基于政策目标的北京市医疗机构经常性卫生费用分析

发布时间：2018-01-02 10:16

本文关键词：基于政策目标的北京市医疗机构经常性卫生费用分析　出处：《北京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:本研究旨在通过对国家、北京市医药卫生体制改革等相关政策文件中的主要目标集中点进行提炼与归类,以世界卫生组织最新制定的卫生费用核算体系(SHA2011)中核心维度的二维矩阵交叉表为基础,进一步探讨形成分析北京市医疗机构中可反映各主要政策目标集中点实施情况的框架,并初步实现对2014-2015年北京市医疗机构经常性卫生费用的结果分析。研究方法:本研究重点搜索2009-2016年国内及北京市医药卫生体制改革相关政策、方案、实施意见等文件,通过专家咨询讨论确定政策主要目标集中点并形成基于政策目标的各角度分析框架;通过分析2014-2015年北京市医疗机构经常性卫生费用的数据进行分析框架的实际应用。研究内容:本研究主要通过归纳总结医药卫生体制改革政策主要目标集中点即推进建设医疗保障体系、推进公立医院改革试点、建设基本公共卫生服务体系、完善政府卫生投入机制和建设完善医疗服务体系,结合SHA2011的核算维度提出从社会医疗保险筹资、政府筹资、医疗机构资源配置和预防服务费用四个角度形成分析框架,并分析2014-2015年北京市医疗机构经常性卫生费用的结果。结论:为了科学制定相关卫生政策,迫切需要新的核算手段来适应如今卫生系统的诸多变化。利用SHA2011核算体系,可以弥补以前所应用的来源法、机构法和功能法等单维度核算卫生总费用时部分所不能进行解释的内容缺失;总结归纳2009年新医改以来的主要政策目标集中点,结合SHA2011的二维矩阵平衡交叉表以形成分析框架,可用于卫生政策的分析并且能够实现深入分析政策所要求的结果;2014-2015年北京市医疗机构经常性卫生费用结果反映出建立完善政府卫生投入机制、推进建设医疗保障体系和建设完善医疗服务体系政策实施均反映取得一定效果,建设基本公共卫生服务体系政策实施情况反映较好。
[Abstract]:Objective: This study aims to state, the main target of Beijing city health system reform and other related policy documents focus on the extraction and classification, the WHO to develop the latest health cost accounting system (SHA2011) two-dimensional matrix in the core dimensions of cross table as the basis, to further explore the formation of analysis can reflect the framework the main policy focus point of the implementation of the medical institutions in Beijing City, and the initial realization of the medical institutions in Beijing city in 2014-2015 current health expenditure analysis. Methods: This study focus search 2009-2016 China and Beijing City medical and health system reform policies, programs, opinions and other documents, through expert consultation and discussion to determine the main target point and the formation of policy analysis framework based on the angle of policy objectives; through the analysis of medical institutions in Beijing city in 2014-2015 Current health expenditure data analysis application framework. The research content of this research is to summarize the policies of health care system reform is the main focus of promoting the construction of medical security system, promote the reform of public hospitals, the construction of basic public health service system, improve the government health investment mechanism and improve the construction of medical service system. With accounting dimensions of SHA2011 made from the social medical insurance financing, government financing, analyses form four aspects of medical resources allocation and prevention services, and analysis of medical institutions in Beijing city in 2014-2015 current health expenditure results. Conclusion: in order to scientifically formulate relevant health policy, there is an urgent need for new accounting means to adapt the present health the many changes. The use of SHA2011 accounting system, can be used to make up the source of law, law and power mechanism Methods the single dimension calculation of total health expenses when part cannot explain the contents of the deletion; summarize the main policy goal since 2009 summed up new medical reform focus, combined with the SHA2011 matrix to form a two-dimensional balance cross table analysis framework can be used for the analysis of health policy and to achieve in-depth analysis of policy required medical results; institutions in Beijing city in 2014-2015 current health expenditure results reflect the establishment of government health investment mechanism to improve and promote the construction of medical security system construction and improve the medical service system of policy implementation are made to reflect the effect of the construction of basic public health service system of policy implementation to reflect better.

【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1

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