经济学视角下中国农村医疗制度存在的问题及对策研究

Xinyi Wang, Jichen Rao, Hao Zhou
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摘要

为了缩小与城市医疗体系的差距,减轻农村医疗体系的负担,中国制定政策并投入巨资建设高效的农村医疗体系。然而,由于种种原因,农村医疗质量仍然不达标,难以赶上城市医疗质量。这种城乡医疗服务质量的持续不平衡,对于正在积极发展和全面建设小康社会的中国来说,是一个迫切而又极其重要的问题。因此,研究导致城乡医疗差距的根本原因或主要原因,也为专业人员提出解决方案提供方向,是非常必要和迫切的。为了找出原因并提出针对性的解决方案,本文采用定量研究方法和问卷调查相结合的实证研究方法。研究分析的重点是三个基本因素:基本医疗设备的数量;医务人员人数;医务人员的专业素质。结果证明:一是人员因素。一方面,由于农村地区卫生技术人员供应不足,无法获得必要的医疗,导致治疗延误;另一方面,在人员能力方面,大部分农村地区的医生不具备合格的能力,这意味着患者缺乏有效和专业的治疗,甚至因治疗不当而恶化。二是资金资源。由于医疗资源稀缺,并不是所有的病人都得到了适当的治疗,不能保证病人在需要的时候得到及时的治疗。这些结果在一定程度上拓展了农村医疗制度的理论研究,为中国政府在实践中制定政策提供了坚实的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Research on the problems and countermeasures of China's rural medical system from the perspective of economics
China has formulated policies and invested heavily to construct a highly efficient rural medical care system in order to close the gap in line with urban system as well as reduce the burden of the rural system. Nevertheless, rural medical care quality is still substandard and difficult to catch up with the urban medical quality for a variety of reasons. Such continuous inconsistency between urban and rural medical service quality is an urgent and extremely important problem for China, which is actively developing and pursuing a well-off society in an all-round way. Therefore, it is very necessary and urgent to study the root causes or main causes that lead to the gap between urban and rural medical care, and also provide a direction for professionals to put forward solutions. For the sake of investigating the reasons and putting forward targeted solutions, an empirical study based on quantitative research methods and questionnaire survey is presented. The research analysis focus on the three basic factors: the quantity of basic medical equipment; the number of medical staff; the professional quality of the medical personnel. The result proves that: First is personnel factor. On one hand, necessary medical treatment cannot be obtained due to the insufficient supply for health technician in rural areas, which lead to delayed treatment; On the other hand, as for the personnel capacity, most doctor in rural area fail to have qualified capability which means patients lack of efficient and professional treatment and even get worse for the inappropriate treatment. Second is the capital resource. Proper treatment hasn't been taken for all patients on account of the scarce medical resources so that patients cannot be guaranteed timely treatment when needed. These results expanded the theoretical research on rural medical system in a certain extent and provides the Chinese government with solid advice on polices setting in practice.
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