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卫生财政学概念的涵义、范围领域、基本特征与地位作用(下) 总被引:1,自引:0,他引:1
医疗财政、公共卫生财政、卫生保健财政与卫生财政体系是公共财政体系重要组成部分。属于社会福利财政范畴.是公共政策、社会政策与卫生政策框架的基础部分.是社会市场体系与社会基础结构体系的重要组成部分.在促进经济社会协调均衡稳定可持续发展和提高综合国力.全面实现小康社会和构建和谐社会中发挥基础性作用.在公共财政与社会福利财政体制建设中处于先导性、基础性、 相似文献
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袁幼娟 《河南预防医学杂志》2005,16(6):371-371,380
在社会主义市场经济体制下,我国原有的与计划经济体制相适应的“国家财政”、“建设财政”模式已明显不适应经济发展的要求,一种新型的财政理念和运行模式——公共财政呼之欲出,但公共财政的真正确立尚需时日,存在许多难题需要逐步解决,其中之一便是农村公共医疗卫生体系的重构。 相似文献
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医疗卫生筹资问题是医药卫生体制改革与卫生政策总体框架设计中的基本问题,而钱的"性质"则是当前医药卫生体制改革的核心问题。卫生事业的福利性质决定政府应该为医疗卫生服务承担应有的责任与义务。中国卫生财政研究历史可划分为1949—1978年、1979—2008年和2008年至今三个阶段。研究内容主要包括:卫生财政预算、卫生财政支出规模、公共卫生财政、医疗财政、城乡初级卫生保健财政、卫生财政支出方式和卫生财政支出绩效七大部分。虽然,目前针对卫生财政议题的研究较多,但研究内容比较零散,未形成研究体系。未来应该着重对国际医疗卫生财政,临床医疗、公共卫生、卫生保健服务与公共财政体制、公共财政支出结构的基础性理论政策议题,以及卫生财政与各级政府间财政关系三大类议题展开研究。 相似文献
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发挥公共财政职能推动卫生事业发展 总被引:1,自引:0,他引:1
构建与经济社会相适应的公共卫生投入、管理模式,既是实践“三个代表”、体现执政为民的要求,也是深化财政改革、建设市场经济条件下公共财政的内在要求。义乌市2002—2004年年财政投入卫生事业费分别为2187万元、5269万元、10080万元,有力推动了全市公共卫生事业的发展。 相似文献
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中共十七大已提出“病有所医”的民生建设发展方向,中央有关部门不断推进医疗卫生改革。如何建立有效的财政机制,促进中国医疗卫生事业的持续发展,是构建中国社会主义和谐社会的一项关键内容。本文认为,卫生事业、财政发展与构建和谐社会有着密不可分的联系,促进医疗卫生事业和谐发展的公共财政机制包括:“健康改善机制”、“提高医疗卫生服务的需求机制”以及“公共卫生资源有效形成与配置机制”。 相似文献
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我国公共卫生财政的主要职能及其实现手段 总被引:4,自引:4,他引:0
公共卫生财政是公共财政的一个组成部分,本文从描述我国医疗卫生服务市场的特征出发,引发出卫生服务市场本身的缺陷,从而构架了卫生财政应具有卫生资源配置、解决外部效应、提供公共卫生产品和调节收入机会不均等三大职能。 相似文献
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目的:分析当前政府对公共卫生事业投入现状。方法:依据政府公共财政基本功能,与世界相关国家的政府投入现状比较,分析我国卫生事业费占财政支出比重状况及原因。结果:我国政府卫生投入状况不适应公共卫生发展需要。结论:政府财力相对匮乏,疾病谱改变使原有的经费更加紧张,应尽快解决这一状况。 相似文献
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论临床医学与公共卫生的协调发展 总被引:13,自引:0,他引:13
乌正赉 《中华医院管理杂志》2006,22(3):145-147
随着社会经济的发展和科学技术的进步,临床医学与公共卫生间出现了裂痕。临床医学的重点是研究疾病机理,而公共卫生的重点是研究环境和社会因素对疾病和健康的影响。临床医学与公共卫生的分离,使得医疗卫生服务体系难以适应社会的发展。发展全科医学和社区卫生服务是弥补多年来疾病治疗(临床医学)与疾病预防(公共卫生)之间裂痕的最佳选择和最好办法。同时,应加强对医学院、公共卫生学院的领导、学生及教师、临床医生、卫生行政管理人员、卫生政策制定者等的公共卫生教育。 相似文献
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目的:对我国西部地区妇幼卫生财政投入状况进行分析,提出完善妇幼卫生投入的建议。方法:采用财政学指标对我国西部地区当前妇幼卫生财政投入的规模和支出结构进行定量描述性研究。结果:近年来,我国西部地区妇幼卫生财政投入保持较快增长,妇幼卫生财政投入的增速与财政支出持平;妇幼卫生财政投入占卫生总投入的比例偏低且有下降趋势;我国西部地区妇幼卫生财政投入存在向大城市、大医院倾斜等不公平现象。结论:我国西部地区妇幼卫生领域存在财政投入不足、支出结构不合理等问题;建议增加妇幼卫生财政投入、优化妇幼卫生资源配置、拓宽妇幼卫生筹资渠道等。 相似文献
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新医改中公立医院改革的几个问题 总被引:1,自引:0,他引:1
对卫生管理体制、公立医院公益性、医疗资源合理使用等三个问题提出笔者的观点,认为管理体制改革关键是要进一步按照大部制改革的方向推进医疗、医药、医保统一管理,以理清政府"管"和公立医院法人"办"的职能界面为方向推进管办分开;强化公立医院公益性,关键是要科学设计一系列激励和约束机制;促进医疗资源合理使用,关键是要逐步建立分级医疗制度。 相似文献
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公立医院的公益性及其保障措施 总被引:12,自引:4,他引:8
本文提出了公立医院公益性的内涵和保障措施。公立医院的公益性,是指公立医院的行为和目标与政府意志相一致,进而与社会福利最大化的目标相一致;公立医院除了遵循一般医院和一般非营利医院的管理制度之外,还要在维护医疗服务和筹资的公平性、提高医疗服务的宏观和微观效率、承担政策性职能等三个方面,体现公益性。政府是保障公立医院公益性的主体,要从明确公立医院的定位和管理目标、保障充足的财政支持和适宜的财务制度、建立考核问责监督机制以及建立符合公益性要求的内部管理制度等四个方面保障公立医院的公益性。 相似文献
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Stewart J 《Public health》2005,119(6):73-534
OBJECTIVES: The aim of this paper is to review UK public health policy, with a specific reference to housing as a key health determinant, since its inception in the Victorian era to contemporary times. REVIEW: This paper reviews the role of social and private housing policy in the development of the UK public health movement, tracing its initial medical routes through to the current socio-economic model of public health. The paper establishes five distinct ideologically and philosophically driven eras, placing public health and housing within liberal (Victorian era), state interventionist (post World War 1; post World War 2), neoliberal (post 1979) and "Third Way" (post 1997) models, showing the political perspective of policy interventions and overviewing their impact on public health. The paper particularly focuses on the contemporary model of public health since the Acheson Report, and how its recommendations have found their way into policy, also the impact on housing practice. CONCLUSIONS: Public health is closely related to political ideology, whether driven by the State, individual or partnership arrangements. The current political system, the Third Way, seeks to promote a sustainable "social contract" between citizens and the State, public, private and voluntary organizations in delivering community-based change in areas where health inequalities can be most progressively and successfully addressed. 相似文献
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Dandoy S 《The Journal of American health policy》1994,4(3):6-13
The nation's public health system can take credit for many of this century's improvements in life expectancy. But public health has been forced to take a back seat to high-technology medicine, reducing its funding and clout among local, state, and federal policymakers. For health reform to achieve the goals of cost containment and universal access, the nation's public health system must be strengthened and work in partnership with the medical care system. 相似文献
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Since the foundation of the People's Republic of China in 1949, there has been remarkable developments in public health in the country. These achievements are primarily attributed to the public health services and patriotic public health campaigns, although the contribution of high-technology medical applications is also recognized. However, along with the recent socio-economic developments and scientific and technological progress, medical disciplines have become more and more specialized, and clinical and preventive medicine have become further separated from each other. Conventional Chinese wisdom says 'when long divided they must unite, when long united they must divide'. At the onset of the new round of reforms of health care in China, it seems important to revisit the discussions on the urgency for integration of health sciences in medicine in China. Several issues and viewpoints on integrating medicine are discussed in this paper. The biopsychosocial model for health calls for broad integration. Primary care development in China requires integration in education and practice, and in treatment and prevention. Control of chronic diseases requires integrated and united action. Integration of traditional Chinese medicine with Western medicine requires creativity. The integration perspective should be instilled in the minds of medical students. Integration also entails integrated practice. After all, integration entails integrated education and practice in public health education. Changing the current public health education system still has a long way to go. True integration requires integration of concepts, policies, resources and measures, as well as changes in the organization of health care including public health, prevention and treatment. This needs to be a systematic process. Finally, success of integration relies on social mobilization, advocacy, promotion and attention of the entire society. 相似文献