公平与效率均衡我国公立医院改革的路径选择

《公平与效率均衡我国公立医院改革的路径选择》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、学位论文独创性声明本人郑重声明：所提交的学位论文是本人在导师指导下进行的研究工作和取得的研究成果。本论文中除引文外，所有实验、数据和有关材料均是真实的。本论文中除引文和致谢的内容外，不包含其他人或其它机构已经发表或撰写过的研究成果。其他同志对本研究所做的贡献均已在论文中作了声明并表示了谢意。学位论文作者签名：阎遂日期：>9f≥．f、／o学位论文使用授权声明保密论文注释：本学位论文属于保密论文，密级：丛煎保密期限为——年。．粼姗繇闻照⋯獬：孙鬟日期：殉／；．工、to日期：AbstractThepublichospitalre

2、formisnotonlyacareerwhichcanbenefittheentirepopulationofacountryandthepeople’Slivelihood，butalsoaglobalproblem．SincetheEstablishmentofPeople’SRepublicofChina，China'spublichospitalshavegonethroughthecourseoftwicemedicalreformswithdifferentvalueorientmion：theoldmark

3、et．orientedreformandthenewreform埘Ⅱl“publicwelfarereturn'’destination．Atthisstage，thereformofpublichospitalsisinthepilotphaseofthenewmedicalreform．Aftermorethanthreeyearsofexploration，wehaveaccumulatedsomeexperience，butisstillfacingdifficultiesandchallengesoftheimb

4、alanceintherelationshipbetweenfaimessandefficiencyinsomeaspects：First，theimbalanceonthevalueorientation，mainlythemissingofpublicwelfare，whichspecificallyperformsasthemasses’tooheavymedicalburden，thepoortimeandgeographyaccessibilitytotheneededhealthcareandthedeteri

5、orationofthedoctor-patientrelationship；Second，theimbalanceontheexternalenvironment，prominentlyshowsastheuncoordinatedgovernmentpolicyenvironmentandimperfectenvironmentformarketcompetitive；Third，theimbalanceonpublichospitals’ownmanagement，specificallyreflectsasthen

6、egligenceofmanagementdecisions，theartificiallyhighrunningcostsandtheoutstandingpersonnelissues．Manyreasonscausetheseimbalances，duringwhichthemainonesareasfollows：First，Ourpublichospitalsareobjectivelyinlackofthemedicalresourcesandintrouble谢tlldistributionimbalance

7、s；Second，policy，publichospitalsandmedicalworkersshowsomedeviationonvalueorientation；Third，thedoublefailureofthegovemmentandthemarketiscoexistingintheactualreform；Lastofall，theintemalmanagementofthepublichospitalsareintroublewithchaoticmanagementsystem，weakcostmana

8、gementandunreasonablehumanresourcesmanagement．Experienceofpublichospitalreformabroaddealingwithfaimessandefficiencyrelationsandgovernmentandmarketrelati