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从新医改政策效果论医联体模式选择 被引量:15

The Selection of Medical Union Model Under the Analysis of New Medical Reform Effects
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摘要 本文通过相关数据分析了实施了六年的新医改政策在解决"看病难、看病贵"问题方面的效果,得出的结论是新医改政策在解决看病贵问题上略有成效,而在解决看病难问题上无效果;接下来分析了产生这种结果的直接原因是优质医疗资源难以下沉、双向转诊制度难以实施,根本原因是公立医院改革进展缓慢;最后提出了医联体的发展方向是紧密型医联体,并从新制度经济学和系统原理的角度进行了论述。 The paper, supported by related data, analyzes the effect of the new medical reform policy in solving declining availability of medical services and soaring medical expenses during the past six years, and draws a conclusion that it has a little success in solving the soaring medical expenses but has no effect on addressing declining availability of medical services. Then it analyzes the direct causes: the high quality medical resources are difficult to transfer to the countryside and the dual referral system are difficult to implement, and the fundamental cause is the slow progress in the reform of public hospitals. Finally, it puts forward a direction of devoloping tightly-knit medical unions, and analyzes why devoloping tightly-knit medical unions is the best choice from the perspectives of the new institutional economics theory and systems theory.
机构地区 广东医科大学
出处 《西安电子科技大学学报(社会科学版)》 CSSCI 2016年第4期22-29,共8页 Journal of Xidian University:Social Science Edition
基金 广东省哲学社会科学十三五规划项目"二级医院与社区医疗机构互动模式研究"(GD14XGL45) 东莞市2015年文化精品项目"以基层医疗机构发展为导向的不同医联体模式实施效果比较分析" 广东医学院2015年人文社科类重点培育项目"促进我国医联体发展制度耦合暨医联体发展模式选择研究"
关键词 看病难、看病贵 新医改 医联体模式 Declining availability of medical services Soaring medical expenses New medical reform medical union model
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