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浅析农村卫生保健改革的若干难点与起点
引用本文:汤渝玲,胡成平. 浅析农村卫生保健改革的若干难点与起点[J]. 医学与哲学(人文社会医学版), 2004, 25(10): 56-57,62
作者姓名:汤渝玲  胡成平
作者单位:中南大学湘雅医院呼吸内科,湖南,长沙,410008
摘    要:农村医疗单靠政府行政预算拨付进行运作管理,只能起到临时输血的功能.卫生健康水平的提高,一方面取决于经济收入水平的增长,另一方面则取决于政府公共财政支持力度和行政管理的有效性.资金是基础,制度是保证,政府需通过工具性的制度创新,减少国家对农民的制度排挤,充分发挥政府调控和监管作用,改善农村医疗面临的财政、技术、人员严重不足的问题.

关 键 词:医疗保障模式  医疗资源配置  工具性的制度创新

Healthcare Reform in Countryside:Difficulties and Starting Points
TANG Yu-ling,HU Cheng-ping. Healthcare Reform in Countryside:Difficulties and Starting Points[J]. Medicine & Philosophy:Humanistic & Social Medicine Edition, 2004, 25(10): 56-57,62
Authors:TANG Yu-ling  HU Cheng-ping
Affiliation:TANG Yu-ling,HU Cheng-ping.Department of Pulmonary Medicine,XiangYa Hospital of Central-Southern Univercity,Changsha 410008,China
Abstract:Medical treatment in the countryside is solely funded by fiscal budget of local government. This phenomena, however, will not last for long. Overall improvement in healthcare performance in the countryside depends on increase of economic income as well as financial support from government and effectiveness of local administration. Capital is the basis of future development and regulative reform is needed to guarantee success. The government needs to develop innovative regulative solutions to reducing discriminative measures against rural residents, to better performing its functions of regulation and supervision and to alleviating severe shortages of financial, technical and human resources facing medical care in rural areas.
Keywords:medical coverage Model  medical resource allocation  instrumental regulative innovation
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