基本公共卫生服务均等化政策实现机制研究现状分析  

Analysis on the Study of the Mechanism of Equalization of Basic Public Services Policy

作　　者：徐汉波[1] 吕军[1] 郝超[2] 励晓红[1] 陈珉惺[1] 李昊翰[1] 张引[1] 郝模[1] 

机构地区：[1]复旦大学卫生发展战略研究中心,上海200032 [2]江苏省常州市疾病预防控制中心,常州213000

出　　处：《医学与社会》2013年第6期16-18,22,共4页Medicine and Society

基　　金：江苏省卫生科研项目;编号为H201044;教育部哲学社会科学研究重大课题攻关项目;编号为07JZD0017;国家科技部"十一五"支撑计划资助项目;编号为2007BAI24B02;上海曙光计划项目;编号为08SG08

摘　　要：目的:分析我国基本公共卫生服务均等化政策实现机制的理论与实证研究现状。方法:查阅2005年以来我国基本公共卫生服务均等化政策实施以来的研究文献为对象,根据主题确定评阅指标,构建评阅数据库,录入文献并进行内容分析。结果:文献集中于2010年(70.6%),主要为理论研究(94.1%)。准入机制均为理论研究,涉及决策主体、供方、需方以及服务准入方式等。运行机制的理论研究涉及保障措施、实施方案等,实证研究关注于存在问题的阐述,但缺乏如何解决问题的研究。监控和评价机制的理论研究涉及评价主体、内容等,实证研究对监控评价的方案设计进行了部分探索。结论:需要构建集准入机制、运行机制、监控与评估机制为一体的,融合决策者、研究者、执行者和受益者各方利益和需求的实现机制。Objective ：This study aimed to analyse the study of the Mechanism of the Policy of equalization of basic public services, in order to find out the direction and provide the experiences for the further studies. Methods：First, using keyword search methods and series of criteria to get papers Second, using literature context analysis to analyse. Results： The papers are mainly published in 2010（70.6% ） ,and mainly are the theoretical research （94.1%）. The study of access mechanism refers to the decision - maker, supplier, buyer and service access mode. Operat- ing mechanism refers to the safeguard measures, implementation plan and the obstacles. Monitoring and evaluation mechanism refers to methods, scheme and indicators. Conclusion： Access mechanism should focus on the implementation steps and methods. Operating mechanism should carry out to specific services. Monitoring and evaluation mechanism need to strengthen the design and feasibility. In order to strengthen the mechanism research, we should combine multiple disciplines and departments, and take it from micro - level, meso - level and macro - level.

关 键 词：基本公共服务 均等化 实现机制 

分 类 号：R197.1[医药卫生—卫生事业管理]