广东省推进社会资本办中医的现状与政策研究

发布时间：2018-04-24 20:36

本文选题：社会资本办中医 + 社会资本办医　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:推进社会资本办中医有利于中医药事业发展、形成多元办医格局、满足人们的多层次卫生服务需求。广东省在建设"卫生强省"和"中医药强省"的基础上,积极推进社会资本办中医。本研究在梳理我国社会资本办医政策发展历程的基础上,对新医改以来广东省推进社会资本办中医的政策进行回顾和分类,评价分析广东省推进社会资本办中医的政策效果,提出广东省推进社会资本办中医的政策问题与建议。方法:采用文献分析法回顾总结国内外社会资本办医研究现状;应用公共政策分析法梳理我国社会资本办医政策的发展历程,对新医改以来广东省推进社会资本办中医政策进行回顾和分类;使用数理统计方法分析广东省推进社会资本办中医的现状。以卫生行政部门的相关人员和民营中医医疗机构的负责人为研究对象,调查广东省社会资本办中医开业发展现状;开展半结构式访谈,针对社会资本办中医政策的不足与需求,提出政策建议。结果:我国社会资本办医政策的发展历程可分为三个阶段:初步放开阶段(1978-1993年)、提倡发展阶段(1994-2008年)、战略扶持阶段(2009年至今)。回顾新医改以来广东省推进社会资本办中医政策,可将政策分为规划准入、资本费用、评审评定、人才支持、监督管理等五类。深圳市作为推进社会资本办中医的是试点城市,其政策建设具有一定的创新性和突破性。目前,广东省民营中医医院的卫生资源和运营情况逐年增长,但占中医医院总量和民营医院总量的比重偏低。广东省四个地区社会资本办医发展不平衡。广东省社会资本办中医开业发展总体难度大,社会资本举办中医医院和中医门诊部难度更大,应着重破除社会资本办中医的政策束缚。结论:广东省推进社会资本办中医仍面临着准入门槛存在"玻璃门"、社会资本引进中医的动力不足、卫生人才政策落地难、中医服务定价机制不合理、中医医疗服务项目医保报销限制多、税收政策有待突破放开、中医医疗服务监管体系不完善等方面的发展困境。提出打破准入"玻璃门"、提高社会资本办中医的积极性、多措施保障中医人才供给、完善中医服务定价机制、完善医保报销制度、放开税收政策、健全监督机制等发展对策。
[Abstract]:Objective: to promote the development of traditional Chinese medicine (TCM) with social capital, and to meet the needs of multi-level health services. Based on the construction of "strong health province" and "strong province of traditional Chinese medicine", Guangdong Province actively promotes social capital to run TCM. On the basis of combing the development course of social capital medical policy in our country, this study reviews and classifies the policies of promoting social capital office of traditional Chinese medicine in Guangdong Province since the new medical reform, and evaluates and analyzes the policy effect of promoting social capital office of traditional Chinese medicine in Guangdong Province. This paper puts forward the policy problems and suggestions of promoting social capital office of traditional Chinese medicine in Guangdong province. Methods: literature analysis method was used to review and summarize the current research situation of social capital medical treatment at home and abroad, and the public policy analysis method was used to sort out the development course of social capital medical treatment policy in China. This paper reviews and classifies the policies of promoting social capital office of traditional Chinese medicine in Guangdong Province since the new medical reform, and analyzes the present situation of promoting social capital office of traditional Chinese medicine in Guangdong Province by means of mathematical statistics. Taking the relevant personnel of the health administration department and the responsible persons of the private TCM medical institutions as the research objects, this paper investigates the current situation of the development of traditional Chinese medicine practice in the social capital office of Guangdong Province, carries out semi-structured interviews, and aims at the deficiencies and needs of the social capital office's TCM policy. Make policy recommendations. Results: the development process of social capital medical policy in China can be divided into three stages: preliminary opening stage from 1978 to 1993, advocating development stage from 1994 to 2008, and strategic support stage (from 2009 to present). Looking back on the policies of social capital office of traditional Chinese medicine in Guangdong Province since the new medical reform, the policies can be divided into five categories: access to planning, capital cost, evaluation and evaluation, talent support, supervision and management. Shenzhen as a pilot city to promote social capital management of TCM, its policy construction is innovative and breakthrough. At present, the health resources and operation of private traditional Chinese medicine hospitals in Guangdong Province are increasing year by year, but the proportion of the total amount of traditional Chinese medicine hospitals and private hospitals is on the low side. The development of social capital in four regions of Guangdong Province is unbalanced. It is very difficult for Guangdong Social Capital Office to open and develop Chinese medicine in general, and it is more difficult for social capital to organize TCM hospitals and outpatient departments of traditional Chinese Medicine, so it is necessary to break down the policy shackles of traditional Chinese Medicine in Social Capital Office. Conclusion: there are still "glass doors" at the entrance threshold for the promotion of social capital in Guangdong Province, the power of social capital to introduce traditional Chinese medicine is insufficient, the policy of health talents falls to the ground, and the pricing mechanism of traditional Chinese medicine service is unreasonable. Medical service items of TCM medical insurance reimbursement restrictions, tax policy to be broken open, Chinese medical services regulatory system is not perfect and other aspects of the development difficulties. The author puts forward some development countermeasures, such as breaking the "glass door", raising the enthusiasm of the social capital to do TCM medicine, protecting the supply of TCM talents, perfecting the pricing mechanism of TCM service, perfecting the medical insurance reimbursement system, opening up the tax policy and perfecting the supervision mechanism.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.1

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