鄭州市推行社保健身一卡通的可行性及運(yùn)行模式研究
發(fā)布時(shí)間：2019-05-23 02:30
【摘要】：在2016年8月召開的全國衛(wèi)生與健康大會(huì)上,習(xí)近平總書記出席并發(fā)表重要講話。他強(qiáng)調(diào):沒有全民健康,就沒有全面的小康。要把人民健康放在優(yōu)先發(fā)展的戰(zhàn)略地位。以普及健康生活、優(yōu)化健康服務(wù)、完善健康保障、發(fā)展健康產(chǎn)業(yè)為重點(diǎn)、加快推進(jìn)健康中國建設(shè)。習(xí)總書記提出了大健康、大體育、大衛(wèi)生的健康理念,讓體育和醫(yī)療成為推動(dòng)健康中國的共同動(dòng)力。社保健身一卡通即持卡人在買藥、看病的同時(shí),資金余額也可以去定點(diǎn)健身場所健身消費(fèi)。將體育、醫(yī)療與社會(huì)保障三者相結(jié)合,增加了社�？ǖ氖褂霉δ芘c支付范圍。我的導(dǎo)師鄭州市政協(xié)委員張?jiān)淌?從2014年到2016年在鄭州市政協(xié)會(huì)議上曾先后三次提出了此項(xiàng)提案,鄭州市主管部門以在政策層面缺乏法律依據(jù)、管理體系構(gòu)建與有效進(jìn)行機(jī)制需要進(jìn)一步論證為由,至今未全面啟動(dòng)此項(xiàng)工作。鄭州市社保局委托提案人承擔(dān)部分可行性調(diào)研工作,為鄭州市政府相關(guān)決策提供參考。鄭州市市民高度關(guān)注此項(xiàng)惠民政策,急切期待這項(xiàng)政策的實(shí)施。同時(shí),在調(diào)研過程中市民希望鄭州市在借鑒其它省份推行經(jīng)驗(yàn)的基礎(chǔ)上有所創(chuàng)新,提升健身場所延伸服務(wù)的功能,對持卡人建立運(yùn)動(dòng)功能檔案,通過定期開展運(yùn)動(dòng)功能篩查,出具相應(yīng)的運(yùn)動(dòng)處方,有針對性的進(jìn)行科學(xué)健身,做到從形式到內(nèi)容上真正的體醫(yī)結(jié)合。本文通過文獻(xiàn)資料法、訪談法、問卷調(diào)查法、個(gè)案研究法和數(shù)理統(tǒng)計(jì)法對體醫(yī)結(jié)合模式下鄭州市推行社保健身一卡通可行性及運(yùn)行模式進(jìn)行了分析和研究,得出以下結(jié)論:一體醫(yī)結(jié)合對推進(jìn)健康中國建設(shè)具有重要意義。體育與醫(yī)療結(jié)合的模式是將傳統(tǒng)的以藥物治療為主向健康預(yù)防的方式轉(zhuǎn)變,由體育學(xué)科提供手段和方法,醫(yī)學(xué)學(xué)科提供思路和路徑,把防病關(guān)口前移,從而達(dá)到一種增強(qiáng)人民體質(zhì),沒病防病和儲(chǔ)蓄健康的目的,它對于推進(jìn)健康中國建設(shè)具有重要的意義。二社保健身一卡通是體醫(yī)結(jié)合的有效平臺。社保健身一卡通在全國許多城市已經(jīng)成功實(shí)施,這一平臺將體育、醫(yī)療與社會(huì)保障三者相結(jié)合,這一模式得到了社會(huì)各界的普遍認(rèn)可。通過對全國首個(gè)推行城市蘇州和山東試點(diǎn)城市泰安的系統(tǒng)研究發(fā)現(xiàn),此項(xiàng)惠民政策受到社會(huì)各界普遍歡迎。它帶動(dòng)和提高了人們的鍛煉意識和參加體育運(yùn)動(dòng)的機(jī)會(huì),提高了體育人口的總量,在增加人們體質(zhì)的同時(shí),也在一定程度上影響和改變了人們的生活方式和生活習(xí)慣,對拉動(dòng)當(dāng)?shù)氐捏w育消費(fèi)和體育產(chǎn)業(yè)的發(fā)展也起到了積極的作用。三鄭州市具備推行“社保健身一卡通”的基礎(chǔ)條件。鄭州市中心五城區(qū)共有大小不等的健身場館195家,其中規(guī)模超過1000平方米以上的健身場館達(dá)到30家,綜合條件和基礎(chǔ)設(shè)施符合健身人群的需求,為鄭州市推行“社保健身一卡通”奠定了良好的硬件基礎(chǔ)。市民迫切希望盡早在鄭州市推行此項(xiàng)惠民政策。研究認(rèn)為,鄭州市目前具備實(shí)施的必要性和可行性。四構(gòu)建“鍛煉-測試-評價(jià)-指導(dǎo)”為一體的體醫(yī)結(jié)合新體系。鄭州模式在實(shí)施的過程中,增加健身場所延伸服務(wù)的能力,要求掛牌單位為持卡人群建立運(yùn)動(dòng)功能健康檔案,定期組織進(jìn)行運(yùn)動(dòng)功能篩查,通過科學(xué)評價(jià),出具運(yùn)動(dòng)處方,指導(dǎo)人們有針對性的科學(xué)健身。力求逐步形成“鍛煉”-“測試”-“評價(jià)”-“指導(dǎo)”為一體的健康管理服務(wù)新體系。通過調(diào)研發(fā)現(xiàn):健身指導(dǎo)從業(yè)人員中普遍存在的問題是:(1)健身教練的指導(dǎo)能力還停留在教動(dòng)作、練肌肉的層面(2)不具備制定個(gè)性化健身訓(xùn)練方案的能力(3)不能對健身人群做出運(yùn)動(dòng)能力評價(jià)(4)沒有出具運(yùn)動(dòng)處方的能力。
[Abstract]:At the National Conference on Health and Health, held in August 2016, General Secretary Xi Jinping attended and delivered an important speech. He stressed that there was no comprehensive well-off in the absence of universal health. It is important to put the people's health in the strategic position of development. In order to spread the healthy life, optimize the health service, improve the health guarantee, develop the health industry as the key, and accelerate the construction of the healthy China. The general secretary put forward the concept of health, sports and health, and made sport and medical treatment a common power to promote healthy China. The social security body-building one-card, that is, the cardholder is at the same time of buying medicine and seeing the doctor, the fund balance can also go to the body-building consumption of the fixed-point body-building site. The combination of sports, medical and social security has increased the use function and the payment range of the social insurance card. This proposal has been raised three times from 2014 to 2016 in the Zhengzhou Political Consultative Conference, and the construction of the management system and the effective mechanism need to be further demonstrated as a result of the lack of legal basis at the policy level, This work has not been fully initiated to date. The Municipal Bureau of Social Protection of Zhengzhou City has entrusted the sponsor to undertake some of the feasibility research work, and provide reference for the relevant decision-making of the municipal government of Zhengzhou. The city of Zhengzhou is highly concerned about the people's policy and is eager to look forward to the implementation of this policy. At the same time, in the course of the investigation, the public wants the Zhengzhou to innovate on the basis of reference to the experience in other provinces, improve the function of the extension service of the body-building site, establish a sports function file for the cardholder, and issue the corresponding sports prescription through regular exercise function screening, The aim is to carry out the scientific body-building, so as to combine the real physical medicine from the form to the content. This paper analyzes and studies the feasibility and operation mode of social security and fitness in Zhengzhou under the combination of literature, interview, questionnaire, case study and mathematical statistics. The following conclusions are drawn: The combination of integrated medicine is of great significance to the construction of healthy China. the mode of combining the sports and the medical treatment is to transform the traditional medicine treatment to the health prevention mode, provide the means and the method of the physical education subject, provide the train of thought and the path of the medical science subject, advance the disease prevention gate, It is of great significance to promote healthy Chinese construction for the purpose of disease prevention and saving health. The second social security body-building one-card is the effective platform of the combination of the body and medicine. The social security and health-care one-in-one card has been successfully implemented in many cities throughout the country, and the platform combines sports, medical and social security, which has been widely accepted by all sectors of the society. Through a systematic study of the first pilot city of Suzhou and Shandong, the people's policy has been widely welcomed by all sectors of the society. It drives and improves the people's exercise consciousness and the opportunity to take part in sports, improves the total amount of the sports population, and also influences and changes people's life style and living habits to a certain extent while increasing the physical constitution of people, It also plays an active role in the development of local sports consumption and sports industry. Third, Zhengzhou has the basic conditions for implementing the "Health-care one-card for social security". In the five urban areas of Zhengzhou, there are 195 health-care venues with different sizes, among which, the fitness venues with a scale of more than 1000 square meters reach 30, the comprehensive conditions and the infrastructure meet the requirements of the body-building population, and a good hardware foundation is laid for Zhengzhou's implementation of the "One-Card" for Social Security. The public is eager to implement the people's policy in Zhengzhou as soon as possible. The research shows that Zhengzhou has the necessity and feasibility of implementation. And the four-step construction of the "Exercise-Test-Evaluation-Guidance"-based body medicine combined with the new system. In the process of implementation, the Zhengzhou model increases the ability of the body-building site extension service, and requires the listed company to set up a sports function health file for the cardholder group, regularly organize the exercise function screening, and issue a sports prescription through the scientific evaluation, and guide the people to have the targeted scientific body-building. To gradually form a new "exercise"-"test"-"evaluation"-"guide"-integrated health management service new system. The research has found that: (1) The coach's guiding ability is still in the teaching action. The level of exercise muscle (2) does not have the ability to develop a personalized fitness training program (3). The exercise capacity evaluation (4) of the body-building population cannot be evaluated (4) without the ability to issue a sports prescription.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：G812.7
[Abstract]:At the National Conference on Health and Health, held in August 2016, General Secretary Xi Jinping attended and delivered an important speech. He stressed that there was no comprehensive well-off in the absence of universal health. It is important to put the people's health in the strategic position of development. In order to spread the healthy life, optimize the health service, improve the health guarantee, develop the health industry as the key, and accelerate the construction of the healthy China. The general secretary put forward the concept of health, sports and health, and made sport and medical treatment a common power to promote healthy China. The social security body-building one-card, that is, the cardholder is at the same time of buying medicine and seeing the doctor, the fund balance can also go to the body-building consumption of the fixed-point body-building site. The combination of sports, medical and social security has increased the use function and the payment range of the social insurance card. This proposal has been raised three times from 2014 to 2016 in the Zhengzhou Political Consultative Conference, and the construction of the management system and the effective mechanism need to be further demonstrated as a result of the lack of legal basis at the policy level, This work has not been fully initiated to date. The Municipal Bureau of Social Protection of Zhengzhou City has entrusted the sponsor to undertake some of the feasibility research work, and provide reference for the relevant decision-making of the municipal government of Zhengzhou. The city of Zhengzhou is highly concerned about the people's policy and is eager to look forward to the implementation of this policy. At the same time, in the course of the investigation, the public wants the Zhengzhou to innovate on the basis of reference to the experience in other provinces, improve the function of the extension service of the body-building site, establish a sports function file for the cardholder, and issue the corresponding sports prescription through regular exercise function screening, The aim is to carry out the scientific body-building, so as to combine the real physical medicine from the form to the content. This paper analyzes and studies the feasibility and operation mode of social security and fitness in Zhengzhou under the combination of literature, interview, questionnaire, case study and mathematical statistics. The following conclusions are drawn: The combination of integrated medicine is of great significance to the construction of healthy China. the mode of combining the sports and the medical treatment is to transform the traditional medicine treatment to the health prevention mode, provide the means and the method of the physical education subject, provide the train of thought and the path of the medical science subject, advance the disease prevention gate, It is of great significance to promote healthy Chinese construction for the purpose of disease prevention and saving health. The second social security body-building one-card is the effective platform of the combination of the body and medicine. The social security and health-care one-in-one card has been successfully implemented in many cities throughout the country, and the platform combines sports, medical and social security, which has been widely accepted by all sectors of the society. Through a systematic study of the first pilot city of Suzhou and Shandong, the people's policy has been widely welcomed by all sectors of the society. It drives and improves the people's exercise consciousness and the opportunity to take part in sports, improves the total amount of the sports population, and also influences and changes people's life style and living habits to a certain extent while increasing the physical constitution of people, It also plays an active role in the development of local sports consumption and sports industry. Third, Zhengzhou has the basic conditions for implementing the "Health-care one-card for social security". In the five urban areas of Zhengzhou, there are 195 health-care venues with different sizes, among which, the fitness venues with a scale of more than 1000 square meters reach 30, the comprehensive conditions and the infrastructure meet the requirements of the body-building population, and a good hardware foundation is laid for Zhengzhou's implementation of the "One-Card" for Social Security. The public is eager to implement the people's policy in Zhengzhou as soon as possible. The research shows that Zhengzhou has the necessity and feasibility of implementation. And the four-step construction of the "Exercise-Test-Evaluation-Guidance"-based body medicine combined with the new system. In the process of implementation, the Zhengzhou model increases the ability of the body-building site extension service, and requires the listed company to set up a sports function health file for the cardholder group, regularly organize the exercise function screening, and issue a sports prescription through the scientific evaluation, and guide the people to have the targeted scientific body-building. To gradually form a new "exercise"-"test"-"evaluation"-"guide"-integrated health management service new system. The research has found that: (1) The coach's guiding ability is still in the teaching action. The level of exercise muscle (2) does not have the ability to develop a personalized fitness training program (3). The exercise capacity evaluation (4) of the body-building population cannot be evaluated (4) without the ability to issue a sports prescription.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：G812.7
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