【摘要】：由于城鄉(xiāng)醫(yī)療衛(wèi)生資源分配不均,農(nóng)村無(wú)論是在醫(yī)療服務(wù)的基礎(chǔ)設(shè)施方面,還是在醫(yī)療服務(wù)水平方面,與城市相比有很大差距。為了解決農(nóng)村群眾“看病難,看病貴”等問(wèn)題,2009年國(guó)家頒布了新醫(yī)改方案,提出健全基層醫(yī)療衛(wèi)生服務(wù)體系,提高基本醫(yī)療衛(wèi)生服務(wù)的可及性,每村有一所規(guī)范化村衛(wèi)生室。河北省政府貫徹新醫(yī)改精神,2012年加大標(biāo)準(zhǔn)化村衛(wèi)生室建設(shè)力度,定興縣作為河北省醫(yī)改試點(diǎn)推進(jìn)縣,規(guī)定每村建設(shè)一所標(biāo)準(zhǔn)化村衛(wèi)生室。本文以定興縣標(biāo)準(zhǔn)化村衛(wèi)生室為調(diào)查對(duì)象,采用實(shí)地觀察、問(wèn)卷調(diào)查和訪(fǎng)談的方法,對(duì)標(biāo)準(zhǔn)化村衛(wèi)生室建設(shè)情況進(jìn)行調(diào)查分析。通過(guò)對(duì)調(diào)查問(wèn)卷和訪(fǎng)談?dòng)涗浾戆l(fā)現(xiàn),定興縣在標(biāo)準(zhǔn)化村衛(wèi)生室建設(shè)和管理方面積累了一定的實(shí)踐經(jīng)驗(yàn),如政府部門(mén)建立了良好的工作機(jī)制；鄉(xiāng)鎮(zhèn)干部和村干部在建設(shè)過(guò)程中發(fā)揮了重要作用；積極整合衛(wèi)生資源,推進(jìn)鄉(xiāng)村衛(wèi)生服務(wù)一體化管理；注重醫(yī)德教育,提升標(biāo)準(zhǔn)化村衛(wèi)生室的服務(wù)質(zhì)量。同時(shí)也發(fā)現(xiàn)了標(biāo)準(zhǔn)化村衛(wèi)生室在前期投入階段、中期運(yùn)行階段、后期管理方面的一些問(wèn)題,如村衛(wèi)生室布局不合理、資金投入規(guī)模不足、資金投入結(jié)構(gòu)不合理、一體化管理不完善等。針對(duì)存在的問(wèn)題,運(yùn)用公共產(chǎn)品理論,財(cái)政分權(quán)理論和新公共管理理論對(duì)這些問(wèn)題進(jìn)行分析,最后從政府視角出發(fā),在政府籌資、政府決策和政府管理方面提出一些對(duì)策,為促進(jìn)標(biāo)準(zhǔn)化村衛(wèi)生室更好地發(fā)展提供一點(diǎn)借鑒經(jīng)驗(yàn)。
[Abstract]:Due to the uneven distribution of medical and health resources in urban and rural areas, there is a big gap between rural areas and cities in terms of the infrastructure of medical services or the level of medical services. In order to solve the problem of "difficult to see a doctor and expensive to see a doctor" in rural areas, the government promulgated a new medical reform plan in 2009, which proposed to improve the basic medical and health service system and improve the accessibility of basic medical and health services. Each village has a standardized village health office. Hebei provincial government carried out the spirit of new medical reform, increased the construction of standardized village clinics in 2012, and Dingxing County, as a pilot county in Hebei Province, stipulated the construction of a standardized village clinic for each village. Taking the standardized village clinic in Dingxing County as the investigation object, the construction of the standardized village clinic was investigated and analyzed by the methods of field observation, questionnaire investigation and interview. Through the questionnaire and interview records, it is found that Dingxing County has accumulated some practical experience in the construction and management of standardized village clinics, such as the establishment of good working mechanism by government departments; Township cadres and village cadres played an important role in the construction process; actively integrate health resources, promote the integrated management of rural health services; pay attention to medical ethics education, improve the service quality of standardized village clinics. At the same time, we also found some problems in the management of standardized village clinics in the early stage, the middle stage of operation and the later stage of management. For example, the layout of the village clinics is unreasonable, the scale of capital input is insufficient, and the structure of capital investment is unreasonable. The integration management is not perfect and so on. Aiming at the existing problems, this paper analyzes these problems by using the theory of public goods, the theory of fiscal decentralization and the theory of new public management. Finally, from the perspective of the government, it puts forward some countermeasures in the aspects of government financing, government decision-making and government management. To promote the development of standardized village clinics to provide some reference experience.
【學(xué)位授予單位】：西南交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R197.62

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李彬;楊潔敏;;基于社會(huì)角色理論的村衛(wèi)生室定位方法研究[J];華中科技大學(xué)學(xué)報(bào)(社會(huì)科學(xué)版);2009年02期

2 陽(yáng)華兵;;四川省村衛(wèi)生室建設(shè)現(xiàn)狀分析及對(duì)策研究[J];經(jīng)濟(jì)研究導(dǎo)刊;2009年08期

3 孫石金;中心村衛(wèi)生室創(chuàng)建中的幾點(diǎn)做法[J];江蘇衛(wèi)生保健;2001年02期

4 方曉利,周業(yè)安;財(cái)政分權(quán)理論述評(píng)[J];教學(xué)與研究;2001年03期

5 中國(guó)區(qū)域衛(wèi)生規(guī)劃考察團(tuán);他山之石 可以攻玉——日本、澳大利亞區(qū)域衛(wèi)生規(guī)劃考察報(bào)告[J];中國(guó)衛(wèi)生經(jīng)濟(jì);2000年09期

6 鐘文娟;李彬;王仕美;楊潔敏;李利麗;陳惠榮;;不同經(jīng)濟(jì)地區(qū)村民對(duì)村衛(wèi)生室反應(yīng)性的調(diào)查分析[J];中國(guó)衛(wèi)生經(jīng)濟(jì);2010年06期

7 宋曉霞;王曉燕;彭迎春;彭煒;;村衛(wèi)生室現(xiàn)狀分析及建議:基于北京市H區(qū)的實(shí)地研究[J];中國(guó)衛(wèi)生質(zhì)量管理;2011年03期

8 黃漸青;王睿;何紅燕;;羅江縣農(nóng)村居民對(duì)村衛(wèi)生室認(rèn)同度的調(diào)查[J];現(xiàn)代預(yù)防醫(yī)學(xué);2011年09期

9 張旭平;呂兆豐;王曉燕;彭迎春;彭煒;宋曉霞;;北京市H區(qū)村衛(wèi)生室發(fā)展中的政策保障性因素分析[J];醫(yī)學(xué)與社會(huì);2012年04期

10 呂兆豐;;摸天踩地 全面創(chuàng)新農(nóng)村醫(yī)藥衛(wèi)生人才培養(yǎng)模式[J];中國(guó)高等教育;2008年07期

相關(guān)重要報(bào)紙文章 前1條

1 本報(bào)記者 童海華 季曉莉;[N];中國(guó)經(jīng)濟(jì)導(dǎo)報(bào);2009年

，

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