Research On The Performance Of Health Poverty Alleviation In Hebei Province From The Perspective Of Fine Social Governance

Performance evaluation of health poverty alleviation is not only an inevitable requirement to improve the effectiveness of poverty alleviation,but also a forward-looking topic in recent years.Therefore,it is of great practical significance to evaluate the accuracy of health poverty alleviation objectives,scientific methods and effectiveness of poverty reduction effect in order to promote the quality and efficiency of health poverty alleviation projects in our province.In this paper,firstly,the definition,evolution and governance mechanism of health poverty alleviation are summarized,and the performance evaluation methods are reviewed and selected.Secondly,based on the refined perspective of social governance,the theory of social governance,resource allocation and sustainable development is taken as the theoretical analysis basis of the study on the performance of health poverty alleviation in this paper,and the mechanism of disease causing poverty is systematically analyzed.That is to say,poverty caused by illness is not only the result of external risk impact,but also the result of insufficient social support."Risk impact(health risk)-insufficient social support(medical security,Poverty Alleviation Policies,social assistance)-the consequences of disease-related poverty(return to poverty due to illness,and disease)" constitute the transmission path of poverty caused by disease.Thirdly,based on the health poverty alleviation data of Hebei health poverty alleviation management system from 2017 to 2019,this paper constructs a factor analysis TOPSIS ideal point method performance evaluation model from four aspects:refined personnel identification,refined resource management,refined medical security,and refined performance evaluation.Finally,through the refined means of social governance,we can solve the health poverty caused by the lack of health,economic and social support,get rid of the shortcomings of the existing poverty alleviation policies,integrate the health poverty alleviation elements,and realize the fine allocation of health poverty alleviation resources.Through the above empirical analysis,it is concluded that the poverty alleviation achievements in Chengde,Zhangjiakou and Baoding are relatively significant,while those in Qinhuangdao,Dingzhou and Langfang are relatively poor.The problems exposed are mainly manifested in the poor effect of medical assistance,new rural cooperative medical system,medical insurance for serious diseases and disease emergency relief;the lack of coercial health insurance and charity assistance,the lack of convergence of various security systems;the lack of fine crowd classification and management in the "Library and card building" mode;the low efficiency of rural hierarchical diagnosis and treatment,unable to play the role of primary medical and health institutions Function and so on.Finally,combined with the concept of social governance refinement,this paper puts forward targeted improvement suggestions from four aspects: refined identification of poor households,refined resources,refined security,and refined assessment.