文章摘要
王 松,刘光远.边疆民族地区基层基本医疗服务改革实证研究[J].南京医科大学学报(社会科学版),2015,(4):266~269
边疆民族地区基层基本医疗服务改革实证研究
Empirical research on the basic medical service reform of basic level in frontier minority area
投稿时间:2015-04-08  
DOI:10.7655/NYDXBSS20150404
中文关键词: 民族地区  基本医疗  卫生服务  医疗改革  实证研究
英文关键词: minority areas  basic medical  health service  health care reform  empirical research
基金项目:乌鲁木齐市政府公共服务“十三五”规划前期调研项目资助
作者单位
王 松 新疆农业大学管理学院,新疆 乌鲁木齐 830052 
刘光远 新疆农业大学管理学院,新疆 乌鲁木齐 830052 
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中文摘要:
      目的:调查边疆民族地区基层基本医疗卫生服务改革进展,探讨加强服务保障能力与水平的路径?方法:随机抽取乌鲁木齐市4个区19所基层医疗卫生机构进行调查研究?结果:乌鲁木齐市基层医疗卫生机构有4种举办主体,其中非政府举办占89.8%,政府举办占10.2%;基层医疗卫生机构医护比仅为1∶0.96,远低于1∶2的国际水平;社区卫生服务机构近三年年均门诊量无明显变化;新农合参合率达到99.9%?基药制度实施进展:社区卫生服务中心达到88.9%,社区卫生服务站达到62.5%?结论: 乌鲁木齐市基层基本医疗卫生服务公共财政投入明显增加,服务规模明显扩大,基层群众就医方便程度明显提高,但服务能力建设还亟待加强?
英文摘要:
      Objective: To investigate the progress of the basic medical service reform in base frontier minority areas, and to explore the path to strengthen the capability of the base medical. Methods: A simple sample was used to randomly select 19 of basic medical and health institutions of four districts in Urumqi. Results: The basic medical and health institutions in Urumqi were held by four different main bodies, the non-governmental bodies account for 89.8%, and only 10.2% of basic medical and health institutions were held by the government. The medical ratio of basic community health service institutions was only 1∶0.96, and it was far lower than international standard which was 1∶2. The annual average outpatient amount of community health service institutions had no obvious change in nearly three years. The participation rate of new village cooperation medical treatment expenses reached 99.9% in rural. The progress of implementation of basic drug homodyne rate system in urban and rural basic medical and health institutions was listed as follows: community health service center reached 88.9% and community health service station reached 62.5%. Conclusion: The public finance of the basic medical and health services increase obviously, the scale of expanded significantly. It is more convenient for the masses of basic level to take medical treatment. However, the capacity of basic medical and health services institutions should be sharply strengthened.
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