深圳市社康中心资源配置研究

发布时间：2017-12-26 23:13

本文关键词：深圳市社康中心资源配置研究　出处：《深圳大学》2017年硕士论文　论文类型：学位论文

【摘要】：深圳是一座年轻的移民城市,在我国的制度创新、改革开放、市场经济等方面承担着试验和示范的重要使命。其中在全国医改试点方面,深圳取得了较大成果,在诸多方面做出了卓有成效的改革尝试。目前深圳仍然存在着公立医院、大医院、三甲医院看病难的突出问题,法定节假日更是一号难求。实际上,没有建立以社康中心为首诊场所的医疗服务机制,是造成公立医院人满为患的一个最为主要的原因。本文从相关概念如医疗服务制度视角、国外社区卫生模式、全科医生等概念性背景入手,对公共卫生服务进行一定的剖析,了解到社康中心是基本公共卫生服务的重要组成部分,是我国卫生服务领域一项长期而又艰巨的国计民生任务。根据2010-2015六年来深圳市社康中心的发展情况,本文从深圳市社康中心医疗资源的服务状况、需求状况、改革状况等多方面对社康中心的基本情况进行了解,从而对社康中心的政策、财政资源、人才资源、设备资源的现状进行详细的分析和描述,使社会和民众更加了解当前我市社康中心的建设情况、资源配置情况及相关疾病就诊情况。通过现状了解,本文就此展开分析,从政策上看,社康中心存在配套政策措施不完善、双向转诊不健全、监管缺失等问题;从财政资金对社康投入来看,存在社康用房紧张、医保覆盖不健全、筹资与补偿机制欠缺、绩效考核待完善等问题;从人才资源来看,社康中心存在专业社康医护人才缺乏、高层次人才不足、医生多点执业开展不顺、家庭医生团队人才匮乏等问题;最后从医疗设备来看,社康中心存在设备配置不足,用药配置紧缺等问题,这些问题是社康中心还难以承担基础医疗重任的主要原因。最后,本文从政策配置、财政投入、人才培养和设备更新等四个方面入手进行深入探究。从政策配置来看,文章提出要合理定位分级诊疗服务,加强基层服务能力建设,健全社康评价体系,全面推进家庭医生建设和大力发展医生集团;从财政投入来看,要确立财政合理的全市年健康资本投入,“抓小限大”加强基层卫生建设,发挥医疗保险的调控引导和监督制约作用,并拉大不同等级公立医疗机构的医疗服务价格差;从人才配置来看,要“去编制化”,启动人事体制改革,加强社康中心医护人员队伍建设,创办深圳自己的医科大学,形成良性“造血”,并建立科学的公立医疗服务薪酬体系,借“医师多点执业”东风,实现人才流动;从医疗设备配置来看,要努力促进社康中心药房社会化和社康中心标准化建设,搭建双向转诊信息平台,实现信息共享。以此吸引更多的患者到社康就医,为营造更多群众基层就医的良好氛围贡献力量。
[Abstract]:Shenzhen is a young emigrant city. It bears the important mission of experimentation and demonstration in our country's system innovation, reform and opening up, market economy and so on. In the national medical reform pilot, Shenzhen has made great achievements and made fruitful reforms in many aspects. At present, there are still some outstanding problems in public hospitals, large hospitals and third - class hospitals in Shenzhen. In fact, it hasn't established a community health center led by the diagnosis of places of medical service mechanism, is the cause of public hospital overcrowding is one of the main reasons. This article from the related concepts such as medical service system from the perspective of foreign community health mode, GPS and other conceptual background, analyzes on the public health service to community health center is an important part of basic public health services, health services in China is a long-term and arduous task is beneficial to the people's livelihood. According to the development of 2010-2015 six years in Shenzhen city community health center, we understand the basic situation of community health centers from community health center of Shenzhen medical resources service condition, demand condition, reform and other aspects, in order to community health center policy, financial resources, human resources, equipment resources status were analyzed and described in detail the society and make people know more about the construction of medical treatment and related diseases and resource allocation situation of the community health center in our city. By understanding the status quo, this paper carried on analysis from the policy perspective, the problems of supporting policies and measures are not perfect, two-way referral system is not perfect, lack of supervision of financial funds from the community health center; community investment, community housing tension, existing health insurance coverage is not perfect, the lack of financing and compensation mechanism, performance appraisal to be perfect other problems; from the human resources point of view, there is a lack of community health center, community health care professional talent shortage of high-level talents, more practice doctors carry out is not smooth, the family doctor team talent shortage problems; finally from medical equipment, health center existing equipment is less, the allocation of drug shortages and other problems, these problems are the main reasons for community health service center it is difficult to bear the responsibility of the medical foundation. In the end, this paper makes a thorough inquiry from four aspects, such as policy allocation, financial input, personnel training and equipment renewal. From the policy configuration, the paper proposes the reasonable position of classification of medical service, strengthening service ability construction, improve community health evaluation system, and comprehensively promote the construction and development of the family doctor doctor group; from the financial investment, to establish the reasonable fiscal health capital investment, "catch the little big limit to strengthen grass-roots health construction, play the medical insurance regulation and supervision, and pull the public medical institutions of different levels of high price of medical services; from the personnel configuration," preparation ", start the reform of personnel system, strengthen the staff team construction of community health center, Shenzhen Medical University founded their own, forming a virtuous, and the establishment of" blood "the scientific salary system of public medical service, the" multi physician practice "Dongfeng, realize the flow of talent; from medical equipment configuration, to promote community health center of Medicine The real social and community health center standardization construction, build a referral information platform, information sharing. In order to attract more patients to the medical community, to create a good atmosphere for more people to contribute to grassroots medical treatment.
【学位授予单位】：深圳大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1

【参考文献】