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华中科技大学硕士学位论文武汉市江汉区政府购买社区卫生服务岗位的探索研究姓名:章能华申请学位级别:硕士专业:社会医学与卫生事业管理指导教师:卢祖洵2011-014152“”“”“”“”“”“”3“”477.3646.09141110938232008150631397857.89610645620084/789.0776DiscoveryResearchonGovernmentPurchasingCommunityHealthServicesPositioninJianghandistrictofWuhanCityMastercandidate:ZhangNenghuaSupervisor:Prof.LuZuxunAbstractObjectivesCommunityhealthserviceisthebasicofCityHealthServicesSystemandCommunityResidents’healthdoorkeeper.ThetheoriesandpoliciesonGovernmentcontracting-out—Governmentreinventingandwelfareeconomicswereappliedtoanalysisthefeasibilityofgovernmentpurchasecommunityhealthservices.Toanalysisthefeasibilityofimprovingthefinancialfunduseefficiency,contributingtothetransformationofgovernmentfunctionsandimprovingPerformancethroughthisway.Meanwhile,thenumberofstandardpostandinvestmentfundswasmeasuredaccordingtorelevantstandardsandtheConditionsofJiangHandistrict.TherelatedpracticeathomeandabroadwassummarizedtoprovideideasandargumentforthedevelopmentofCHSandthehealthpolicymakinginourcountry.MethodsLiteraturereview,quantitativeinvestigation,descriptiveanalysis,Dataenvelopmentanalysis,sitesurveysandqualitativeinvestigationwereconducted.Toanalysisthepersonnelsystem,PerformanceAppraisalSystemandinvestmentwerestudied.Theemphasiswastodiscusstheprogramofgovernmentpurchasingcommunityhealthservicepositionsbasedonrelatedpoliciesandtheory.ContentsThecontentofthispaperincludes:(1)therelatedtheoryofgovernmentcontracting-out;(2)therelatedpracticeofgovernmentcontracting-out;(3)thefundamentalconditionandrelatedproblemsofCHSinJiangHandistrict;(4)efficiencyanalysisofCHSinJiangHandistrict;(5)thefundamentalcomponentsand7keylinksofgovernmentpurchasingCHSpost;(6)comprehensiveapproach,InternalworkingmodelandevaluationprojectofgovernmentpurchasingCHSpost.Conclusions1.WelfareeconomicstheoryarguedthatParetooptimalstateneedthecompetitivemarketmechanism.Themeasure-governmentpurchasecommunityhealthservicesmadethecommunityhealthservicespaymentsturntopurchasinghealthpersonnelservices,itwouldchangethewayoffinancialinvestmentandimproveefficiencyinofthefinancialfunds.2.Oneoftheimportantstrategiesingovernmentalrecreationtheoryistransforminggovernmentfunctionsinordertoturncontrolmodelgovernmenttoservicemodelgovernment.Governmentpurchasingcommunityhealthserviceswouldpromotetotransformgovernmentroleandmaketheserviceprovidertoturntopurchaserandsuperintendent.3.Theresultofliteraturereviewshowsthatwhetherthemeasurewastopurchasingservicesorpurchasingservicespost.Withthefunds,thepurposeofthepracticeathomeandabroadwastoachievethequalitytargetofgovernmentbusinessnottosupportthegovernmentemployees,introducecompetitionmechanismandimprovetheefficientoffiscalfund.4.ThenumberofresidentpopulationofJiangHandistrictintheyear2008was773,600.ThenumberofHouseholdpopulationwas460,900.Therewere14communityhealthservicecentersinJiangHandistrict.11communityhealthserviceswerefinancedbythegovernmentbutself-supportingcollectiveunit.Thetotalnumberofstaffinthepostwas1093.ThenumberofhealthProfessionalswas823.in2008,theannualincomeofdoctorsandnursesincommunityhealthservicesinJiangHandistrictwere15063yuanand13978yuan,,respectively.5.Accordingtonationalstandards,therewere7.89postspermillionpopulationsshouldbesetupinJiangHandistrict.Therefore,610CHSpostsshouldbepurchased.AccordingtotownshiphospitalstaffPreparationstandardofHubeiprovince,645CHSpostsshouldbeprepared.Thetwocalculationmethods’resultswerebasically8thesame.6.Residentpopulationtobetheservicepopulationbase,ifJiangHandistrictmaintaintheamountoffinancialinputasintheyear2008andpurchasingbudgetpercapitalwas40,000yuan,DistrictGovernmentwouldincreaseinput78,907,000yuantoimplementgovernmentpurchasingCommunityHealthServicesposts.7.Thepilotworkshouldbecarryoutinanorderlyway.Theworkincludes6crucialsegments:Settingupaleadinggroupofpilotwork,Tocarryoutmeasurementwork,signedresponsibilitycontracts,implementtheperformanceassessment,determiningandallocationfunds,summarizingthewholework.KeyWords:GovernmentContracting-outCommunityHealthServicesPosition;DiscoveryResearch9[1][2,3]101.2.3.4.111.2.123.4.5.791311.1PurchaseofServices[4][5][6,7][8-10]1.2[11][12][13]141.322.1[6][14][15]152.22.2.1[16][17,18][19,20]2.2.2[21][22]162.3[23][7]2.41711.1[24,25][26]18[27][2829][30][31][29][32]191.21.2.1[33]1.2.2[34,35][36][37]2022.1[38][39][40][41][42]21[43][44][45,46]2.22.2.1222.2.2[47][48,49]20053651502000();[50]2324122.1120073421.545%194.00121.00390.541486.572192.1163.63%20083658.405%161.00139.00697.36956.571953.9353.41%2.22200720081003.081019.613333510101044.812011211222.923.8325344.14.232007123811167615359134692008150631397817486160334.34.42655.1420075505.862997.142387.39121.3320085735.083467.052049.25218.785.2520074861.951351.391262.4912.4242.001695.72109.5520085239.101893.00618.6822.9965.181986.11248.1666.162007537811472210147912008609647458112349806.2277200720082374462567242473578993112048392710965213666219341476322194294350874486202651231962954315372[51-54][26]2812C2RC2R3DEAC2RjUVjnXijYij⎥⎥⎥⎥⎥⎥⎥⎥⎥⎥⎥⎥⎥⎦⎤⎢⎢⎢⎢⎢⎢⎢⎢⎢⎢⎢⎢⎢⎣⎡≥⋅⋅⋅⋅⋅⋅=≥⋅⋅⋅⋅⋅⋅=≤=∑∑∑∑====0
本文标题:5政府购买社区卫生服务岗位的探索研究
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