本文關(guān)鍵詞：朝陽市政府在醫(yī)藥衛(wèi)生體制改革中的作用分析　出處：《大連理工大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 公共產(chǎn)品理論 醫(yī)藥衛(wèi)生體制改革 政府作用

【摘要】：看病難、看病貴是我國城市與農(nóng)村普遍存在的問題,醫(yī)療衛(wèi)生方面的矛盾近年來異常突出。為了切實(shí)解決上述矛盾,維護(hù)社會(huì)公平正義,我國2009年全面實(shí)施深化醫(yī)藥衛(wèi)生體制綜合改革,醫(yī)藥衛(wèi)生體制綜合改革是黨中央、國務(wù)院的重大決策,是加快醫(yī)藥衛(wèi)生事業(yè)發(fā)展、維護(hù)人民健康的重大民生工程。 在這樣的大背景之下,朝陽市作為遼寧省農(nóng)村面積最大農(nóng)業(yè)人口最多地級(jí)市,成為醫(yī)藥衛(wèi)生體制改革承上啟下的一個(gè)重要環(huán)節(jié),朝陽市政府也承擔(dān)著完成好改革任務(wù)的歷史使命。本次醫(yī)藥衛(wèi)生體制改革旨在堅(jiān)持公共衛(wèi)生醫(yī)療服務(wù)的公益性質(zhì),把基本醫(yī)療衛(wèi)生制度作為公共產(chǎn)品向全民提供,擯棄了過度市場(chǎng)化的做法,強(qiáng)化政府在基本醫(yī)療衛(wèi)生制度中的責(zé)任。因此落實(shí)好政府的財(cái)政投入責(zé)任,是醫(yī)改能否落實(shí)到位的關(guān)鍵性、經(jīng)濟(jì)性的基礎(chǔ)。同時(shí),改革牽扯多方利益,衛(wèi)生服務(wù)市場(chǎng)本身存在失靈現(xiàn)象,及利益驅(qū)動(dòng)機(jī)制、競(jìng)爭機(jī)制、供求機(jī)制、價(jià)格機(jī)制的局限性和弱點(diǎn)也決定政府還扮演監(jiān)督者和協(xié)調(diào)者的角色。本文從公共管理主體的角度出發(fā),分析朝陽市政府在全國醫(yī)藥衛(wèi)生體制改革的大背景下實(shí)施改革所面臨的問題和成因,并提出解決的方案。 本文作為公共管理案例分析型論文,分為四個(gè)章節(jié)：第一章緒論,提出研究朝陽市政府實(shí)施醫(yī)藥衛(wèi)生體制改革作用的背景和意義,評(píng)述國內(nèi)外研究的現(xiàn)狀,闡述案例論文研究的思路和方法；第二章案例背景,分析朝陽市政府實(shí)施醫(yī)藥衛(wèi)生體制改革的背景及初步進(jìn)展,分析案例發(fā)生的內(nèi)外部條件及環(huán)境,重點(diǎn)介紹案例中產(chǎn)生的問題；第三章案例分析,運(yùn)用公共管理相關(guān)理論分析問題,重點(diǎn)分析其內(nèi)在原因,并通過對(duì)比改革較為成功地區(qū)分析差距；第四章提出建議和解決方案,為朝陽市這類財(cái)政緊缺資源匱乏的地區(qū)提供具體的具有可參考價(jià)值的解決方案。
[Abstract]:Medical treatment is difficult and expensive is a common problem in cities and rural areas in China, medical and health contradictions in recent years are extremely prominent. In order to effectively solve the above contradictions, maintain social equity and justice. In 2009, China carried out the comprehensive reform of the medical and health system in an all-round way. Major people's livelihood projects to safeguard the people's health. In such a background Chaoyang as the largest rural area of Liaoning Province the largest agricultural population prefecture-level city has become an important link in the reform of the medical and health system. Chaoyang city government also undertakes the historical mission of completing the reform task. The medical and health system reform aims to adhere to the public nature of public health care services. To provide the basic medical and health system to the whole people as a public product, we have abandoned the excessive marketization and strengthened the responsibility of the government in the basic medical and health system. Therefore, we should carry out the responsibility of the government's financial input. It is the key to the implementation of medical reform and the basis of economy. At the same time, the reform involves various interests, the health service market itself has the phenomenon of failure, and the interest driven mechanism, competition mechanism, supply and demand mechanism. The limitations and weaknesses of the price mechanism also determine that the government also plays the role of supervisor and coordinator. This paper analyzes the problems and causes of the Chaoyang Municipal Government's implementation of the reform under the background of the reform of the national medical and health system, and puts forward some solutions. As a case study of public management, this paper is divided into four chapters: the first chapter is introduction, the background and significance of the research on the role of the Chaoyang Municipal Government in implementing the reform of the medical and health system, and comments on the current research situation at home and abroad. Expound the thought and method of case paper research; The second chapter is case background, analyzes the background and preliminary progress of Chaoyang city government to implement the reform of medical and health system, analyzes the internal and external conditions and environment of the case, and focuses on the problems arising in the case. The third chapter of the case analysis, the use of public management related theory analysis of problems, focusing on its internal reasons, and through the comparative analysis of the gap between the more successful areas of reform; Chapter 4th puts forward suggestions and solutions to provide specific solutions of reference value for the regions with scarce financial resources such as Chaoyang City.
【學(xué)位授予單位】：大連理工大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R197.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 馬蔡琛;社會(huì)轉(zhuǎn)型期政府職能轉(zhuǎn)變與公共管理改革[J];安徽大學(xué)學(xué)報(bào);2002年05期

2 李丹;;我國醫(yī)療現(xiàn)狀及改革方向[J];中國城市經(jīng)濟(jì);2011年02期

3 劉明慧;公共財(cái)政醫(yī)療衛(wèi)生投入問題分析[J];大連海事大學(xué)學(xué)報(bào)(社會(huì)科學(xué)版);2005年02期

4 劉繼同;;中國醫(yī)藥衛(wèi)生體制改革困境與“醫(yī)療財(cái)政學(xué)”問題[J];湖南社會(huì)科學(xué);2008年04期

5 張敏;陳銳;李寧秀;;中國公共衛(wèi)生財(cái)政資源分配公平性研究——基于社會(huì)剝奪的視角[J];公共管理學(xué)報(bào);2009年03期

6 馬慶鈺;關(guān)于我國政府職能體系的解釋[J];國家行政學(xué)院學(xué)報(bào);2003年05期

7 曹永文;;關(guān)于深化醫(yī)藥衛(wèi)生體制改革的思考[J];理論觀察;2009年06期

8 苗莉茹,顧理平;淺析衛(wèi)生體制改革現(xiàn)狀[J];青島醫(yī)藥衛(wèi)生;2005年02期

9 董虹;王玨;;我國醫(yī)療衛(wèi)生體制改革歷程及動(dòng)力機(jī)制[J];商業(yè)時(shí)代;2007年09期

10 費(fèi)朝暉;避免“美國式陷阱”——美國衛(wèi)生體制高投入低產(chǎn)出之謎及其啟示[J];中國衛(wèi)生經(jīng)濟(jì);1996年05期

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