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1.
公立医院公益性质淡化的现状与研究   总被引:2,自引:0,他引:2  
我国卫生事业具有一定公益性和福利性,但随着社会的变革、市场经济的建立,现阶段我国公立医院对福利性和公益性医疗卫生服务提供逐步减少,理念逐渐淡化,导致约70%的被访群众认为公立医院对公共卫生服务和公益性卫生服务提供存在严重欠缺。由于我国政府是公立医院的投资及管理机构,公立医院的定位和发展与政府的职责密切相关,如何正确认识两者的关系,越来越成为社会关注的热点问题。文章将探讨政府相关政策与公立医院公益性性质淡化之间的因果关系。  相似文献   

2.
卫生事业公益性与福利性定性的本质区别是什么   总被引:14,自引:0,他引:14  
卫生政策和医学基础理论研究,医疗卫生的现实发展困境,医疗卫生体制改革,重构宏观卫生政策框架和构建和谐社会,"不约而同"共同聚焦医疗卫生服务"公益"性质。社会问题的"定性"至关重要,性质将直接决定服务对象、服务范围、服务内容、资金来源和服务方式,决定国家、市场互动关系和社会边界,决定社会资源分配模式和国家社会责任。虽然公益性与福利性存在许多相同之处,但是公益性与福利性存在诸多本质性差别和不同,卫生服务正确性质应是"福利性",而非"公益性",更不是"一定福利政策的社会公益事业"。  相似文献   

3.
一、卫生事业发展与改革的政策基础——卫生事业性质卫生事业性质,是制订卫生政策,也是研究卫生改革政策的基础我国卫生事业是公益性的福利事业,这是目前比较公认的提法。理论界对公益性,福利性有种种不同解释,但对社会主义卫生事业既具有公益性,又具有福利性这一点,持疑义的不多。可是  相似文献   

4.
坚持国家主体医疗卫生事业的公益福利性是社会人权保障的重要内容。卫生工作实行市场化机制则不利于广大农村人口、年老者及残疾人的生命健康权利保障,卫生事业的"公益性"与"福利性"并无根本矛盾。  相似文献   

5.
坚持国家主体医疗卫生事业的公益福利性是社会人权保障的重要内容。卫生工作实行市场化机制则不利于广大农村人口、年老者及残废人的生命健康权利保障。卫生事业的“公益性”与“福利性”并无根本矛盾。  相似文献   

6.
卫生事业性质的争鸣与实践   总被引:2,自引:1,他引:1  
改革开放以来,关于卫生事业的性质,主要有三种观点:福利性、商品性、两重性,并不同程度地影响着卫生政策。通过回顾历史、分析实践结果,可以看出卫生事业公益性不等同于福利性,也不排斥商品性,关键是突出政府主导,提高“卫生公益比”。  相似文献   

7.
公立医院产权、经营权改革的做法和看法   总被引:2,自引:0,他引:2  
卫生事业具有公益性、福利性、产业性的特点。说它具有公益性和福利性,是指政府为老百姓购买的预防保健和公共卫生服务,帮助建立城镇职工基本医疗保障制度。说它具有产业性,是指医院提供的是技术服务,有投入、有成本、有产出,医疗服务需要消费者购买。卫生事业的福利性、公益性在医院工作中的体现形式及内容,需要推敲研究。目前,  相似文献   

8.
公益性和积极性均衡是我国公立医院改革与发展的最佳状态和历史趋势。公益性和积极性均衡是由我国卫生事业的主要矛盾决定的,符合了基本医疗卫生服务的产品属性。政府主导型、市场主导型、社会主导型医疗卫生体制中的公立医院,在发展过程中均面临公益性和积极性的偏重难题和失衡困局,三者均通过架设医患双方激励相容的体制、机制,以实现公益性和积极性的均衡格局,此为我国公立医院改革提供重要启示。  相似文献   

9.
卫生事业性质:各级政府、全民企业和集体经济组织等通过国民收入的分配和再分配,举办和补助公有制卫生机构,以非盈利方式为全社会成员提供医疗预防保健服务,体现社会分配的福利特征;同时,享受卫生服务的社会各单位和个人都要合理分担卫生费用,各方尽责,公众受益。因而,我国的卫生事业在总体上是一项具有公益性的福利事业。卫生事业的这一社会属性是我们制定卫生工作方针政策的基本依据之一。  相似文献   

10.
正确界定卫生事业的性质与深化卫生体制改革和促进卫生事业发展有着极为紧密的关系。明确了卫生事业性质,就能为卫生改革与发展提供理论依据,就能指明卫生发展的方向。过去卫生事业的发展与改革,无不与卫生事业的性质有关,卫生事业性质的演变过程大体上经历了从纯福利性到福利性与经济性双重性再到公益性的福利事业。这种演变既有积极性  相似文献   

11.
目的:探讨健康管理改进途径,有效利用有限资源预防疾病、维护健康,提高健康管理水平。方法通过梳理国内外健康管理发展现状,分析我国健康管理特点与问题。结果我国健康管理水平逐渐提高,有社区卫生中心、医疗机构和体检中心模式,但健康管理产业仍需改进。结论加速健康管理产业三个转变;完善学科教育体系;加快健康管理信息服务平台建设;开展健康危险度评估。  相似文献   

12.
BACKGROUND: The ultimate intent of healthcare performance measures is to improve health status by stimulating improvements to healthcare quality. This report evaluates how well current performance measurement sets address the leading causes of illness and death in the United States, using the Health Plan Employer Data and Information Set (HEDIS) as an example. METHODS: We assessed whether HEDIS measures exist for the leading causes of illness and death according to five commonly used indices: physiologic cause of death, underlying cause of death, disability-adjusted life years, healthcare expenditures, and missed work days. RESULTS: Fewer than one half of the leading causes of morbidity and mortality are addressed by current measures. CONCLUSIONS: The opportunities for using accurate and meaningful measurement for disease prevention and health promotion are substantial, yet this potential remains only partly realized and depends on further expansion of performance measurement efforts.  相似文献   

13.
The need to manage medical information in healthcare delivery requires that information technology be optimized in diagnosing diseases; in planning and administering treatment; and in monitoring patient outcomes, services, and costs. The goals of this article are twofold: (1) to identify healthcare-specific software that addresses specific parameters set forth by the World Health Organization (WHO) for healthcare information systems and (2) to identify issues that managers should keep in mind when choosing an integrated information systems software package. For our analysis, we gathered, through Internet research, information about more than 400 software products from more than 200 companies.  相似文献   

14.
目的:了解上海市高端社会办医发展的现状及趋势。方法:应用机构数量等7个指标分析其资源配置状况,应用门急诊人次等2个指标对其服务量进行分析,应用次均门诊费用等8个指标分析其费用情况,通过不同类别机构之间的横向比较分析2013年上海市高端社会办医机构的整体情况,并对2011—2013年高端社会办医情况进行纵向比较,分析其发展趋势。结果:目前上海市高端社会办医机构资源配置水平偏低,规模化建设尚处于初期阶段,医务人员结构欠合理;高端社会办医机构服务总量虽迅速增加,但仍远低于公立医院特需服务量;高端社会办医机构医疗费用总体处于较高水平,内部结构较为合理。结论与建议:当前上海市高端社会办医尚处于发展初期,但发展前景广阔。高端社会办医应在医疗技术、服务水平、管理能力、人力队伍建设、品牌发展等方面加以强化。  相似文献   

15.
Numerous papers have been written comparing the Canadian and US healthcare systems, and a number of health policy experts have recommended that the Americans implement their single‐payer system to save 12–20% of its healthcare expenditures. This paper is different in that it assumes that neither country will undertake a significant philosophic or structural change in their healthcare system, but there are lessons to be learned that are inherent in one that could be a major breakthrough for the other. Following the model in Canada and in Western Europe, the USA could implement universal health insurance so that the 32.0 million (2015) Americans still uninsured would have at least minimal coverage when incurring medical expenditures. Also, the USA could use smart cards to evaluate eligibility and to process health insurance claims; these changes resulting in an estimated 15% reduction in US health expenditures without adversely effecting access or quality of care. Such a strategy would result in the eventual loss of 2.5 million white‐collar jobs at hospitals, physician offices and insurance companies, a long‐term economic gain. Only a few would agree with the statement that Canada already functions with a multi‐payer reimbursement system as evidenced by (1) a federal‐provincial, tax‐supported plan, administered by each of the provinces, providing universal coverage for hospital and physician services and (2) roughly 60% of its residents receiving employer‐paid health insurance benefits, underwritten primarily by investor‐owned plans, that are less than effective to reimburse for pharmaceuticals, dental and other healthcare services. What could be learned from the USA and particularly from Western European countries is possibly implementing an approach, whereby at least upper‐income Canadians could opt out of their federal‐provincial plan and purchase private insurance coverage — being eligible for far more comprehensive “private” benefits for hospital, physician, pharmaceutical, dental and other healthcare services. Aside from generating billions of additional needed revenues from the private sector, it could (1) help eliminate long waits for non‐emergent physicians' care by appointing newly minted specialists to their medical staffs; (2) offer prompt admissions for elective cases to “private” wings of hospitals; (3) increase available funding for what is currently an undercapitalized system; (4) enhance the system's sluggish operations; and (5) encourage more competition among various providers. Although such a two‐tier approach, such as available in the USA and elsewhere, is politically dead on arrival in Canada today, private insurance being already legal and commonly available there. Interestingly, this recommended solution is utilized in most western European countries where there is a higher percentage than in Canada of public (versus private) funding of their total health expenditures. Because of various vested interests, attempts to implement any of the aforementioned proposals will undoubtedly result in considerable political rancor. There is greater likelihood, however, that the Canadians because their need to be more effective and efficient in their delivery of care, and their overall long‐term fiscal outlook will agree to the further privatization of their healthcare system before the Americans will mandate universal access, use the smart card to process insurance eligibility and claims or will impose price controls on high‐tech services and on pharmaceuticals. Copyright © 2016 John Wiley & Sons, Ltd.  相似文献   

16.
目前状况下的农村卫生工作是极具中国特色、极富挑战的研究内容,理清卫生工作理论和实践两方面的线索是当前亟需解决的重要问题。由于公共卫生成本需求不能完全与高成本需枣的医疗服务相比,因此,不能简单地以公共卫生费用占卫生事业费份额作为标准来对公共卫生投入是否适宜进行评价。公共卫生服务工作亟需健全标准化、完整的、规范化、量化的,以服务的绩效质量为标准的计划、实施、评估体系。  相似文献   

17.
Quotable Quotes     
Patient adherence is extremely important to achieve positive outcome. While quality of healthcare service has been studied as a determinant of patient satisfaction and loyalty, its impact on patient adherence has not been examined. The authors attempt to determine dimensions of quality and their impact on patient adherence in primary healthcare in India. Exploratory factor analysis resulted into seven factors. Factor scores were used for regression to identify the influence of dimensions of service quality on patient adherence. Quality of healthcare emerged as a determinant of patient adherence.  相似文献   

18.
高端医疗服务既是社会资本办医的主要方面,也是健康服务业鼓励发展的产业之一,是我国"十三五"时期医疗卫生发展的重要内容。文献研究表明,目前国内对高端医疗服务的内涵缺乏明确的阐述,而这是开展高端医疗服务相关研究的基础和前提。本研究通过系统综述、现场调查和关键知情人访谈等方法,明确了当前我国社会经济环境下高端医疗服务的概念、内涵,结合上海市工作实践,借鉴国际先进经验,建议应优先发展健康管理、医疗养老、移动医疗等领域。  相似文献   

19.
病例缺陷分析与医疗质量研究   总被引:2,自引:0,他引:2  
病例质量控制是医疗质量管理的核心内容,采用回顾调查方法调查了250例住院病例,从病历、诊断、治疗、抢救等方面进行分析,发现病历书军存在问题最多,并直接影响之后的诊疗过程各环节。临床医师在该质控中作用重要,加强临床医师素质培养,提高诊疗水平,主动查找病例缺陷,发现并及时纠正、减少直到避免病例缺陷是不断提高医疗质量的必要前提。  相似文献   

20.
最新国际医疗质量过程管理的精益医疗服务方式   总被引:3,自引:2,他引:1  
目前美国医院管理接受最新精益医疗服务方式(Lean Production Methods)的原则是在最大程度上积极地努力提高医疗质量,同时最大程度科学地优化医疗资源而降低医疗成本。文章旨在将医院管理前沿、最先进的精益医疗服务方式的46步法则实施步骤系统地向医院管理者介绍,使之成为在医院管理工作中不断持续改进医疗质量的方法。  相似文献   

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