本文選題：社會(huì)資本辦中醫(yī) + 社會(huì)資本辦醫(yī)�。� 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:推進(jìn)社會(huì)資本辦中醫(yī)有利于中醫(yī)藥事業(yè)發(fā)展、形成多元辦醫(yī)格局、滿(mǎn)足人們的多層次衛(wèi)生服務(wù)需求。廣東省在建設(shè)"衛(wèi)生強(qiáng)省"和"中醫(yī)藥強(qiáng)省"的基礎(chǔ)上,積極推進(jìn)社會(huì)資本辦中醫(yī)。本研究在梳理我國(guó)社會(huì)資本辦醫(yī)政策發(fā)展歷程的基礎(chǔ)上,對(duì)新醫(yī)改以來(lái)廣東省推進(jìn)社會(huì)資本辦中醫(yī)的政策進(jìn)行回顧和分類(lèi),評(píng)價(jià)分析廣東省推進(jìn)社會(huì)資本辦中醫(yī)的政策效果,提出廣東省推進(jìn)社會(huì)資本辦中醫(yī)的政策問(wèn)題與建議。方法:采用文獻(xiàn)分析法回顧總結(jié)國(guó)內(nèi)外社會(huì)資本辦醫(yī)研究現(xiàn)狀;應(yīng)用公共政策分析法梳理我國(guó)社會(huì)資本辦醫(yī)政策的發(fā)展歷程,對(duì)新醫(yī)改以來(lái)廣東省推進(jìn)社會(huì)資本辦中醫(yī)政策進(jìn)行回顧和分類(lèi);使用數(shù)理統(tǒng)計(jì)方法分析廣東省推進(jìn)社會(huì)資本辦中醫(yī)的現(xiàn)狀。以衛(wèi)生行政部門(mén)的相關(guān)人員和民營(yíng)中醫(yī)醫(yī)療機(jī)構(gòu)的負(fù)責(zé)人為研究對(duì)象,調(diào)查廣東省社會(huì)資本辦中醫(yī)開(kāi)業(yè)發(fā)展現(xiàn)狀;開(kāi)展半結(jié)構(gòu)式訪(fǎng)談,針對(duì)社會(huì)資本辦中醫(yī)政策的不足與需求,提出政策建議。結(jié)果:我國(guó)社會(huì)資本辦醫(yī)政策的發(fā)展歷程可分為三個(gè)階段:初步放開(kāi)階段(1978-1993年)、提倡發(fā)展階段(1994-2008年)、戰(zhàn)略扶持階段(2009年至今)。回顧新醫(yī)改以來(lái)廣東省推進(jìn)社會(huì)資本辦中醫(yī)政策,可將政策分為規(guī)劃準(zhǔn)入、資本費(fèi)用、評(píng)審評(píng)定、人才支持、監(jiān)督管理等五類(lèi)。深圳市作為推進(jìn)社會(huì)資本辦中醫(yī)的是試點(diǎn)城市,其政策建設(shè)具有一定的創(chuàng)新性和突破性。目前,廣東省民營(yíng)中醫(yī)醫(yī)院的衛(wèi)生資源和運(yùn)營(yíng)情況逐年增長(zhǎng),但占中醫(yī)醫(yī)院總量和民營(yíng)醫(yī)院總量的比重偏低。廣東省四個(gè)地區(qū)社會(huì)資本辦醫(yī)發(fā)展不平衡。廣東省社會(huì)資本辦中醫(yī)開(kāi)業(yè)發(fā)展總體難度大,社會(huì)資本舉辦中醫(yī)醫(yī)院和中醫(yī)門(mén)診部難度更大,應(yīng)著重破除社會(huì)資本辦中醫(yī)的政策束縛。結(jié)論:廣東省推進(jìn)社會(huì)資本辦中醫(yī)仍面臨著準(zhǔn)入門(mén)檻存在"玻璃門(mén)"、社會(huì)資本引進(jìn)中醫(yī)的動(dòng)力不足、衛(wèi)生人才政策落地難、中醫(yī)服務(wù)定價(jià)機(jī)制不合理、中醫(yī)醫(yī)療服務(wù)項(xiàng)目醫(yī)保報(bào)銷(xiāo)限制多、稅收政策有待突破放開(kāi)、中醫(yī)醫(yī)療服務(wù)監(jiān)管體系不完善等方面的發(fā)展困境。提出打破準(zhǔn)入"玻璃門(mén)"、提高社會(huì)資本辦中醫(yī)的積極性、多措施保障中醫(yī)人才供給、完善中醫(yī)服務(wù)定價(jià)機(jī)制、完善醫(yī)保報(bào)銷(xiāo)制度、放開(kāi)稅收政策、健全監(jiān)督機(jī)制等發(fā)展對(duì)策。
[Abstract]:Objective: to promote the development of traditional Chinese medicine (TCM) with social capital, and to meet the needs of multi-level health services. Based on the construction of "strong health province" and "strong province of traditional Chinese medicine", Guangdong Province actively promotes social capital to run TCM. On the basis of combing the development course of social capital medical policy in our country, this study reviews and classifies the policies of promoting social capital office of traditional Chinese medicine in Guangdong Province since the new medical reform, and evaluates and analyzes the policy effect of promoting social capital office of traditional Chinese medicine in Guangdong Province. This paper puts forward the policy problems and suggestions of promoting social capital office of traditional Chinese medicine in Guangdong province. Methods: literature analysis method was used to review and summarize the current research situation of social capital medical treatment at home and abroad, and the public policy analysis method was used to sort out the development course of social capital medical treatment policy in China. This paper reviews and classifies the policies of promoting social capital office of traditional Chinese medicine in Guangdong Province since the new medical reform, and analyzes the present situation of promoting social capital office of traditional Chinese medicine in Guangdong Province by means of mathematical statistics. Taking the relevant personnel of the health administration department and the responsible persons of the private TCM medical institutions as the research objects, this paper investigates the current situation of the development of traditional Chinese medicine practice in the social capital office of Guangdong Province, carries out semi-structured interviews, and aims at the deficiencies and needs of the social capital office's TCM policy. Make policy recommendations. Results: the development process of social capital medical policy in China can be divided into three stages: preliminary opening stage from 1978 to 1993, advocating development stage from 1994 to 2008, and strategic support stage (from 2009 to present). Looking back on the policies of social capital office of traditional Chinese medicine in Guangdong Province since the new medical reform, the policies can be divided into five categories: access to planning, capital cost, evaluation and evaluation, talent support, supervision and management. Shenzhen as a pilot city to promote social capital management of TCM, its policy construction is innovative and breakthrough. At present, the health resources and operation of private traditional Chinese medicine hospitals in Guangdong Province are increasing year by year, but the proportion of the total amount of traditional Chinese medicine hospitals and private hospitals is on the low side. The development of social capital in four regions of Guangdong Province is unbalanced. It is very difficult for Guangdong Social Capital Office to open and develop Chinese medicine in general, and it is more difficult for social capital to organize TCM hospitals and outpatient departments of traditional Chinese Medicine, so it is necessary to break down the policy shackles of traditional Chinese Medicine in Social Capital Office. Conclusion: there are still "glass doors" at the entrance threshold for the promotion of social capital in Guangdong Province, the power of social capital to introduce traditional Chinese medicine is insufficient, the policy of health talents falls to the ground, and the pricing mechanism of traditional Chinese medicine service is unreasonable. Medical service items of TCM medical insurance reimbursement restrictions, tax policy to be broken open, Chinese medical services regulatory system is not perfect and other aspects of the development difficulties. The author puts forward some development countermeasures, such as breaking the "glass door", raising the enthusiasm of the social capital to do TCM medicine, protecting the supply of TCM talents, perfecting the pricing mechanism of TCM service, perfecting the medical insurance reimbursement system, opening up the tax policy and perfecting the supervision mechanism.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R197.1

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