西部地区基本公共卫生服务差异化研究

发布时间：2018-03-19 08:58

本文选题：西部地区　切入点：基本公共卫生服务　出处：《电子科技大学》2014年硕士论文　论文类型：学位论文

【摘要】：改革开放促进了我国经济的高速发展,人民生活水平也得到了显著提高。近年来,作为公共服务重要组成部分的基本公共卫生服务不论是其供给总量,还是供给质量都有了长足的提高。然而,不可否认的是,随着我国地区间、城乡间经济发展水平差异的不断扩大,我国的基本公共卫生服务水平差异也是越来越明显。西部地区作为我国经济社会发展相对滞后的区域,它的基本公共卫生服务水平所面临的问题更是比较突出的。这严重影响到当地居民的生活质量以及我国和谐社会的建设。基于以上研究背景,本文将对我国西部地区的基本公共卫生服务水平差异及如何缩小差异化进行探讨。目前,学术界关于公共服务差异化的研究主要集中于理论分析,实证研究相对较少。本文将理论分析与实证研究相结合,通过全面、系统、深入的研究,为缩小西部地区基本公共卫生服务差异化提供科学合理的建议。首先,本文运用新公共服务理论、福利经济学理论等相关基础理论,并结合大量的统计数据,对目前我国西部地区的基本公共卫生服务水平差异现状进行分析。研究得出,西部地区的基本公共卫生服务不论是其筹资水平、资源配置水平、服务提供水平和服务结果都存在着较大的差异。然后,本文运用泰尔指数分析法,从“省际”、“城乡”两个角度对西部地区基本公共卫生服务水平差异进行实证分析。研究表明,城乡差异是西部地区基本公共卫生服务差异化的主要方面,省际差异是次要方面。接着,本文分析了造成这种差异化现状的原因,并运用灰色关联分析法分析了西部地区基本公共卫生服务差异化与其影响因素的关联程度。结果表明,经济发展水平;城乡居民收入差距;政府财政管理水平;地方政府财政能力;中央转移支付以及社会保障水平是导致我国西部地区基本公共卫生服务差异化的主要影响因素。最后,本文提出从大力发展区域经济;改变城乡二元结构体制;合理划分地方政府财权与事权;完善财政转移支付制度;完善医疗保障制度等5个方面来逐步实现西部地区的基本公共卫生服务水平的均等化。
[Abstract]:Reform and opening to the outside world has promoted the rapid development of our economy, and the standard of living of the people has also been significantly improved. In recent years, as an important part of public services, the basic public health services, regardless of their total supply, The quality of supply has been greatly improved. However, it is undeniable that with the continuous expansion of the differences in economic development between urban and rural areas in China, The difference of basic public health service level in our country is more and more obvious. Its basic public health service level is faced with more prominent problems, which seriously affect the quality of life of local residents and the construction of a harmonious society in China. Based on the above research background, This paper will discuss the difference of basic public health service level in western China and how to reduce it. At present, the academic research on public service differentiation is mainly focused on theoretical analysis. Empirical research is relatively few. This paper combines theoretical analysis with empirical research, through comprehensive, systematic and in-depth research, to provide scientific and reasonable suggestions for narrowing the differentiation of basic public health services in the western region. Based on the new public service theory, welfare economics theory and a large number of statistical data, this paper analyzes the current situation of the difference of the basic public health service level in the western region of China. There are great differences in the basic public health services in the western region, such as the level of financing, the level of resource allocation, the level of service provision and the result of service. This paper makes an empirical analysis on the difference of the basic public health service level in the western region from the two angles of "inter-provincial" and "urban and rural". The research shows that the difference between urban and rural areas is the main aspect of the differentiation of basic public health services in the western region. The difference between provinces is a secondary aspect. Then, this paper analyzes the reasons for the present situation of this kind of differentiation, and analyzes the degree of correlation between the difference of basic public health services in western China and its influencing factors by means of grey relational analysis. Economic development level; income gap between urban and rural residents; government financial management level; local government financial capacity; The central transfer payment and the level of social security are the main influencing factors leading to the differentiation of basic public health services in the western part of China. Finally, this paper puts forward the following points: to develop regional economy vigorously; to change the dual structure system of urban and rural areas; Reasonable division of local government's financial power and administrative power, improvement of financial transfer payment system, and improvement of medical security system to gradually realize the equalization of basic public health service level in the western region.
【学位授予单位】：电子科技大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.1

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