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Documents 论基本医疗卫生服务中的政府职责及其未来转变
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  • Author Author: sophie0love
  • Date Created: 23 Nov 2010 2:11 PM Date Created
  • Last Updated Last Updated: 9 Nov 2021 4:52 PM
  • Views 482 views
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论基本医疗卫生服务中的政府职责及其未来转变

2007年,党的十七大在医疗卫生领域,明确提出了“人人享有基本医疗卫生服务”的新目标。这是党的执政之要,也是群众之盼。文本即以“基本医疗卫生服务”和“政府职责”为主题词,紧密围绕两者的关系展开论述。从基本医疗卫生服务的界定着手,首先明确其主要定义和内容。然后,立足政府职责的理论分析,指出政府在公共卫生服务和基本医疗服务中承担主要职责;进一步在纵向上,考察了政府在医疗服务中的职责变迁轨迹和发展趋势。 本文的主要特色之一即随后采用了实证分析的方法,结合我国新生儿筛查过程中存在的诸多问题,更有力的透视了目前基本医疗卫生服务的现状及弊端;同时指出问题虽然存在,实现全民基本医疗卫生服务,仍是充满机遇的。为更好的完善政府职责,借鉴美、英、法和新家坡等国家政府在医疗服务中的做法,总结其经验教训,发现四个国家虽然国情不同,但都有一个共同的趋势,即政府承担有限责任,融合“有形之手”和“无形之手”的力量,满足民众多层次的医疗服务需求。因此,我国历史、现状分析和国外经验都表明,市场化的过程必定伴随着政府职能的调整和转变。具体来说,针对现状分析中存在的问题,政府应该加大财政投入,重视投入的针对性和有效性;加强宣传,唤起社会民众的健康防病意识,规范民众的健康生活方式;消除城乡壁垒,减小地区差异,平衡资源配置;“以人为本”,加强制度和政策保证,建立普遍覆盖一体化的医疗保障体系:扮演好监管者角色,完善医疗服务领域中的监管体系。

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