本文選題：西部地區(qū)　切入點：基本公共衛(wèi)生服務(wù)　出處：《電子科技大學》2014年碩士論文　論文類型：學位論文

【摘要】：改革開放促進了我國經(jīng)濟的高速發(fā)展,人民生活水平也得到了顯著提高。近年來,作為公共服務(wù)重要組成部分的基本公共衛(wèi)生服務(wù)不論是其供給總量,還是供給質(zhì)量都有了長足的提高。然而,不可否認的是,隨著我國地區(qū)間、城鄉(xiāng)間經(jīng)濟發(fā)展水平差異的不斷擴大,我國的基本公共衛(wèi)生服務(wù)水平差異也是越來越明顯。西部地區(qū)作為我國經(jīng)濟社會發(fā)展相對滯后的區(qū)域,它的基本公共衛(wèi)生服務(wù)水平所面臨的問題更是比較突出的。這嚴重影響到當?shù)鼐用竦纳钯|(zhì)量以及我國和諧社會的建設(shè)。基于以上研究背景,本文將對我國西部地區(qū)的基本公共衛(wèi)生服務(wù)水平差異及如何縮小差異化進行探討。目前,學術(shù)界關(guān)于公共服務(wù)差異化的研究主要集中于理論分析,實證研究相對較少。本文將理論分析與實證研究相結(jié)合,通過全面、系統(tǒng)、深入的研究,為縮小西部地區(qū)基本公共衛(wèi)生服務(wù)差異化提供科學合理的建議。首先,本文運用新公共服務(wù)理論、福利經(jīng)濟學理論等相關(guān)基礎(chǔ)理論,并結(jié)合大量的統(tǒng)計數(shù)據(jù),對目前我國西部地區(qū)的基本公共衛(wèi)生服務(wù)水平差異現(xiàn)狀進行分析。研究得出,西部地區(qū)的基本公共衛(wèi)生服務(wù)不論是其籌資水平、資源配置水平、服務(wù)提供水平和服務(wù)結(jié)果都存在著較大的差異。然后,本文運用泰爾指數(shù)分析法,從“省際”、“城鄉(xiāng)”兩個角度對西部地區(qū)基本公共衛(wèi)生服務(wù)水平差異進行實證分析。研究表明,城鄉(xiāng)差異是西部地區(qū)基本公共衛(wèi)生服務(wù)差異化的主要方面,省際差異是次要方面。接著,本文分析了造成這種差異化現(xiàn)狀的原因,并運用灰色關(guān)聯(lián)分析法分析了西部地區(qū)基本公共衛(wèi)生服務(wù)差異化與其影響因素的關(guān)聯(lián)程度。結(jié)果表明,經(jīng)濟發(fā)展水平;城鄉(xiāng)居民收入差距;政府財政管理水平;地方政府財政能力;中央轉(zhuǎn)移支付以及社會保障水平是導致我國西部地區(qū)基本公共衛(wèi)生服務(wù)差異化的主要影響因素。最后,本文提出從大力發(fā)展區(qū)域經(jīng)濟;改變城鄉(xiāng)二元結(jié)構(gòu)體制;合理劃分地方政府財權(quán)與事權(quán);完善財政轉(zhuǎn)移支付制度;完善醫(yī)療保障制度等5個方面來逐步實現(xiàn)西部地區(qū)的基本公共衛(wèi)生服務(wù)水平的均等化。
[Abstract]:Reform and opening to the outside world has promoted the rapid development of our economy, and the standard of living of the people has also been significantly improved. In recent years, as an important part of public services, the basic public health services, regardless of their total supply, The quality of supply has been greatly improved. However, it is undeniable that with the continuous expansion of the differences in economic development between urban and rural areas in China, The difference of basic public health service level in our country is more and more obvious. Its basic public health service level is faced with more prominent problems, which seriously affect the quality of life of local residents and the construction of a harmonious society in China. Based on the above research background, This paper will discuss the difference of basic public health service level in western China and how to reduce it. At present, the academic research on public service differentiation is mainly focused on theoretical analysis. Empirical research is relatively few. This paper combines theoretical analysis with empirical research, through comprehensive, systematic and in-depth research, to provide scientific and reasonable suggestions for narrowing the differentiation of basic public health services in the western region. Based on the new public service theory, welfare economics theory and a large number of statistical data, this paper analyzes the current situation of the difference of the basic public health service level in the western region of China. There are great differences in the basic public health services in the western region, such as the level of financing, the level of resource allocation, the level of service provision and the result of service. This paper makes an empirical analysis on the difference of the basic public health service level in the western region from the two angles of "inter-provincial" and "urban and rural". The research shows that the difference between urban and rural areas is the main aspect of the differentiation of basic public health services in the western region. The difference between provinces is a secondary aspect. Then, this paper analyzes the reasons for the present situation of this kind of differentiation, and analyzes the degree of correlation between the difference of basic public health services in western China and its influencing factors by means of grey relational analysis. Economic development level; income gap between urban and rural residents; government financial management level; local government financial capacity; The central transfer payment and the level of social security are the main influencing factors leading to the differentiation of basic public health services in the western part of China. Finally, this paper puts forward the following points: to develop regional economy vigorously; to change the dual structure system of urban and rural areas; Reasonable division of local government's financial power and administrative power, improvement of financial transfer payment system, and improvement of medical security system to gradually realize the equalization of basic public health service level in the western region.
【學位授予單位】：電子科技大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R197.1

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相關(guān)期刊論文 前1條

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本文編號：1633565