【摘要】：醫(yī)療保險制度是中國社會保障制度的重要組成部分,隨著改革開放后社會保障制度的逐步建立,醫(yī)療保險制度也日趨完善并受到社會關注。2015年國務院政府工作報告中指出:要完善城鄉(xiāng)居民基本醫(yī)療保險,提高社會統(tǒng)籌層次,全面實施城鄉(xiāng)居民大病保險制度。深化基層醫(yī)療衛(wèi)生機構綜合改革,加強全科醫(yī)生制度建設,完善分級診療體系。鼓勵醫(yī)生到基層多點執(zhí)業(yè),發(fā)展社會辦醫(yī),加快建立醫(yī)療糾紛預防調(diào)解機制。加強重大疾病防控,積極發(fā)展中醫(yī)藥和民族醫(yī)藥事業(yè)。滿足人民群眾的基本健康需求,不斷提高醫(yī)療衛(wèi)生水平,打造健康中國。人口老齡化首先出現(xiàn)在發(fā)達國家,1864年法國率先進入人口老齡化,之后美國、德國、日本、韓國也陸續(xù)進入到老齡化時代,二十世紀后人口老齡化問題開始在全球范圍內(nèi)不斷加深。因此,無論在發(fā)達國家還是發(fā)展中國家,老齡化問題已然成為當今全世界社會保障領域的熱點。全球都已深刻認識到老年人口占總人口的比例正悄然地以驚人的速度加大,以及由此引發(fā)的一系列的社會問題的嚴重性。選題的目的在于通過分析沈陽市老年醫(yī)療衛(wèi)生服務供給與需求的現(xiàn)狀及其存在問題和原因,提出相應的解決方案,高效調(diào)動并合理配置老年群體的醫(yī)療衛(wèi)生服務資源,使醫(yī)療衛(wèi)生服務的發(fā)展?jié)M足老年人的實際醫(yī)療需求,維護老年群體享受醫(yī)療保障的權益。運用文獻綜合法,搜集國內(nèi)外醫(yī)療衛(wèi)生服務建設方面的相關文獻,為深入研究沈陽市醫(yī)療衛(wèi)生服務提供翔實的基礎資料;運用社會調(diào)查法,采用問卷調(diào)查和深度訪談的方式切實了解老年醫(yī)療衛(wèi)生服務供給與需求的實際狀況;運用比較分析和理論研究法,通過與全國重點城市的相關情況進行對比,并結合沈陽市實際狀況提出有針對性的經(jīng)驗借鑒。采用經(jīng)濟模型對沈陽老年醫(yī)療衛(wèi)生服務供給與需求進行預測。最后針對沈陽市老年人的實際情況,提出優(yōu)化老年醫(yī)療衛(wèi)生服務供給與需求的對策與建議:第一,優(yōu)化政府醫(yī)療衛(wèi)生服務供給,改革和完善醫(yī)療保障制度;第二,完善醫(yī)療衛(wèi)生服務組織建設,重構醫(yī)療衛(wèi)生管理系統(tǒng);第三,合理配置醫(yī)療衛(wèi)生資源,保證公民享有醫(yī)療服務的權利;第四,強化基本醫(yī)療衛(wèi)生服務供給體系,促進老年護理產(chǎn)業(yè)發(fā)展;第五,建立醫(yī)療機構監(jiān)督機制,加強衛(wèi)生人才隊伍建設。
[Abstract]:The medical insurance system is an important part of the social security system in China. With the gradual establishment of the social security system after the reform and opening up, In 2015, the government report of the State Council pointed out that it is necessary to improve the basic medical insurance for urban and rural residents, raise the level of social planning, and implement the serious illness insurance system for urban and rural residents in an all-round way. We will deepen comprehensive reform of primary-level medical and health institutions, strengthen the construction of the general practitioner system, and improve the hierarchical diagnosis and treatment system. Encourage doctors to practice at the grass-roots level, develop social management, and speed up the establishment of a medical dispute prevention and mediation mechanism. We will strengthen prevention and control of major diseases and actively develop the cause of traditional Chinese medicine and ethnic medicine. Meet the basic health needs of the people, constantly improve the level of medical and health care, and build a healthy China. The aging of the population first appeared in the developed countries, and in 1864, France first entered the aging population, and then the United States, Germany, Japan, and South Korea also entered the age of aging one after another. After the 20th century, the problem of population aging began to deepen on a global scale. Therefore, no matter in developed or developing countries, aging has become a hot spot in the field of social security all over the world. The world has come to realize that the proportion of the elderly population to the total population is quietly increasing at an alarming rate and the seriousness of a series of social problems arising therefrom. The purpose of this paper is to analyze the present situation of the supply and demand of medical and health services for the elderly in Shenyang and the existing problems and reasons, put forward the corresponding solutions, and efficiently mobilize and reasonably allocate the medical and health services resources of the elderly groups. The development of medical and health services can meet the actual medical needs of the elderly and safeguard the rights and interests of the elderly to enjoy medical security. Using the method of literature synthesis to collect the relevant literature of medical and health service construction at home and abroad, and to provide detailed and accurate basic data for the in-depth study of medical and health services in Shenyang; Using the method of social investigation and questionnaire survey and in-depth interview to understand the actual situation of the supply and demand of medical and health services for the elderly; By using the method of comparative analysis and theoretical research, through the comparison with the relevant situation of the key cities in China, and combining with the actual situation of Shenyang City, the author puts forward some specific experiences for reference. The economic model was used to predict the supply and demand of medical and health services for the elderly in Shenyang. Finally, in view of the actual situation of the elderly in Shenyang, this paper puts forward the countermeasures and suggestions to optimize the supply and demand of medical and health services for the elderly: first, optimize the supply of government medical and health services, reform and improve the medical security system; Second, improve the organization of medical and health services, reconstruct the medical and health management system; third, rationally allocate medical and health resources to ensure that citizens enjoy the right of medical services; Fourth, strengthen the supply system of basic medical and health services to promote the development of the elderly nursing industry; fifthly, establish the supervision mechanism of medical institutions and strengthen the construction of health personnel.
【學位授予單位】：遼寧大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R197.1

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