农村基层医疗卫生机构服务能力提升研究

发布时间：2018-08-05 16:06

【摘要】：中国是一个农业大国,农村人口占多数。提高农村基层医疗卫生机构服务能力,保障农村居民的健康水平是国家社会建设的重要任务。同时“看病难,看病贵”是我国面临的严重社会问题,解决该问题,中国必须建立起分诊治疗制度。当前,提升农村基层医疗卫生机构的服务能力就是建立分诊制的基本要求。我国农村基层医疗卫生机构的服务能力并不能满足社会的要求,因此加快农村基层医疗卫生机构服务能力的建设是国家的重要工作任务。本文以农村基层医疗卫生机构的服务能力为研究对象,认为卫生机构的服务能力表现在卫生资源的占有状况及基本医疗卫生服务的提供情况,旨在以公共管理的视角,通过文献研究、统计分析、定性分析的方法,力图在全面分析我国农村基层医疗卫生机构能力的影响因素、现状与问题的基础上,同时借鉴国外在农村医疗卫生方面的先进做法,提出提升我国农村基层医疗卫生机构服务能力的政策建议,指导农村基层医疗卫生机构的快速发展。本文认为农村基层医疗卫生机构服务能力包括医疗卫生服务与公共卫生服务能力。且服务能力的影响因素应从内外因素两方面进行分析,内部主要影响因素包括机构的人财物三方面。外部主要影响因素包括经济发展水平、医疗卫生的监管、国家政策法律环境、医疗卫生制度的改革。
[Abstract]:China is a large agricultural country, the rural population accounts for the majority. It is an important task of national social construction to improve the service ability of rural primary medical and health institutions and ensure the health level of rural residents. At the same time, "difficult to see a doctor, expensive to see a doctor" is a serious social problem in China. At present, improving the service ability of rural primary medical and health institutions is the basic requirement of establishing the system. The service capacity of rural primary medical and health institutions in China can not meet the needs of the society. Therefore, it is an important task for the country to speed up the construction of service capacity of rural primary medical and health institutions. This paper takes the service ability of rural primary medical and health institutions as the research object, and thinks that the service ability of the health institutions is manifested in the occupation of health resources and the provision of basic medical and health services, aiming at the perspective of public management. Through the methods of literature research, statistical analysis and qualitative analysis, this paper tries to analyze the influencing factors, present situation and problems of rural primary medical and health institutions in China. At the same time, drawing lessons from the advanced practices of foreign countries in rural medical and health care, the paper puts forward some policy suggestions to improve the service capacity of rural primary medical and health institutions in order to guide the rapid development of rural grass-roots medical and health institutions. This paper holds that the service capacity of rural primary medical and health institutions includes medical and health services and public health services. The influencing factors of service capacity should be analyzed from two aspects of internal and external factors. External factors include the level of economic development, health supervision, national policy and legal environment, medical and health system reform.
【学位授予单位】：湖南农业大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R197.62

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