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Research On New Medical Reform Of Township Hospitals Distribution System Reform

Posted on:2014-08-12Degree:MasterType:Thesis
Country:ChinaCandidate:J W HongFull Text:PDF
GTID:2264330425954088Subject:Public administration
Abstract/Summary:PDF Full Text Request
The township health center is supported by the government, which belong to public welfare institutions of the administrative department of health. It is also a comprehensive grassroots health institution, possessing health administrative and medical function. It is a hub of medical and health service system in county, town and village, and a main body of public health service and a system of basic medical services. The system reform of township health center is the most important part in the reform healthcare and the distribution system reform is the key of the reform healthcare, which are vital interest to the majority of medical worker.The purpose of the new health care reform in addition to reduce the burden of the people see a doctor at the same time, but also enhance the benefits of medical workers, medical workers more secure life with more dignity. Since three years ago when the new healthcare reform has been carried out, there are two different survey conclusions. The Provincial health administration department considered that the new healthcare reform in towns’health clinics was well performed. But the township health center new medical reform implementation of the current situation, the situation is not that satisfying, there are many contradictions in the reform of the distribution system.Since the new healthcare reform have the tendency of "mess equalitarianism", it cannot realize "more pay for more work", and cannot make a more reasonable allocation plan that in favor of Clinical front line, high-risk and high-tec posts and the noble medical individual who satisfied the public better. Consequently, the enthusiasm of medical staffs suffered serious impact. The "pro-people" measures consist of "Drugs zero price difference""Packing charge" and "low-price cartridge bag "carried out by health-center do benefic civilians a lot, which leads to more visiting in health-center. Whereas, on the other hand, the enthusiasm of medical personnel is decreased. In order to handle this kind of problem, we start this issue and do research on it.By taking10township health centers of YangDong Town, YangJiang City, GuangDong Province as the object of study, this paper combines the distribution system with many reform measures, such as Two line of income and expenses and Drug zero difference, and so on. To view the data and questionnaire, this paper analyzes the current situation after the reform of distribution system of towns and townships, and tries to understand the cognition and satisfaction of medical workers and the masses to this reform. According to the analysis of existing problems, it puts forward further suggestions for the existing distribution system.Chapter one briefly introduces the significance of this research, methods and goals, reviews the reform of the new medical reform the distribution system of the historical background, highlighting the focus of reform.Chapter two declares the relevant concept and summary the current situation to carry out the new assignment system in township health center. Through the questionnaire survey to the medical staff and patients of township health center, objective to understand effect of new health reform allocation system reform reality of township health center,and analyzes the relevant problems of the reform.Chapter three puts forward some related suggestions aiming at the problems exsisting in townships assignment system. It optimizes the current assignment system mainly according to four aspects, including the assignment principle under the socialism, the redesign of assignment system, and the quantizing and refining of indicators for performance check and improvement of the performance evaluation system, which really reflects on the distribution mechanism--whoever needs more pains more.Conclusion is mainly to make a conclusion of this topic. It simplifies the importance of the new health care reform, and makes some expectations for it. The new medical reform of the local distribution system reform program designed to meet China’s national conditions, to be "people-oriented", advancing with the times, can not "go back now", not to" toss ".It is expected that the new health care reform can not only make people but also society and government satisfied. In the process of daily medical activities, only if the medical staff are satisfied can they provide actually good service and can new health care reform be called a success.
Keywords/Search Tags:The township health center, The new health care reform, Thedistribution system, performance assessment, third-party evaluation
PDF Full Text Request
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