本文關(guān)鍵詞：深圳市社康中心資源配置研究　出處：《深圳大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 社康中心 資源配置 深圳 分級(jí)診療

【摘要】：深圳是一座年輕的移民城市,在我國的制度創(chuàng)新、改革開放、市場經(jīng)濟(jì)等方面承擔(dān)著試驗(yàn)和示范的重要使命。其中在全國醫(yī)改試點(diǎn)方面,深圳取得了較大成果,在諸多方面做出了卓有成效的改革嘗試。目前深圳仍然存在著公立醫(yī)院、大醫(yī)院、三甲醫(yī)院看病難的突出問題,法定節(jié)假日更是一號(hào)難求。實(shí)際上,沒有建立以社康中心為首診場所的醫(yī)療服務(wù)機(jī)制,是造成公立醫(yī)院人滿為患的一個(gè)最為主要的原因。本文從相關(guān)概念如醫(yī)療服務(wù)制度視角、國外社區(qū)衛(wèi)生模式、全科醫(yī)生等概念性背景入手,對(duì)公共衛(wèi)生服務(wù)進(jìn)行一定的剖析,了解到社康中心是基本公共衛(wèi)生服務(wù)的重要組成部分,是我國衛(wèi)生服務(wù)領(lǐng)域一項(xiàng)長期而又艱巨的國計(jì)民生任務(wù)。根據(jù)2010-2015六年來深圳市社康中心的發(fā)展情況,本文從深圳市社康中心醫(yī)療資源的服務(wù)狀況、需求狀況、改革狀況等多方面對(duì)社康中心的基本情況進(jìn)行了解,從而對(duì)社康中心的政策、財(cái)政資源、人才資源、設(shè)備資源的現(xiàn)狀進(jìn)行詳細(xì)的分析和描述,使社會(huì)和民眾更加了解當(dāng)前我市社康中心的建設(shè)情況、資源配置情況及相關(guān)疾病就診情況。通過現(xiàn)狀了解,本文就此展開分析,從政策上看,社康中心存在配套政策措施不完善、雙向轉(zhuǎn)診不健全、監(jiān)管缺失等問題;從財(cái)政資金對(duì)社康投入來看,存在社康用房緊張、醫(yī)保覆蓋不健全、籌資與補(bǔ)償機(jī)制欠缺、績效考核待完善等問題;從人才資源來看,社康中心存在專業(yè)社康醫(yī)護(hù)人才缺乏、高層次人才不足、醫(yī)生多點(diǎn)執(zhí)業(yè)開展不順、家庭醫(yī)生團(tuán)隊(duì)人才匱乏等問題;最后從醫(yī)療設(shè)備來看,社康中心存在設(shè)備配置不足,用藥配置緊缺等問題,這些問題是社康中心還難以承擔(dān)基礎(chǔ)醫(yī)療重任的主要原因。最后,本文從政策配置、財(cái)政投入、人才培養(yǎng)和設(shè)備更新等四個(gè)方面入手進(jìn)行深入探究。從政策配置來看,文章提出要合理定位分級(jí)診療服務(wù),加強(qiáng)基層服務(wù)能力建設(shè),健全社康評(píng)價(jià)體系,全面推進(jìn)家庭醫(yī)生建設(shè)和大力發(fā)展醫(yī)生集團(tuán);從財(cái)政投入來看,要確立財(cái)政合理的全市年健康資本投入,“抓小限大”加強(qiáng)基層衛(wèi)生建設(shè),發(fā)揮醫(yī)療保險(xiǎn)的調(diào)控引導(dǎo)和監(jiān)督制約作用,并拉大不同等級(jí)公立醫(yī)療機(jī)構(gòu)的醫(yī)療服務(wù)價(jià)格差;從人才配置來看,要“去編制化”,啟動(dòng)人事體制改革,加強(qiáng)社康中心醫(yī)護(hù)人員隊(duì)伍建設(shè),創(chuàng)辦深圳自己的醫(yī)科大學(xué),形成良性“造血”,并建立科學(xué)的公立醫(yī)療服務(wù)薪酬體系,借“醫(yī)師多點(diǎn)執(zhí)業(yè)”東風(fēng),實(shí)現(xiàn)人才流動(dòng);從醫(yī)療設(shè)備配置來看,要努力促進(jìn)社康中心藥房社會(huì)化和社康中心標(biāo)準(zhǔn)化建設(shè),搭建雙向轉(zhuǎn)診信息平臺(tái),實(shí)現(xiàn)信息共享。以此吸引更多的患者到社康就醫(yī),為營造更多群眾基層就醫(yī)的良好氛圍貢獻(xiàn)力量。
[Abstract]:Shenzhen is a young emigrant city. It bears the important mission of experimentation and demonstration in our country's system innovation, reform and opening up, market economy and so on. In the national medical reform pilot, Shenzhen has made great achievements and made fruitful reforms in many aspects. At present, there are still some outstanding problems in public hospitals, large hospitals and third - class hospitals in Shenzhen. In fact, it hasn't established a community health center led by the diagnosis of places of medical service mechanism, is the cause of public hospital overcrowding is one of the main reasons. This article from the related concepts such as medical service system from the perspective of foreign community health mode, GPS and other conceptual background, analyzes on the public health service to community health center is an important part of basic public health services, health services in China is a long-term and arduous task is beneficial to the people's livelihood. According to the development of 2010-2015 six years in Shenzhen city community health center, we understand the basic situation of community health centers from community health center of Shenzhen medical resources service condition, demand condition, reform and other aspects, in order to community health center policy, financial resources, human resources, equipment resources status were analyzed and described in detail the society and make people know more about the construction of medical treatment and related diseases and resource allocation situation of the community health center in our city. By understanding the status quo, this paper carried on analysis from the policy perspective, the problems of supporting policies and measures are not perfect, two-way referral system is not perfect, lack of supervision of financial funds from the community health center; community investment, community housing tension, existing health insurance coverage is not perfect, the lack of financing and compensation mechanism, performance appraisal to be perfect other problems; from the human resources point of view, there is a lack of community health center, community health care professional talent shortage of high-level talents, more practice doctors carry out is not smooth, the family doctor team talent shortage problems; finally from medical equipment, health center existing equipment is less, the allocation of drug shortages and other problems, these problems are the main reasons for community health service center it is difficult to bear the responsibility of the medical foundation. In the end, this paper makes a thorough inquiry from four aspects, such as policy allocation, financial input, personnel training and equipment renewal. From the policy configuration, the paper proposes the reasonable position of classification of medical service, strengthening service ability construction, improve community health evaluation system, and comprehensively promote the construction and development of the family doctor doctor group; from the financial investment, to establish the reasonable fiscal health capital investment, "catch the little big limit to strengthen grass-roots health construction, play the medical insurance regulation and supervision, and pull the public medical institutions of different levels of high price of medical services; from the personnel configuration," preparation ", start the reform of personnel system, strengthen the staff team construction of community health center, Shenzhen Medical University founded their own, forming a virtuous, and the establishment of" blood "the scientific salary system of public medical service, the" multi physician practice "Dongfeng, realize the flow of talent; from medical equipment configuration, to promote community health center of Medicine The real social and community health center standardization construction, build a referral information platform, information sharing. In order to attract more patients to the medical community, to create a good atmosphere for more people to contribute to grassroots medical treatment.
【學(xué)位授予單位】：深圳大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R197.1

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