北京中心城醫(yī)療功能疏解的現(xiàn)狀、問題及對策研究
發(fā)布時間：2018-09-19 18:27
【摘要】：在經(jīng)濟全球化的大背景下，隨著我國經(jīng)濟的飛速發(fā)展，北京作為我國的政治、經(jīng)濟和文化中心，經(jīng)濟、社會和文化格局正處于變革之中。隨著城市化進程的加快，北京城市迅速發(fā)展，由于其作為首都的特殊地位，過多的城市功能集中于中心城區(qū)，對城市的正常運行和發(fā)展造成了巨大的壓力，由此也導(dǎo)致了一系列的社會經(jīng)濟發(fā)展問題。醫(yī)療功能作為關(guān)系廣大人民群眾健康的一項重要功能，成為了功能疏解問題中的重要一環(huán)。本文緊緊圍繞北京中心城市醫(yī)療功能疏解這一中心，分析了北京中心城市醫(yī)療功能疏解的現(xiàn)狀，提出了北京中心城市醫(yī)療功能疏解當(dāng)前所面臨的問題，在進行深入理論探究和借鑒國內(nèi)外大都市發(fā)展經(jīng)驗的基礎(chǔ)上，做出了一系列針對北京中心城市醫(yī)療功能疏解的對策研究及政策建議。 本文具體來說，有三個研究目標(biāo)：一是對北京中心城市醫(yī)療功能疏解的現(xiàn)狀進行評估；二是探討北京中心城市醫(yī)療功能疏解滯后的原因；三是提出北京中心城市醫(yī)療功能疏解的政策建議。從研究的需要出發(fā)，注重文獻研究與調(diào)查研究結(jié)合、共性分析與特性分析結(jié)合；定性、定量分析與空間研究結(jié)合，理論性和應(yīng)用性研究結(jié)合，將研究規(guī)律趨勢、破解發(fā)展難題、設(shè)計實現(xiàn)機制、提出政策建議作為研究的基礎(chǔ)和主線。從研究脈絡(luò)上來說，主要有以下幾個部分： 第一部分是導(dǎo)論部分，指出了本研究的研究背景及研究意義。提出醫(yī)療功能在北京城市醫(yī)療功能疏解中的重要意義。提出了本研究的研究目標(biāo)和研究內(nèi)容，并做出了相應(yīng)的研究計劃。提出了擬研究方法和可行性分析。最后又對國內(nèi)外研究現(xiàn)狀進行了綜述性闡述，分別從國內(nèi)外特大城市功能疏解現(xiàn)狀和北京醫(yī)療功能疏解現(xiàn)狀兩方面進行了全局性的背景研究。 第二部分是理論探討，對大都市醫(yī)療功能疏解的空間演化規(guī)律和發(fā)展趨勢進行研究。從內(nèi)在動因，發(fā)展階段和空間演化三個方面對本文研究的理論基礎(chǔ)進行了全面而深入的研究。 第三部分是國際經(jīng)驗借鑒。以倫敦、巴黎、東京和首爾為例，研究了其各自的醫(yī)療發(fā)展情況，對其城市公共醫(yī)療服務(wù)的布局和調(diào)控進行了概述和經(jīng)驗汲取。 第四部分是北京醫(yī)療資源疏解問題及原因研究，包括北京醫(yī)療資源疏解的現(xiàn)狀與問題分析和北京醫(yī)療資源疏解成效不顯著的主要成因分析兩個方面。指出北京市醫(yī)療資源總體不足，醫(yī)療資源增長速度一直低于經(jīng)濟增長速度，且核心的醫(yī)療資源增長更加緩慢；北京市醫(yī)療資源分布不均，主要分布在東、西城等核心區(qū)；從區(qū)域分布上看，一是從醫(yī)療機構(gòu)數(shù)量分布來看，二是醫(yī)療人員數(shù)分布來看，三 是從總量來看，四是從人均水平來看，五是從醫(yī)療產(chǎn)品質(zhì)量來看，六是從醫(yī)療資源配置與人口數(shù)量匹配度來看；北京醫(yī)療資源總體已經(jīng)呈現(xiàn)向周邊疏解的趨勢，但優(yōu)質(zhì)醫(yī)療資源集聚在市中心，疏解效果不顯著；北京醫(yī)療資源服務(wù)對象的面向區(qū)域性和全國性，導(dǎo)致核心區(qū)的大醫(yī)院不堪重負、“看病難”日益突出；在以上問題提出的基礎(chǔ)上分析了原因分別是1.供給原因一：政府投入不足是主要原因，以藥養(yǎng)醫(yī)，導(dǎo)致醫(yī)療資源呈現(xiàn)兩極分化的趨勢；2.供給原因二：社會力量辦醫(yī)發(fā)展速度嚴(yán)重滯后，，導(dǎo)致醫(yī)療這種公共服務(wù)供給明顯不足3.體制機制原因：由于歷史和虹吸效應(yīng)的原因，導(dǎo)致優(yōu)質(zhì)的醫(yī)療資源難以疏解到周邊4.需求原因一：由于患者觀念和利益機制的原因，導(dǎo)致優(yōu)質(zhì)醫(yī)療資源的極大浪費5.需求原因二：人們對優(yōu)質(zhì)醫(yī)療資源的迫切需求與優(yōu)質(zhì)醫(yī)療資源供給不足存在矛盾。 第五部分是北京醫(yī)療資源疏解機制與途徑研究，主要給出了以下的機制和途徑：一是進行頂層設(shè)計，劃分城市功能區(qū)，有序疏解北京優(yōu)質(zhì)醫(yī)療資源；二是加大政府投入的同時，鼓勵社會力量辦醫(yī)或?qū)ΜF(xiàn)有的三甲醫(yī)院進行股份制改造，增強現(xiàn)有優(yōu)質(zhì)醫(yī)療醫(yī)院的活力；三是加大北京中心城區(qū)對優(yōu)質(zhì)醫(yī)療資源的向外推動力；四是增加優(yōu)質(zhì)醫(yī)療資源承接地的吸引力 第六部分是北京中心城市功能疏解的政策建議，主要給出了以下幾個方面的意見和建議：一是進行醫(yī)療資源的頂層設(shè)計，強調(diào)優(yōu)質(zhì)醫(yī)療資源的功能定位；二是中心城區(qū)優(yōu)質(zhì)醫(yī)療資源發(fā)展嚴(yán)格限制，鼓勵其向周邊新城疏解；三是對現(xiàn)有的三甲醫(yī)院進行股份制改造。鼓勵社會力量辦醫(yī)或?qū)ΜF(xiàn)有的三甲醫(yī)院進行股份制改造，增強其活力；四是創(chuàng)新醫(yī)療執(zhí)業(yè)模式，優(yōu)化醫(yī)療保障體系；五是加強政府對醫(yī)療資源的投入力度，推進醫(yī)療資源均衡發(fā)展 最后兩部分是結(jié)語和致謝，對全文進行了總結(jié)，表達了對寫作過程中獲得的幫助的謝意。
[Abstract]:Under the background of economic globalization, with the rapid development of China's economy, Beijing, as the political, economic and cultural center of China, is undergoing changes in its economic, social and cultural patterns. With the acceleration of urbanization, Beijing is developing rapidly. Because of its special status as the capital, too many urban functions are concentrated in the center. As an important function related to the health of the masses, medical function has become an important part of the problem of functional relief. This paper focuses on the medical function relief in the central city of Beijing. This paper analyzes the current situation of medical function relaxation in the central city of Beijing, puts forward the current problems faced by medical function relaxation in the central city of Beijing, and puts forward a series of countermeasures and policy suggestions for medical function relaxation in the central city of Beijing on the basis of in-depth theoretical research and drawing on the experience of metropolitan development at home and abroad.
Specifically, this paper has three research objectives: first, to evaluate the status quo of medical function dilution in central cities of Beijing; second, to explore the reasons for the lag of medical function dilution in central cities of Beijing; third, to put forward policy recommendations for medical function dilution in central cities of Beijing. It combines qualitative analysis with quantitative analysis and spatial research, combines theoretical research with applied research, combines research trends, solves development problems, designs implementation mechanisms, and puts forward policy recommendations as the basis and main line of research.
The first part is the introduction part, pointing out the research background and significance of this study, putting forward the important significance of medical function in urban medical function relief in Beijing, putting forward the research objectives and contents of this study, and making the corresponding research plan, putting forward the research methods and feasibility analysis. This paper summarizes the current situation and makes a comprehensive background study on the status quo of medical function mediation in Beijing and the status quo of medical function mediation in megacities at home and abroad.
The second part is the theoretical discussion, which studies the spatial evolution law and the development trend of the urban medical function dilution.
The third part is the international experience for reference. Taking London, Paris, Tokyo and Seoul as examples, this paper studies their respective medical development, and summarizes the layout and regulation of urban public health services.
The fourth part is the research on the problems and causes of medical resources relief in Beijing, including the current situation and problems of medical resources relief in Beijing and the analysis of the main causes of the ineffective medical resources relief in Beijing. The growth of medical resources is slower; the distribution of medical resources in Beijing is uneven, mainly distributed in the eastern and Western core areas; from the regional distribution point of view, one is the number of medical institutions, the other is the number of medical personnel distribution point of view, three
Fourth, from the per capita level, fifth, from the quality of medical products, sixth, from the matching degree between the allocation of medical resources and the number of people. Facing the regional and national, leading to the core area of large hospitals can not bear the burden, "difficult to see a doctor" is becoming increasingly prominent; on the basis of the above problems, the reasons are analyzed as follows: 1. The lack of government investment is the main reason for the supply of medicine, leading to the polarization of medical resources; 2. Supply reasons 2: social forces The development speed of the doctor-in-charge is lagging behind seriously, which leads to the obvious shortage of medical service. 3. System and mechanism reasons: because of the history and siphon effect, it is difficult for high-quality medical resources to be dredged to the surrounding areas. 4. Demand reasons: 1. Because of the concept of patients and interest mechanism, leading to a great waste of high-quality medical resources. 5. The second reason is that there is a contradiction between the urgent demand for high-quality medical resources and the insufficient supply of high-quality medical resources.
The fifth part is the research on the mechanism and approach of medical resources relief in Beijing, which mainly gives the following mechanisms and approaches: firstly, the top-level design, the division of urban functional areas, orderly relief of high-quality medical resources in Beijing; secondly, the increase of government investment while encouraging social forces to run hospitals or the joint-stock reform of the existing third-class hospitals, increase Strengthen the vitality of existing high-quality medical hospitals; increase the external impetus of Beijing central urban areas to high-quality medical resources; Fourth, increase the attraction of high-quality medical resources grounded.
The sixth part is the policy suggestion of Beijing central city function dilution, which mainly gives the following opinions and suggestions: first, carry out the top-level design of medical resources, emphasizing the functional orientation of high-quality medical resources; second, strictly restrict the development of high-quality medical resources in the central urban area, encourage them to relocate to the surrounding new towns; third, the current situation. Some third-class hospitals carry out joint-stock reform, encouraging social forces to run hospitals or share-holding reform of the existing third-class hospitals to enhance their vitality; Fourth, innovating medical practice mode to optimize the medical security system; Fifth, strengthening government investment in medical resources to promote balanced development of medical resources.
The last two parts are the concluding remarks and thanks, which summarize the whole paper and express the gratitude for the help gained in the process of writing.
【學(xué)位授予單位】：首都經(jīng)濟貿(mào)易大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R197.1
本文編號：2250962
[Abstract]:Under the background of economic globalization, with the rapid development of China's economy, Beijing, as the political, economic and cultural center of China, is undergoing changes in its economic, social and cultural patterns. With the acceleration of urbanization, Beijing is developing rapidly. Because of its special status as the capital, too many urban functions are concentrated in the center. As an important function related to the health of the masses, medical function has become an important part of the problem of functional relief. This paper focuses on the medical function relief in the central city of Beijing. This paper analyzes the current situation of medical function relaxation in the central city of Beijing, puts forward the current problems faced by medical function relaxation in the central city of Beijing, and puts forward a series of countermeasures and policy suggestions for medical function relaxation in the central city of Beijing on the basis of in-depth theoretical research and drawing on the experience of metropolitan development at home and abroad.
Specifically, this paper has three research objectives: first, to evaluate the status quo of medical function dilution in central cities of Beijing; second, to explore the reasons for the lag of medical function dilution in central cities of Beijing; third, to put forward policy recommendations for medical function dilution in central cities of Beijing. It combines qualitative analysis with quantitative analysis and spatial research, combines theoretical research with applied research, combines research trends, solves development problems, designs implementation mechanisms, and puts forward policy recommendations as the basis and main line of research.
The first part is the introduction part, pointing out the research background and significance of this study, putting forward the important significance of medical function in urban medical function relief in Beijing, putting forward the research objectives and contents of this study, and making the corresponding research plan, putting forward the research methods and feasibility analysis. This paper summarizes the current situation and makes a comprehensive background study on the status quo of medical function mediation in Beijing and the status quo of medical function mediation in megacities at home and abroad.
The second part is the theoretical discussion, which studies the spatial evolution law and the development trend of the urban medical function dilution.
The third part is the international experience for reference. Taking London, Paris, Tokyo and Seoul as examples, this paper studies their respective medical development, and summarizes the layout and regulation of urban public health services.
The fourth part is the research on the problems and causes of medical resources relief in Beijing, including the current situation and problems of medical resources relief in Beijing and the analysis of the main causes of the ineffective medical resources relief in Beijing. The growth of medical resources is slower; the distribution of medical resources in Beijing is uneven, mainly distributed in the eastern and Western core areas; from the regional distribution point of view, one is the number of medical institutions, the other is the number of medical personnel distribution point of view, three
Fourth, from the per capita level, fifth, from the quality of medical products, sixth, from the matching degree between the allocation of medical resources and the number of people. Facing the regional and national, leading to the core area of large hospitals can not bear the burden, "difficult to see a doctor" is becoming increasingly prominent; on the basis of the above problems, the reasons are analyzed as follows: 1. The lack of government investment is the main reason for the supply of medicine, leading to the polarization of medical resources; 2. Supply reasons 2: social forces The development speed of the doctor-in-charge is lagging behind seriously, which leads to the obvious shortage of medical service. 3. System and mechanism reasons: because of the history and siphon effect, it is difficult for high-quality medical resources to be dredged to the surrounding areas. 4. Demand reasons: 1. Because of the concept of patients and interest mechanism, leading to a great waste of high-quality medical resources. 5. The second reason is that there is a contradiction between the urgent demand for high-quality medical resources and the insufficient supply of high-quality medical resources.
The fifth part is the research on the mechanism and approach of medical resources relief in Beijing, which mainly gives the following mechanisms and approaches: firstly, the top-level design, the division of urban functional areas, orderly relief of high-quality medical resources in Beijing; secondly, the increase of government investment while encouraging social forces to run hospitals or the joint-stock reform of the existing third-class hospitals, increase Strengthen the vitality of existing high-quality medical hospitals; increase the external impetus of Beijing central urban areas to high-quality medical resources; Fourth, increase the attraction of high-quality medical resources grounded.
The sixth part is the policy suggestion of Beijing central city function dilution, which mainly gives the following opinions and suggestions: first, carry out the top-level design of medical resources, emphasizing the functional orientation of high-quality medical resources; second, strictly restrict the development of high-quality medical resources in the central urban area, encourage them to relocate to the surrounding new towns; third, the current situation. Some third-class hospitals carry out joint-stock reform, encouraging social forces to run hospitals or share-holding reform of the existing third-class hospitals to enhance their vitality; Fourth, innovating medical practice mode to optimize the medical security system; Fifth, strengthening government investment in medical resources to promote balanced development of medical resources.
The last two parts are the concluding remarks and thanks, which summarize the whole paper and express the gratitude for the help gained in the process of writing.
【學(xué)位授予單位】：首都經(jīng)濟貿(mào)易大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R197.1
【引證文獻】
相關(guān)期刊論文 前1條
1 溫源;王佳嘉;劉建華;杜明義;;北京市醫(yī)療資源移動GIS服務(wù)系統(tǒng)研究與實現(xiàn)[J];地理空間信息;2015年06期
相關(guān)碩士學(xué)位論文 前1條
1 袁濤;太原市醫(yī)療資源配置現(xiàn)狀分析[D];山西醫(yī)科大學(xué);2015年
本文編號：2250962
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