本文關(guān)鍵詞： 基本醫(yī)療服務(wù) 均等化 偏離系數(shù) 離散系數(shù) 實(shí)現(xiàn)路徑　出處：《四川農(nóng)業(yè)大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：隨著國(guó)家醫(yī)療改革地不斷深入推進(jìn),群眾對(duì)醫(yī)療事業(yè)的需求也不斷改進(jìn),人民的生活水平也不斷提高,醫(yī)療衛(wèi)生事業(yè)加速發(fā)展,位于四川北部的廣元市,其城鎮(zhèn)醫(yī)療水平也隨著跟國(guó)家其他地區(qū)醫(yī)院,醫(yī)療需求服務(wù)不斷提升,但廣元地區(qū)當(dāng)前依然存在各式各樣的問題,而實(shí)現(xiàn)醫(yī)療服務(wù)的均等化、平等化是當(dāng)前國(guó)家完善醫(yī)療衛(wèi)生事業(yè)的支撐點(diǎn)。因此,探尋基本醫(yī)療服務(wù)中存在的問題,分析問題原因,提出妥善的解決方法,可以提高廣元市人民群眾享受醫(yī)療服務(wù)的水平,對(duì)促進(jìn)經(jīng)濟(jì)發(fā)展、更好地構(gòu)建和諧社會(huì)也具有重大意義。主要從以下幾個(gè)方面進(jìn)行開展：(1)了解廣元市基本醫(yī)療服務(wù)均等化的現(xiàn)狀。以公共產(chǎn)品理論、鄉(xiāng)村區(qū)域發(fā)展理論、公平正義理論為指導(dǎo),通過對(duì)廣元市醫(yī)療衛(wèi)生服務(wù)體系資源配置、基本醫(yī)療服務(wù)體系制度、醫(yī)療服務(wù)消費(fèi)現(xiàn)狀的了解,明晰廣元市在不同區(qū)域、不同群體以及相關(guān)機(jī)制設(shè)定等方面的現(xiàn)實(shí)情況。(2)找出廣元市基本醫(yī)療服務(wù)均等化中存在的問題。通過設(shè)定衡量醫(yī)療服務(wù)均等化的指標(biāo),運(yùn)用數(shù)據(jù)整理和統(tǒng)計(jì)的方法對(duì)城鄉(xiāng)之間、不同群體之間的基本醫(yī)療服務(wù)現(xiàn)狀進(jìn)行定性評(píng)估,衡量均等化程度,并運(yùn)用離散系數(shù)和差異系數(shù)的方法定量驗(yàn)證了廣元市基本醫(yī)療服務(wù)在城鄉(xiāng)之間、不同區(qū)縣之間、不同人群之間存在的差異,從而找出在服務(wù)均等化中存在的問題。(3)分析不均等現(xiàn)象的原因。對(duì)當(dāng)前廣元的醫(yī)療衛(wèi)生問題進(jìn)行分析,并說明其原因。通過研究發(fā)現(xiàn),在基本醫(yī)療制度、城鄉(xiāng)醫(yī)療服務(wù)體系、區(qū)域經(jīng)濟(jì)發(fā)展、轉(zhuǎn)移支付和財(cái)政支出方面還不夠完善,基于此,本研究提出了消除體制壁壘、破除城鄉(xiāng)二元結(jié)構(gòu)、協(xié)調(diào)各區(qū)域經(jīng)濟(jì)發(fā)展、完善醫(yī)療服務(wù)體系以及不同群體的基本醫(yī)療服務(wù),為政府層面制定相應(yīng)的對(duì)策與建議提供參考性建議。
[Abstract]:With the deepening of the national medical reform, the masses' demand for medical services has also been continuously improved, the living standards of the people have also been continuously improved, and the medical and health services have accelerated their development, which is located in Guangyuan City in northern Sichuan. The level of medical care in cities and towns has also increased with hospitals in other regions of the country. However, there are still various problems in Guangyuan, and the equalization of medical services is achieved. Equality is the supporting point for the improvement of medical and health services. Therefore, to explore the problems existing in the basic medical services, to analyze the causes of the problems, and to put forward appropriate solutions can improve the level of the people's access to medical services in Guangyuan City. It is also of great significance to promote economic development and better build a harmonious society. It is mainly carried out from the following several aspects to carry out a study on the status quo of equalization of basic medical services in Guangyuan City. Based on the theory of public goods and the theory of rural regional development, Under the guidance of the theory of fairness and justice, through the understanding of the allocation of resources, the system of basic medical service system and the current situation of consumption of medical services in Guangyuan City, it is clear that Guangyuan City is in different regions. Find out the problems existing in the equalization of basic medical services in Guangyuan City. By setting up indicators to measure the equalization of medical services, we use the methods of data collation and statistics to analyze the difference between urban and rural areas. The present situation of basic medical services among different groups is evaluated qualitatively, the degree of equalization is measured, and the methods of discrete coefficient and difference coefficient are used to verify quantitatively the basic medical services in Guangyuan city between urban and rural areas, and between different districts and counties. In order to find out the problems existing in equalization of services, we can analyze the causes of inequality. Analyze the current medical and health problems in Guangyuan, and explain the reasons. In terms of basic medical system, urban and rural medical service system, regional economic development, transfer payment and financial expenditure, this study proposes to eliminate institutional barriers, break down the dual structure of urban and rural areas, and coordinate regional economic development. Improve the medical service system and the basic medical services of different groups, and provide reference suggestions for the government to formulate corresponding countermeasures and suggestions.
【學(xué)位授予單位】：四川農(nóng)業(yè)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R197.1

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本文編號(hào)：1530065