基层医疗机构实施国家基本药物制度后的补偿机制研究.doc
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基层医疗机构实施国家基本药物制度后的补偿机制研究,1.98万字我自己原创的毕业论文，仅在本站独家提交，大家放心使用目录第1章绪论51.1研究背景51.2研究目的和意义61.2.1研究目的61.2.2研究意义61.2.3创新点和不足61.3国内外研究综述71.3.1国外研究综述71.3.2国内研究综述71.4确定基层医疗机...
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基层医疗机构实施国家基本药物制度后的补偿机制研究
1.98万字
我自己原创的毕业论文，仅在本站独家提交，大家放心使用
目 录
第1章 绪论 5
1.1研究背景 5
1.2研究目的和意义 6
1.2.1研究目的 6
1.2.2研究意义 6
1.2.3创新点和不足 6
1.3国内外研究综述 7
1.3.1国外研究综述 7
1.3.2国内研究综述 7
1.4确定基层医疗机构补偿机制的方法与模型 11
1.4.1按就诊人头补偿药品差价 11
1.4.2时间序列模型 11
第2章 基本概念及相关理论 13
2.1相关基本概念 13
2.1.1基本药物制度的概念 13
2.1.2基层医疗机构的概念 13
2.1.3医疗机构补偿机制的概念 14
2.2基层医疗机构补偿机制的相关理论 15
2.2.1补偿绩效理论 15
2.2.2时间序列分析与时间序列预测法 16
第3章 江苏省基层医疗机构补偿机制现状分析 17
3.1抽样地区基层医疗机构补偿主体的基本情况分析 17
3.1.1连云港赣榆县基层医疗机构补偿主体概况 17
3.1.2镇江市丹徒区基层医疗机构补偿主体概况 17
3.1.3常州溧阳市基层医疗机构补偿主体概况 17
3.2抽样地区基层医疗机构补偿方式的基本情况分析 18
3.2.1连云港赣榆县基层医疗机构补偿方式概况 18
3.2.2镇江市丹徒区基层医疗机构补偿方式概况 18
3.2.3常州市溧阳市基层医疗机构补偿方式概况 18
3.3 江苏省抽样地区基层医疗机构补偿标准的基本情况分析 19
3.3.1抽样地区基层医疗机构的补偿标准现状 19
3.3.2抽样地区基层医疗机构补偿标准的预测分析 21
第4章 完善我国基层医疗机构补偿机制的对策建议 26
4.1 补偿主体多元化 26
4.2 补偿方式合理化 26
4.3 补偿标准科学化 27
4.4 适当调整医疗服务价格 27
结 论 29
致 谢 31
参考文献 32
摘要
目的:本文通过对建立合理的基层医疗机构补偿机制这一命题的探索研究,以期明确基层医疗机构实施国家基本药物制度后的补偿主体及各自承担的责任、确定基层医疗机构实施国家基本药物制度后的合理补偿方式、确定基层医疗机构实施国家基本药物制度后的补偿标准，为今后基层医疗机构补偿机制的完善提供理论指导和科学依据，促进基层医疗机构平稳运行、健康发展。
方法:（1）通过现场调查及现场访谈方法收集江苏省3个地区所有基层医疗机构的财务收支等资料，并了解和比较医改部门相关的政策措施及意见；（2）通过 Excel 对样本地区调查数据进行统计分析，比较零差率销售前后基层医疗机构收支构成及医疗服务开展的变化情况；（3）利用样本地区基层医疗机构以往的业务收入数据，构建基层医疗机构业务收入的时间序列模型，对基层医疗机构财务补偿标准进行科学测算。
结论:现行的补偿机制在补偿主体、补偿方式、补偿标准等方面仍然存在不明确之处，建议通过以下几方面完善：(1)补偿主体多元化，坚持以政府为主导的对基层医疗机构进行补偿，合理划分各级政府的投入责任；(2)补偿方式合理化，按就诊人头补偿药品差价；(3)补偿标准科学化，建立一套考核指标体系；(4)适当调整医疗服务价格，降低财政资金压力等途径保证基层医疗机构的财政投入，完善补偿机制，促进国家基本药物制度的可持续实施。
关键词：补偿机制 基层医疗机构 基本药物制度
Abstract
Objective: This article through exploring and researching on the topic of establishing reasonable compensation mechanism in primary health care institutions,hoping to determine the main part of compensation mechanismcompensation including their respective responsibilities of the primary health care institutions after implementing the essential drugs system,and determine a reasonable way to compensate after the implementation of the national essential drug system of primary health care institutions, and determine the compensation standard of primary health care institutions after the implementation of the national essential drug system,so can provide theoretical guidance and scientific basis for the improvement of compensation mechanism in the primary health care institutions,and promote the smooth operation and healthy development of primary health care institutions.
Methodology:(1)Collecting financial incomes and expenses and other informations of all the primary health care insititutions in three regions of Jiangsu Province by the means of site surveys and on-site interviews,and understanding and comparing the policies and views of government departments.(2) Statistical analysis of the data sample area through EXCEL,comparing the changes between before the drug's zero profit sales and after the drug's zero profit sales on the constitute of revenue and expenditurein,also medical services's conduct in primary health care institutions. (3)Taking use of the past business income data of sample areas's primary health care institutions,building time series model of business revenue,and doing the scientific calculations of compensation standards.
Results:Now the compensation mechanism remains unclear somewhere,such as the main part of compensation, the way of compensation,the standard of compensation and other aspects,we suggested that it improved by the following aspects:(1) Diversification of the main part of compensation,persisting the dominance of government,legitimately dividing the responsibility of all levels of government;(2) Rationalization of the compensation,compensating drug's price scissors by the number of patients;(3) Making the compensation standard scientificly,and establishing a set of eva luation system which regards the quantity and quality of service as the c..
1.98万字
我自己原创的毕业论文，仅在本站独家提交，大家放心使用
目 录
第1章 绪论 5
1.1研究背景 5
1.2研究目的和意义 6
1.2.1研究目的 6
1.2.2研究意义 6
1.2.3创新点和不足 6
1.3国内外研究综述 7
1.3.1国外研究综述 7
1.3.2国内研究综述 7
1.4确定基层医疗机构补偿机制的方法与模型 11
1.4.1按就诊人头补偿药品差价 11
1.4.2时间序列模型 11
第2章 基本概念及相关理论 13
2.1相关基本概念 13
2.1.1基本药物制度的概念 13
2.1.2基层医疗机构的概念 13
2.1.3医疗机构补偿机制的概念 14
2.2基层医疗机构补偿机制的相关理论 15
2.2.1补偿绩效理论 15
2.2.2时间序列分析与时间序列预测法 16
第3章 江苏省基层医疗机构补偿机制现状分析 17
3.1抽样地区基层医疗机构补偿主体的基本情况分析 17
3.1.1连云港赣榆县基层医疗机构补偿主体概况 17
3.1.2镇江市丹徒区基层医疗机构补偿主体概况 17
3.1.3常州溧阳市基层医疗机构补偿主体概况 17
3.2抽样地区基层医疗机构补偿方式的基本情况分析 18
3.2.1连云港赣榆县基层医疗机构补偿方式概况 18
3.2.2镇江市丹徒区基层医疗机构补偿方式概况 18
3.2.3常州市溧阳市基层医疗机构补偿方式概况 18
3.3 江苏省抽样地区基层医疗机构补偿标准的基本情况分析 19
3.3.1抽样地区基层医疗机构的补偿标准现状 19
3.3.2抽样地区基层医疗机构补偿标准的预测分析 21
第4章 完善我国基层医疗机构补偿机制的对策建议 26
4.1 补偿主体多元化 26
4.2 补偿方式合理化 26
4.3 补偿标准科学化 27
4.4 适当调整医疗服务价格 27
结 论 29
致 谢 31
参考文献 32
摘要
目的:本文通过对建立合理的基层医疗机构补偿机制这一命题的探索研究,以期明确基层医疗机构实施国家基本药物制度后的补偿主体及各自承担的责任、确定基层医疗机构实施国家基本药物制度后的合理补偿方式、确定基层医疗机构实施国家基本药物制度后的补偿标准，为今后基层医疗机构补偿机制的完善提供理论指导和科学依据，促进基层医疗机构平稳运行、健康发展。
方法:（1）通过现场调查及现场访谈方法收集江苏省3个地区所有基层医疗机构的财务收支等资料，并了解和比较医改部门相关的政策措施及意见；（2）通过 Excel 对样本地区调查数据进行统计分析，比较零差率销售前后基层医疗机构收支构成及医疗服务开展的变化情况；（3）利用样本地区基层医疗机构以往的业务收入数据，构建基层医疗机构业务收入的时间序列模型，对基层医疗机构财务补偿标准进行科学测算。
结论:现行的补偿机制在补偿主体、补偿方式、补偿标准等方面仍然存在不明确之处，建议通过以下几方面完善：(1)补偿主体多元化，坚持以政府为主导的对基层医疗机构进行补偿，合理划分各级政府的投入责任；(2)补偿方式合理化，按就诊人头补偿药品差价；(3)补偿标准科学化，建立一套考核指标体系；(4)适当调整医疗服务价格，降低财政资金压力等途径保证基层医疗机构的财政投入，完善补偿机制，促进国家基本药物制度的可持续实施。
关键词：补偿机制 基层医疗机构 基本药物制度
Abstract
Objective: This article through exploring and researching on the topic of establishing reasonable compensation mechanism in primary health care institutions,hoping to determine the main part of compensation mechanismcompensation including their respective responsibilities of the primary health care institutions after implementing the essential drugs system,and determine a reasonable way to compensate after the implementation of the national essential drug system of primary health care institutions, and determine the compensation standard of primary health care institutions after the implementation of the national essential drug system,so can provide theoretical guidance and scientific basis for the improvement of compensation mechanism in the primary health care institutions,and promote the smooth operation and healthy development of primary health care institutions.
Methodology:(1)Collecting financial incomes and expenses and other informations of all the primary health care insititutions in three regions of Jiangsu Province by the means of site surveys and on-site interviews,and understanding and comparing the policies and views of government departments.(2) Statistical analysis of the data sample area through EXCEL,comparing the changes between before the drug's zero profit sales and after the drug's zero profit sales on the constitute of revenue and expenditurein,also medical services's conduct in primary health care institutions. (3)Taking use of the past business income data of sample areas's primary health care institutions,building time series model of business revenue,and doing the scientific calculations of compensation standards.
Results:Now the compensation mechanism remains unclear somewhere,such as the main part of compensation, the way of compensation,the standard of compensation and other aspects,we suggested that it improved by the following aspects:(1) Diversification of the main part of compensation,persisting the dominance of government,legitimately dividing the responsibility of all levels of government;(2) Rationalization of the compensation,compensating drug's price scissors by the number of patients;(3) Making the compensation standard scientificly,and establishing a set of eva luation system which regards the quantity and quality of service as the c..
