementation, the Zhengzhou model increases the ability of the body-building site extension service, and requires the listed company to set up a sports function health file for the cardholder group, regularly organize the exercise function screening, and issue a sports prescription through the scientific evaluation, and guide the people to have the targeted scientific body-building. To gradually form a new "exercise"-"test"-"evaluation"-"guide"-integrated health management service new system. The research has found that: (1) The coach's guiding ability is still in the teaching action. The level of exercise muscle (2) does not have the ability to develop a personalized fitness training program (3). The exercise capacity evaluation (4) of the body-building population cannot be evaluated (4) without the ability to issue a sports prescription.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：G812.7
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