产权变迁对乡镇卫生院运行影响研究*
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1.南京医科大学公共卫生学院;2.南京医科大学卫生政策研究中心

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国家自然科学基金项目(71173117)


Impact of property right ownership change on operation of township health center
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School of Public Health,Nanjing Medical University

Fund Project:

The National Natural Science Foundation of China (71173117);The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan)

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    摘要:

    目的 了解不同产权制度对乡镇卫生院运行状况的影响。方法 采取典型抽样方法,调查南通市两个县(区)的所有乡镇中心卫生院和一般卫生院的运行状况。结果 民营机制对改善乡镇卫生院经济运行状况有明显促进作用;政府举办的乡镇卫生院能更好地执行基本药物制度;政府举办的一般卫生院医疗费用水平明显低于民营机制卫生院,但是存在运行效率低下等问题。建议 坚持政府主导,强化政府监管才能保证乡镇卫生院健康发展。

    Abstract:

    Aim Investigate the influence of different property regimes on township health center operation. Method Using the typical sampling method, the paper investigates operation status of all township central and general health centers in two countries (districts) of Nantong. Result Private operation mechanism does obviously galvanizing impact on improving economic status of township hospitals. Township hospitals managed by government can implement medical care reform policy better. Cost of general health center managed by government is lower than private hospitals. But those general centers have a common problem of running inefficiently. Policy recommendation Insist on government-leading and strengthen government supervision to assure healthy development of township health centers.

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历史
  • 收稿日期:2014-05-19
  • 最后修改日期:2014-06-03
  • 录用日期:2014-06-27
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