本文選題：院前急救 + 急救服務(wù)�。� 參考：《廣西大學(xué)》2017年碩士論文

【摘要】：院前急救醫(yī)療服務(wù)體系由上世紀(jì)80年代發(fā)展至今已經(jīng)有近30年歷史。作為醫(yī)療服務(wù)體系中不可缺少的部分,院前急救醫(yī)療服務(wù)隨著經(jīng)濟(jì)和醫(yī)療的發(fā)展而不斷前進(jìn),從最簡(jiǎn)單的救護(hù)轉(zhuǎn)運(yùn)不斷發(fā)展成為擁有獨(dú)立機(jī)構(gòu)、先進(jìn)的指揮調(diào)度平臺(tái)、專業(yè)人員、網(wǎng)絡(luò)化管理的服務(wù)體系,為人民生命健康安全提供強(qiáng)有力的保障。2010年以來(lái),院前急救醫(yī)療服務(wù)體系在原有基礎(chǔ)上不斷壯大,但是在前進(jìn)的過(guò)程當(dāng)中供需矛盾、服務(wù)方式落后等問(wèn)題日益突出,與此同時(shí),隨著人民生活水平的提升,人民群眾對(duì)院前急救醫(yī)療服務(wù)需求的數(shù)量、種類、水平也都相應(yīng)發(fā)生了變化,傳統(tǒng)的院前急救醫(yī)療服務(wù)模式所提供的服務(wù)遠(yuǎn)遠(yuǎn)不能滿足人民群眾的需求,因此,群眾感覺(jué)“叫車難”、政府感覺(jué)“派車難”、各大醫(yī)療機(jī)構(gòu)門前“黑救護(hù)車”泛濫等引發(fā)群眾強(qiáng)烈關(guān)注的問(wèn)題越演越烈,極大影響了人民群眾的生命健康安全。新醫(yī)改以來(lái),國(guó)家不斷出臺(tái)相關(guān)政策,將院前急救醫(yī)療服務(wù)納入基本公共衛(wèi)生服務(wù)范疇,并實(shí)現(xiàn)人人享有的基本目標(biāo)。研究院前急救醫(yī)療服務(wù)供給,創(chuàng)新院前急救醫(yī)療服務(wù)供給的模式和機(jī)制,對(duì)于加快基本醫(yī)療服務(wù)的發(fā)展,改善院前急救醫(yī)療服務(wù)“叫車難”、“派車難”、“黑救護(hù)車”等現(xiàn)象,推進(jìn)城市應(yīng)急和基礎(chǔ)服務(wù)功能建設(shè),促進(jìn)社會(huì)和諧發(fā)展有著重要的意義。本文認(rèn)為,院前急救醫(yī)療服務(wù)供給總量的不足不僅是院前急救醫(yī)療服務(wù)總量不足的問(wèn)題,更核心的是服務(wù)供需結(jié)構(gòu)失衡的問(wèn)題。在我國(guó),院前急救醫(yī)療服務(wù)供給主體單一、政府權(quán)責(zé)不清、人才培養(yǎng)體系不合理等原因是造成院前急救服務(wù)市場(chǎng)供不應(yīng)求的根本原因。本文分四個(gè)部分進(jìn)行闡述:第一部分主要闡述我國(guó)急救醫(yī)療服務(wù)的歷史發(fā)展與現(xiàn)況,并對(duì)南寧市院前急救醫(yī)療服務(wù)的現(xiàn)況進(jìn)行分析,找出存在的問(wèn)題和產(chǎn)生的原因。第二部分主要闡述公共產(chǎn)品的定義和分類及其供給模式,分析了院前急救醫(yī)療服務(wù)的準(zhǔn)公共產(chǎn)品性質(zhì)及南寧急救醫(yī)療服務(wù)有效供給不足與其準(zhǔn)公共產(chǎn)品性質(zhì)的關(guān)系,提出院前急救醫(yī)療服務(wù)采取混合供給的優(yōu)勢(shì)和必要性。第三部分通過(guò)對(duì)美國(guó)、英國(guó)等先進(jìn)國(guó)家院前急救醫(yī)療體系的構(gòu)成、資金來(lái)源、人才培養(yǎng)的特點(diǎn)進(jìn)行闡述,總結(jié)出值得我國(guó)院前急救醫(yī)療服務(wù)體系借鑒的經(jīng)驗(yàn)和做法。第四部分在借鑒國(guó)外先進(jìn)做法和經(jīng)驗(yàn)的基礎(chǔ)上,結(jié)合公共產(chǎn)品的供給理論,提出應(yīng)該構(gòu)建院前急救醫(yī)療服務(wù)分類供給、急救人才分層次培養(yǎng)的機(jī)制,以擴(kuò)大我國(guó)院前急救醫(yī)療服務(wù)的有效供給。本文研究的意義在于探索一個(gè)以統(tǒng)籌各級(jí)醫(yī)療資源優(yōu)化配置、降低服務(wù)成本、構(gòu)筑多元化平臺(tái)、提高院前醫(yī)療服務(wù)有效供給,且符合院前急救醫(yī)療發(fā)展趨勢(shì)、群眾滿意的院前急救醫(yī)療供給體系,以有效解決我國(guó)“看病難、看病貴”的民生問(wèn)題,推進(jìn)我國(guó)基本醫(yī)療體系的發(fā)展和完善。
[Abstract]:The system of pre-hospital emergency medical service has been developed for nearly 30 years since 1980's. As an indispensable part of the medical service system, the pre-hospital first aid medical service continues to advance with the development of economy and medical treatment, from the simplest ambulance transshipment to the advanced command and dispatch platform with independent organization. Professional personnel, the service system of networked management, provides a strong guarantee for the life, health and safety of the people. Since 2010, the pre-hospital emergency medical service system has been growing on the basis of the original, but in the process of progress, there is a contradiction between supply and demand. The problems of backward service methods have become increasingly prominent. At the same time, with the improvement of the people's living standards, the number, type and level of the people's demand for pre-hospital emergency medical services have changed accordingly. The services provided by the traditional pre-hospital emergency medical service model are far from meeting the needs of the masses. Therefore, the masses feel that it is difficult to call a car, and the government feels that it is difficult to send a car. The proliferation of "black ambulances" in front of major medical institutions and other issues that have aroused people's intense concern has greatly affected the lives, health and safety of the people. Since the new medical reform, the state has constantly issued relevant policies to bring pre-hospital emergency medical services into the category of basic public health services, and to achieve the basic goal of everyone. The supply of pre-hospital emergency medical service and innovation of the mode and mechanism of pre-hospital emergency medical service supply can accelerate the development of basic medical service, improve the pre-hospital emergency medical service "car call difficulty", "dispatch car difficulty", It is of great significance to promote the construction of urban emergency and basic service function and to promote the harmonious development of society. This paper holds that the shortage of the total supply of pre-hospital emergency medical services is not only the problem of the shortage of the total amount of pre-hospital emergency medical services, but also the imbalance of the supply and demand structure of the services. In our country, the main supply of pre-hospital emergency medical service is single, the government's power and responsibility are not clear, and the personnel training system is unreasonable. This paper is divided into four parts: the first part mainly expounds the historical development and present situation of the first aid medical service in our country, and analyzes the present situation of the pre-hospital emergency medical service in Nanning City, and finds out the existing problems and causes. The second part mainly expounds the definition and classification of public goods and its supply mode, analyzes the nature of quasi-public goods of pre-hospital emergency medical service and the relationship between the shortage of effective supply of Nanning emergency medical service and the nature of quasi-public goods. The advantages and necessity of mixed supply of pre-hospital emergency medical service were put forward. The third part expounds the constitution, the source of funds and the characteristics of personnel training of the pre-hospital first aid medical system in the United States, Britain and other advanced countries, and sums up the experience and practice that our country's pre-hospital emergency medical service system can use for reference. In the fourth part, on the basis of drawing lessons from foreign advanced practices and experience and combining the supply theory of public goods, the author puts forward that the mechanism of classified supply of pre-hospital emergency medical service and training of emergency personnel should be constructed. In order to expand the effective supply of pre-hospital emergency medical services in China. The significance of this study is to explore an optimal allocation of medical resources at all levels, to reduce service costs, to build a diversified platform, to improve the effective supply of pre-hospital medical services, and to accord with the development trend of pre-hospital emergency medical care. The supply system of pre-hospital emergency medical treatment is satisfied by the masses in order to effectively solve the livelihood problems of "difficult to see a doctor, expensive to see a doctor", and to promote the development and improvement of the basic medical system of our country.
【學(xué)位授予單位】：廣西大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R459.7

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本文編號(hào)：1994877