醫(yī)療服務(wù)供需矛盾背景下中國(guó)醫(yī)生集團(tuán)發(fā)展模式與對(duì)策研究
發(fā)布時(shí)間：2019-04-22 09:45
【摘要】：隨著我國(guó)老齡化進(jìn)程的加快,醫(yī)療服務(wù)供需矛盾不斷加劇,如何促進(jìn)醫(yī)療資源的合理配置和有效利用,滿足人們不斷增長(zhǎng)的醫(yī)療服務(wù)需求,成為醫(yī)改的重大難題。人才的競(jìng)爭(zhēng)是醫(yī)療市場(chǎng)競(jìng)爭(zhēng)的根源,同樣衛(wèi)生人才也是攻克醫(yī)改難題的重要因素。面對(duì)目前不同級(jí)別醫(yī)院人力資源的差異,如何利用多點(diǎn)執(zhí)業(yè)、分級(jí)診療政策來引導(dǎo)人力資源合理流動(dòng)是解決中國(guó)醫(yī)療資源不平衡和人們?nèi)找嬖鲩L(zhǎng)的醫(yī)療需求這一矛盾的舉措。此次課題以多點(diǎn)執(zhí)業(yè)新政策為著眼點(diǎn),針對(duì)醫(yī)師多點(diǎn)執(zhí)業(yè)的新現(xiàn)象—醫(yī)生集團(tuán)進(jìn)行研究,目的是了解中國(guó)醫(yī)生集團(tuán)產(chǎn)生的背景,從政策、技術(shù)、社會(huì)等角度分析中國(guó)醫(yī)生集團(tuán)發(fā)展面臨的復(fù)雜環(huán)境,通過中美兩國(guó)醫(yī)生集團(tuán)發(fā)展現(xiàn)狀的比較,明確不同醫(yī)生集團(tuán)的發(fā)展模式和特點(diǎn),找到現(xiàn)階段中國(guó)醫(yī)生集團(tuán)存在的問題,并針對(duì)問題提出可能的對(duì)策與建議,為未來中國(guó)醫(yī)生集團(tuán)的發(fā)展提供路徑參考,進(jìn)而為中國(guó)醫(yī)改提供新的思路。醫(yī)生集團(tuán)是在當(dāng)前醫(yī)改進(jìn)入瓶頸期后,醫(yī)生從自身出發(fā)探索醫(yī)改的新思路,在一定程度上對(duì)促進(jìn)衛(wèi)生人才的跨區(qū)域、跨地域合理流動(dòng),提高醫(yī)療資源的配置效率,解決中國(guó)醫(yī)療資源不平衡和人們?nèi)找嬖黾拥慕】滇t(yī)療需求之間的矛盾,更好為群眾提供安全、有效、方便、價(jià)廉的醫(yī)療服有重要意義。此次研究運(yùn)用文獻(xiàn)法,對(duì)醫(yī)生集團(tuán)相關(guān)概念進(jìn)行界定,梳理醫(yī)生集團(tuán)產(chǎn)生背景和發(fā)展環(huán)境;通過中美兩國(guó)醫(yī)生集團(tuán)的對(duì)比研究,明確不同政策環(huán)境下醫(yī)生集團(tuán)各自的發(fā)展模式及特點(diǎn);通過實(shí)證分析,以張強(qiáng)醫(yī)生集團(tuán)、大家醫(yī)聯(lián)、三甲醫(yī)生集團(tuán)為例重點(diǎn)分析中國(guó)醫(yī)生集團(tuán)現(xiàn)狀、存在的問題、制約其發(fā)展的因素及未來發(fā)展對(duì)策,為未來醫(yī)生集團(tuán)的發(fā)展提供借鑒參考。目前國(guó)內(nèi)對(duì)醫(yī)生集團(tuán)的研究主要是對(duì)個(gè)別醫(yī)生集團(tuán)現(xiàn)狀的簡(jiǎn)單贅述,研究角度不夠全面,研究?jī)?nèi)容不夠深刻,研究方法也不夠系統(tǒng)。筆者首次運(yùn)用文獻(xiàn)研究、對(duì)比研究、典型案例分析、歸納總結(jié)等多種方法對(duì)多個(gè)不同類型的醫(yī)生集團(tuán)進(jìn)行系統(tǒng)研究,將中國(guó)的醫(yī)生集團(tuán)按照體制劃分為體制內(nèi)醫(yī)生集團(tuán)、體制外醫(yī)生集團(tuán)、平臺(tái)型醫(yī)生集團(tuán),按照發(fā)展特色劃分為�？菩秃途C合型醫(yī)生集團(tuán)。分析得出現(xiàn)階段中國(guó)醫(yī)生集團(tuán)面臨的主要挑戰(zhàn)為現(xiàn)行人事制度的阻礙,內(nèi)部運(yùn)營(yíng)與外部監(jiān)管機(jī)制不明晰,品牌塑造缺乏群眾基礎(chǔ),運(yùn)營(yíng)管理能力有待提高,醫(yī)生集團(tuán)受眾有限,醫(yī)師進(jìn)入門檻高,盈利模式易于復(fù)制。對(duì)未來醫(yī)生集團(tuán)發(fā)展對(duì)策建議為推行醫(yī)療領(lǐng)域人事制度改革,完善醫(yī)保支付體系,促進(jìn)行業(yè)規(guī)范化,提升管理運(yùn)營(yíng)能力,促進(jìn)行業(yè)信息共享,實(shí)現(xiàn)診療技術(shù)精細(xì)化。本研究拓寬了前人的研究思路,深化了對(duì)醫(yī)生集團(tuán)的橫、縱面的系統(tǒng)研究,豐富了醫(yī)生集團(tuán)參與衛(wèi)生服務(wù)供給的相關(guān)理論基礎(chǔ),完善了醫(yī)生集團(tuán)未來發(fā)展模式的體系架構(gòu),對(duì)后續(xù)的相關(guān)研究具有一定的啟示和借鑒意義。
[Abstract]:With the acceleration of aging process in our country, the contradiction between supply and demand of medical services is becoming more and more serious. How to promote the rational allocation and effective use of medical resources and meet the growing demand for medical services has become a major problem in medical reform. Talent competition is the root of medical market competition, the same health personnel is also an important factor to overcome the difficult problems of medical reform. Facing the difference of human resources in different hospitals at present, how to use multi-practice and grade diagnosis and treatment policy to guide the reasonable flow of human resources is a measure to solve the contradiction between the imbalance of medical resources in China and the increasing medical demand of people. This subject focuses on the new multi-point practice policy, and studies the new phenomenon of doctors' multi-practice-the doctor group, in order to understand the background of the emergence of the Chinese doctor group, from the policy, the technology, From the angle of society and other aspects, this paper analyzes the complex environment facing the development of Chinese doctor group, through the comparison of the current development situation between China and the United States, clarifies the development mode and characteristics of different doctor groups, and finds out the problems existing in the present stage of Chinese doctor group. It also puts forward some possible countermeasures and suggestions for the future development of Chinese medical group, and then provides a new way of thinking for Chinese medical reform. Doctor group is a new way to explore medical reform from its own perspective after the current medical reform has entered the bottleneck period, to a certain extent, to promote the cross-regional, cross-regional rational flow of health personnel, and to improve the efficiency of the allocation of medical resources. It is of great significance to solve the contradiction between the imbalance of medical resources in China and the increasing demand for health care, so as to provide the masses with safe, effective, convenient and inexpensive medical clothes. This study uses the literature method to define the relevant concepts of doctor group, and to sort out the background and development environment of doctor group. Through a comparative study between China and the United States, the development patterns and characteristics of doctors' groups in different policy environments are clarified. Through empirical analysis, taking Dr. Zhang Qiang Group, Medical Association and three-member Medical Group as examples, this paper focuses on analyzing the current situation, existing problems, factors restricting its development and countermeasures for future development of China Doctor Group. To provide a reference for the future development of doctor group. At present, the research of doctor group in our country is mainly about the current situation of individual doctors group. The research angle is not comprehensive enough, the research content is not deep enough, and the research method is not enough systematic. For the first time, the author uses many methods, such as literature research, comparative study, typical case analysis, summary and so on, to systematically study many different types of doctors' groups, and divides the Chinese doctors' groups into within-system doctors' groups according to the system. Outside the system doctor group, platform type doctor group, according to the development characteristic divides into the specialized type and the comprehensive type doctor group. The main challenges faced by the Chinese doctors group in the emerging stage are the obstruction of the current personnel system, the unclear internal operation and external supervision mechanism, the lack of mass foundation for brand building, the need to improve the ability of operation and management, and the limited audience of the doctor group. Doctors have a high threshold for entry and the profit model is easy to replicate. The countermeasures for the future development of medical group are to carry out the reform of medical personnel system, perfect the payment system of medical insurance, promote the standardization of the industry, enhance the ability of management and operation, promote the sharing of information in the industry, and realize the fine technology of diagnosis and treatment. This research broadens the former research ideas, deepens the systematic research on the horizontal and vertical aspects of the doctors group, enriches the relevant theoretical basis of the doctor group's participation in the supply of health services, and consummates the system structure of the future development model of the doctor group. It has some enlightenment and reference significance to the follow-up related research.
【學(xué)位授予單位】：南方醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R197.1
本文編號(hào)：2462735
[Abstract]:With the acceleration of aging process in our country, the contradiction between supply and demand of medical services is becoming more and more serious. How to promote the rational allocation and effective use of medical resources and meet the growing demand for medical services has become a major problem in medical reform. Talent competition is the root of medical market competition, the same health personnel is also an important factor to overcome the difficult problems of medical reform. Facing the difference of human resources in different hospitals at present, how to use multi-practice and grade diagnosis and treatment policy to guide the reasonable flow of human resources is a measure to solve the contradiction between the imbalance of medical resources in China and the increasing medical demand of people. This subject focuses on the new multi-point practice policy, and studies the new phenomenon of doctors' multi-practice-the doctor group, in order to understand the background of the emergence of the Chinese doctor group, from the policy, the technology, From the angle of society and other aspects, this paper analyzes the complex environment facing the development of Chinese doctor group, through the comparison of the current development situation between China and the United States, clarifies the development mode and characteristics of different doctor groups, and finds out the problems existing in the present stage of Chinese doctor group. It also puts forward some possible countermeasures and suggestions for the future development of Chinese medical group, and then provides a new way of thinking for Chinese medical reform. Doctor group is a new way to explore medical reform from its own perspective after the current medical reform has entered the bottleneck period, to a certain extent, to promote the cross-regional, cross-regional rational flow of health personnel, and to improve the efficiency of the allocation of medical resources. It is of great significance to solve the contradiction between the imbalance of medical resources in China and the increasing demand for health care, so as to provide the masses with safe, effective, convenient and inexpensive medical clothes. This study uses the literature method to define the relevant concepts of doctor group, and to sort out the background and development environment of doctor group. Through a comparative study between China and the United States, the development patterns and characteristics of doctors' groups in different policy environments are clarified. Through empirical analysis, taking Dr. Zhang Qiang Group, Medical Association and three-member Medical Group as examples, this paper focuses on analyzing the current situation, existing problems, factors restricting its development and countermeasures for future development of China Doctor Group. To provide a reference for the future development of doctor group. At present, the research of doctor group in our country is mainly about the current situation of individual doctors group. The research angle is not comprehensive enough, the research content is not deep enough, and the research method is not enough systematic. For the first time, the author uses many methods, such as literature research, comparative study, typical case analysis, summary and so on, to systematically study many different types of doctors' groups, and divides the Chinese doctors' groups into within-system doctors' groups according to the system. Outside the system doctor group, platform type doctor group, according to the development characteristic divides into the specialized type and the comprehensive type doctor group. The main challenges faced by the Chinese doctors group in the emerging stage are the obstruction of the current personnel system, the unclear internal operation and external supervision mechanism, the lack of mass foundation for brand building, the need to improve the ability of operation and management, and the limited audience of the doctor group. Doctors have a high threshold for entry and the profit model is easy to replicate. The countermeasures for the future development of medical group are to carry out the reform of medical personnel system, perfect the payment system of medical insurance, promote the standardization of the industry, enhance the ability of management and operation, promote the sharing of information in the industry, and realize the fine technology of diagnosis and treatment. This research broadens the former research ideas, deepens the systematic research on the horizontal and vertical aspects of the doctors group, enriches the relevant theoretical basis of the doctor group's participation in the supply of health services, and consummates the system structure of the future development model of the doctor group. It has some enlightenment and reference significance to the follow-up related research.
【學(xué)位授予單位】：南方醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R197.1
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 嚴(yán)善梅;黃海;;新形勢(shì)下醫(yī)生集團(tuán)發(fā)展模式探討[J];醫(yī)學(xué)與哲學(xué)(A);2016年09期
2 王娜;;醫(yī)師多點(diǎn)執(zhí)業(yè)合理結(jié)構(gòu)模式初探[J];醫(yī)學(xué)與哲學(xué)(A);2016年09期
3 闞凱;石悅;;論醫(yī)師多點(diǎn)執(zhí)業(yè)中醫(yī)方的法律風(fēng)險(xiǎn)與防控[J];醫(yī)學(xué)與哲學(xué)(A);2016年09期
4 嚴(yán)善梅;黃海;;新形勢(shì)下醫(yī)生集團(tuán)發(fā)展現(xiàn)狀及存在的問題探討[J];醫(yī)學(xué)與社會(huì);2016年08期
5 李沛;張維斌;蔣琳;蒲川;;基于公共產(chǎn)品理論的醫(yī)療機(jī)構(gòu)分類發(fā)展改革研究[J];中國(guó)衛(wèi)生事業(yè)管理;2016年07期
6 劉會(huì)鳳;;美國(guó)醫(yī)生薪酬水平的現(xiàn)狀分析和啟示[J];科技經(jīng)濟(jì)導(dǎo)刊;2016年10期
7 丁姿;;我國(guó)醫(yī)療服務(wù)供給方式的變遷與改革路徑[J];宏觀經(jīng)濟(jì)管理;2016年03期
8 劉文生;;醫(yī)生集團(tuán)“高開低走”[J];中國(guó)醫(yī)院院長(zhǎng);2016年01期
9 劉雨辰;;羊群效應(yīng)研究路徑初探[J];現(xiàn)代商業(yè);2015年35期
10 王朝君;;醫(yī)生集團(tuán) 才起步 走多遠(yuǎn)?[J];中國(guó)衛(wèi)生;2015年11期
相關(guān)重要報(bào)紙文章 前2條
1 劉忠良;;以“互聯(lián)網(wǎng)+”推動(dòng)醫(yī)藥產(chǎn)業(yè)升級(jí)[N];中國(guó)醫(yī)藥報(bào);2015年
2 姚常房;;“體制內(nèi)醫(yī)生集團(tuán)”是盤什么菜[N];健康報(bào);2015年
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