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所需积分：5上传用户：ghryhqbtcj资料价格：5财富值&&『』文档下载 ：『』&&『』学位专业：&关 键 词 ：&&&&权力声明：若本站收录的文献无意侵犯了您的著作版权，请点击。摘要:（摘要内容经过系统自动伪原创处理以避免复制，下载原文正常，内容请直接查看目录。）安康权益是国民的最根本权益，“病有所医”是以同样成为社会成长文明状况的主要标记之一。公道有用处理平易近生成绩是协调社会主义扶植的主要内容。“看病难”这一成绩假如没法妥当处理，必将会障碍社会经济的成长。本文将以时光为序列，对生齿和医疗机构的增加幅度、其他当局性收入与对医疗办事范畴的收入、其他国度医疗办事范畴的收入与我国该方面的收入等多方面停止比拟，经由过程引言、配景、实证研讨及成果剖析等，商量“看病难”成绩与生齿增加速度、当局性收入和医疗机构增加幅度等几方面的关系。经由过程剖析现有体系体例机制的不公道招致当局关于医疗卫生办事范畴的投入严重缺乏，并从公共经济学视角对形成“看病难”这一成绩的缘由停止轨制剖析。同时找出在关于医疗办事这一准公共物品的供给方面的当局义务划分。以期为当局做出更加公道的决议计划供给实际根据。本文在第二章研讨内容和研讨办法以后于第三章对医疗产物的相干实际停止总结。从医疗卫生办事的特征、公共经济学性质两方面停止剖析，为当局干涉医疗卫生办事市场供给经济学根据。因为诸多学者在“看病难”成绩长进行了分歧方面的剖析，而且给出许多公道的建议。是以笔者在剖析医疗卫生办事的性质以后，停止文献综述，将学者们的不雅点予以总结。以后剖析得出笔者的立异点，即关于：人们跟着经济前提的改良，关于医疗办事的需求尺度有所上移；因为权要特权对医疗资本的占领，形成医疗资本极年夜糟蹋。以上两个方面，很少有学者说起。同时，笔者留意到已经有学者从公共经济学角度对“看病难”成绩发生的缘由停止剖析，但并没有依据找出的缘由提出公共经济学视角下的处理方法，是以笔者将重点针对此方面停止进一步剖析。在第四章，笔者在强调假如只依附市场机制停止调理轻易发生市场掉灵以后，关于医疗办事近况停止剖析。起首经由过程剖析看病难成绩对医患两边形成的困扰。年夜部门学者评论辩论看病难成绩只是从患者角度停止剖析，而疏忽了医疗机构任务人员因为医疗办事市场供求不屈衡发生的伟大压力。从医患两边停止评论辩论，更能在处理成绩时做到兼顾统筹。同时更能表现处理看病难成绩的紧急性。其次，经由过程剖析本国当局收入程度同其他收入比拟绝对较低、医疗资本成长不平衡、医疗办事质量不克不及使人满足、病院支出的重要方法等并与世界规模其他国度关于卫生收入的比较，应用数据剖析、实证剖析等指出医疗办事范畴存在供需严重不屈衡，医疗物品的供应存在严重缺口。为下文依据分歧范畴由分歧主体主导供给医疗卫临盆品供给数据和实证根据。第五章，剖析招致医疗物品供应严重缺乏的缘由。起首分析关于医疗卫生办事范畴的设置装备摆设成绩，指出分歧范畴的医疗卫生办事的特别性质，并从特权占领招致资本糟蹋等分歧方面分离指出完整由当局供给医疗卫生办事存在的弊病。从而找出本应由当局供给的医疗办事的数目仍然缺乏的缘由。并对经由数次医疗改造公立病院依然处于垄断位置的成绩停止剖析。剖析当局如何能更好的分流应该由市场供给的医疗办事，指出个中的好处关系，从而得出当局并未自动将本应由市场供给的医疗办事交还市场的缘由。依据上述剖析的缘由，将医疗卫生办事范畴划分为公共卫生范畴、根本医疗办事范畴、特许医疗办事范畴。笔者依据医疗办事分歧范畴的分歧特征，提出依据分歧医疗办事范畴由市场和当局分离主导供给的结论。最初，笔者在第六章依据上述剖析得出的分歧缘由，逐条作出响应的对策和建议。指出当局在加年夜对医疗办事范畴的财务投入的同时，应该供给的评价机制和监管机制，以削减特权占领和资本糟蹋景象的发生。依据分歧医疗办事范畴的分歧性质，肯定供给主体。同时为保证医疗卫生办事依据分歧范畴由分歧主体分离供给这一构思的顺遂实行，笔者提出应当树立相干平易近意查询拜访轨制、政绩鼓励轨制、相干揭发轨制等。调动国民和各级当局关于介入实行分范畴改造的积极性。更好地建言献策，使这一筹划得以高效实行。Abstract:Health rights is a national of the most fundamental rights, &BingYouSuoYi& is to also become the situation of growth of civilization of the society one of the important signs. Fair and helpful to deal with the result of the common people is the main content of harmonious socialist construction. Difficult to see a doctor if not properly handled, will hinder the growth of social and economic. The time sequence, of population and medical institutions increased amplitude, other governmental income and income of medical service category, other national medical services category of income and our country the incomes and so on to carry on the comparison, through process introduction, background, empirical research and the results of the analysis, to discuss &see a doctor difficult achievement and population increase speed, authorities income and medical institutions to increase the amplitude of several aspects of the relationship. Through the process of analysis of the existing system mechanism of the unreasonable lead to the authorities on the medical and health service areas of serious lack of investment, and from the perspective of public economics to form a &medical treatment is difficult,& the cause of the cause of the system analysis. At the same time to find out about the medical service in the quasi public goods supply administration division of obligation. In order to provide a practical basis for the administration to make more reasonable decisions. In the second chapter, the research contents and research methods are summarized in the third chapter. From the characteristics of medical and health services, public economics, the nature of the two aspects of the analysis, for the authorities to intervene in the medical and health services market supply economics. Because many scholars in the &medical treatment is difficult,& the results of the analysis of different aspects, but also gives a lot of reasonable suggestions. Is the author in the analysis of medical and health services, the nature of the literature review, the scholars will be summarized. After analysis obtained the innovation, about: people follow economic conditions improved, on medical service demand scale
because of the right to the privilege of medical capital occupation, the formation of medical capital of the eve of the spoil. The above two aspects, few scholars talk about. At the same time, the author noted that some scholars from the perspective of public economics to &see a doctor difficult& the reason for the occurrence of the analysis, but not on the basis of the cause of public economics perspective, the author will focus on further analysis of the needle. In the fourth chapter, the author emphasizes on the status quo of medical service, which is based on the market mechanism and the market mechanism can not be easily stopped. First of all through the process of analysis of the medical treatment difficult to the formation of the two sides of the medical trouble. Most of the scholars commented on the difficulty of the medical treatment is difficult to see a doctor only from the perspective of the analysis, and neglect of medical institutions to the task force because of the medical service market supply and demand and the great pressure. From both sides of the doctor and patient to stop commenting on the debate, but also in the process of dealing with the results as a whole. At the same time, it is more capable of dealing with the emergency of medical treatment. Secondly, through the analysis domestic authority level of income and other income compared relatively low and unbalanced growth capital medical, medical service quality means not make people satisfaction, hospital expenditure of important method, and with other countries in the world scale on the health income comparison, should use data analysis, pointed out that medical services category exists serious supply and demand imbalance, supply of medical items exist serious gaps in the empirical analysis. For the following according to the different category consists of different dominant supply of medical supplies and production according to the empirical data. The fifth chapter analyzes the reasons for the shortage of medical supplies. First of all, the analysis of the medical and health services in the field of equipment, and pointed out that the special nature of the medical and health services in different areas, and from the privilege of the occupation of capital and other aspects of the separation of different aspects of the supply of medical and health services to the full. In order to find out the reasons for the lack of the number of medical services which are supplied by the authorities. And the result that the public hospital is still in a monopoly position through several medical reform. How the authorities can better triage should be made by the market supply of medical services, and pointed out the benefits of the relationship, so that the authorities did not automatically return the market supply of medical services to the market. According to the above reasons, the medical and health service areas are classified into public health category, the basic medical service category, and the scope of the franchise. According to the differences of medical service, the author puts forward the conclusion that according to the different medical service areas, the market and the government lead the supply. At first, the author in the sixth chapter, according to the different reasons of the above analysis results, one by one in response to countermeasures and suggestions. In the same time, it is pointed out that the evaluation mechanism and the supervision mechanism should be provided in order to reduce the occurrence of privileged occupation and capital waste. According to the different nature of the medical service, the supply of the main body. At the same time in order to ensure the medical and health care service according to different categories by different main separation of supply and the idea of the smooth implementation, the author puts forward should establish a coherent plain close investigation rail system, performance to encourage rail system, coherent expose rail system etc..目录:摘要4-6ABSTRACT6-8第一章 引言12-14第二章 研究内容、研究方法和创新之处14-16&&&&一、 研究内容14&&&&二、 研究方法14-16&&&&&&&&（一） 资料分析研究法14&&&&&&&&（二） 数据、图表对比分析法14&&&&&&&&（三） 本论文创新之处14-16第三章 公共产品理论以及文献综述16-22&&&&一、 关于医疗产品的相关理论16-18&&&&&&&&（一） 医疗卫生服务的特性16&&&&&&&&（二） 医疗卫生服务的公共经济学性质16-17&&&&&&&&（三） 政府干预医疗卫生服务市场的经济学依据17-18&&&&二、 文献综述18-22&&&&&&&&（一） “看病贵”造成“看病难”18&&&&&&&&（二） 医疗机构总体不足引起“看病难”18-19&&&&&&&&（三） 医疗资源不均衡导致农村“看病难”19&&&&&&&&（四） “消费挤出效应”导致“看病难”19&&&&&&&&（五） 政府未能准确定位其职能19-22第四章 关于医疗服务现状的分析22-30&&&&一、 看病难在医患双方的主要体现22-24&&&&&&&&（一） 普遍追求大医院22&&&&&&&&（二） 住院难22-23&&&&&&&&（三） 医务人员身心俱疲23&&&&&&&&（四） 灰色地带提升看病成本23-24&&&&二、 关于政府投入现状的分析24-30&&&&&&&&（一） 本国发展现状分析25-26&&&&&&&&（二） 与其他国家对比分析26&&&&&&&&（三） 医疗资源的发展不均衡26-27&&&&&&&&（四） 医院收入主要方式分析27&&&&&&&&（五） 医疗服务质量现状27-30第五章 “看病难”问题的制度分析30-40&&&&一、 政府与市场配置不清30-31&&&&二、 完全由政府提供医疗卫生服务产生的弊端31-37&&&&&&&&（一） 医疗服务的巨大需求与投入严重不足的矛盾31-34&&&&&&&&（二） 政绩激励机制的不合理34-35&&&&&&&&（三） 政府投入资金使用效率低下35&&&&&&&&（四） 由政府主导提供导致垄断现象产生35-36&&&&&&&&（五） 特权占用导致资源浪费36&&&&&&&&（六） 经济转型导致公立医院公益性淡化36-37&&&&&&&&（七） 群众需求日益多样化加剧矛盾的产生37&&&&三、 公立医院垄断的原因分析37-40&&&&&&&&（一） 公立医院定位不清37&&&&&&&&（二） 部门权力、既得利益保护37-38&&&&&&&&（三） 在医疗服务不同领域性质划分不清38-40第六章 对策和建议40-44&&&&一、 政府加大对医疗服务领域的财政投入40&&&&二、 减少特权占有和资源浪费40&&&&三、 合理划归不同医疗服务领域的性质40-41&&&&四、 积极引导民间资本进入医疗服务领域41-44&&&&&&&&（一） 加强政策引导41-42&&&&&&&&（二） 严格依法行政，强化监督42&&&&&&&&（三） 鼓励医疗人才多点执业42-44第七章 结论44-46参考文献46-48致谢48-49分享到：相关文献|文章责编：gaoxiaoliang&　看了本文的网友还看了
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