呼和浩特市公立医院医疗卫生公共服务研究

发布时间：2018-03-02 11:45

本文选题：呼和浩特　切入点：公立医院　出处：《内蒙古大学》2017年硕士论文　论文类型：学位论文

【摘要】：医疗卫生公共服务是每个公民都密切相关的一项民生问题,党和国家历来十分重视。伴随物质生活和精神生活的满足,在追求生活质量的基础上,人们也越来越重视医疗卫生服务的供给水平。呼和浩特市的医疗卫生公共服务体系是相对健全完善的,作为省会城市,在自治区十二个盟市中处于领先地位。因为人们对医疗公共卫生服务的需求在数量上和质量上的要求越来越多,呼市地区的现状与百姓和社会发展的多样化需求存在差距。本文通过描述呼和浩特地域内公立医院的医疗卫生公共服务的现状,应用公共管理的理论分析问题和原因,提出改进的对策。公共管理理论中医疗卫生公共服务在性质上属于公共物品,本文应用描述法、实地调研法、问卷调查法等方法,以政府提供公共物品的视角,重点从政府提供医疗卫生公共服务过程中职能的发挥、医疗卫生资源的提供、公立医院现状、医疗卫生管理体制等方面进行分析,借鉴先进地区的先进做法,针对呼市地区现状提出对策。提升医疗卫生公共服务,政府要发挥好主导作用,合理配置区域内资源、转变财政支出的结构、引入更多的社会力量提供医疗卫生公共服务、在蒙医药发展上投入更多力量。提升医疗卫生公共服务,要整合医疗信息,搭建公共服务平台、可以科学实施预约诊疗、拓展信息平台服务范围、提供信息化结算支付方式。提升医疗卫生公共服务,要细化公立医院的管理,灵活调配院内医疗资源、为社区居民配备家庭医生、推动医生多点执业、合理设置三级医院的学科、提供良好的就医环境。提升医疗卫生公共服务,要建立有激励作用的人才管理机制,调整医疗技术人员的收入结构、优化人才培养和管理、合理配置医疗技术人员、实施有效的激励措施。提升医疗卫生公共服务,要向深层次推动医药卫生体制改革,突破公立医院原有的管理机制、落实绩效考核制度、提供安全的药事管理保障、建立上级医院和下级医院相配合的连续诊疗流程。
[Abstract]:Public health service is a problem of people's livelihood is closely related to every citizen, the party and the country has always attached great importance. With the material and spiritual life satisfaction, based on the pursuit of quality of life, people pay more and more attention to the health service supply level. Public health service system in Hohhot city is relatively perfect as the capital city, is in the leading position in the twelve cities of the autonomous region. Because of the growing demand in quantity and quality of the demand for medical and public health services, there is a gap in Hohhot is with the people and social development of the diverse needs. This paper described the present situation of public health service in Hohhot region in public hospitals, the theoretical analysis of the problems and causes the application of public management, put forward the improvement countermeasures. Public management theory public health Total service belongs to the public goods in nature, using the description method, field survey method, questionnaire survey method, to provide public goods from the perspective of government functions, the focus from government provide public health service in the course of the play, to provide medical and health resources, public hospitals, health management system etc. The analysis, draw lessons from the advanced area, puts forward the countermeasures against the status quo. Hohhot enhance public health service, the government should play the leading role, the rational allocation of resources within the region, changes in the structure of fiscal expenditure, the introduction of more social forces to provide public health services, to put more power in the development of Mongolian medicine to improve health. The public service, to integrate medical information public service platform, the scientific implementation of reservation, expand the scope of service information platform to provide information. Is the mode of payment. To enhance public health service, to refine the public hospital management, flexible allocation of medical resources in hospitals, community residents with a family doctor, doctor to promote more practice, a reasonable set of three hospital discipline, provide a good environment for medical treatment. Improve public health services, to establish a talent management incentive mechanism the role of income structure adjustment of medical technical personnel and management personnel training, optimization, rational allocation of medical technical personnel, the implementation of effective incentive measures. Improve public health services, to promote the deep reform of the medical and health system, break the original management mechanism of public hospitals, the implementation of the performance appraisal system, to provide security for the pharmacy management security, continuous treatment process to establish hospital and lower hospital matched.

【学位授予单位】：内蒙古大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.3

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