首页|以供给侧结构性改革思维解析村级医疗卫生服务供需矛盾

以供给侧结构性改革思维解析村级医疗卫生服务供需矛盾

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针对我国村级医疗卫生服务相对薄弱、乡村医生队伍质量亟待提升这一业界短板性问题,运用供给侧结构性改革思维,从需求多样化与诊疗资源不足、就诊期盼高与医疗水平低、适宜学历村医"招不进"与强基层医改目标相左、基本公卫服务制度安排与某些执行困境诸方面解析了我国村级医疗卫生服务供需矛盾及形成机理;并聚焦供给侧视角,从完善医疗卫生服务体制安排、调整医疗卫生资源配置、优化投入-产出政策工具、营造有利社会氛围四个维度,提出治理路径,以更好满足广大农村居民对医疗卫生服务需求的新期盼,切实守护乡村振兴"健康线".
Analyzing the Supply-Demand Imbalance in Village-Level Healthcare Services from a Supply-Side Structural Reform Per-spective
Addressing the challenges of relatively weak village-level healthcare services and the urgent need to enhance the quality of rural healthcare workers in China,this study applies a supply-side structural reform perspective to analyze the supply-demand imbalance in village-level healthcare services and its underlying mechanisms.Key issues include the diversification of healthcare demand versus insufficient diagnostic and treatment resources,high patient expectations versus low medical service quality,difficulties in recruiting appropriately educated rural doctors versus the goals of grassroots healthcare reform,and the misalignment between the institutional arrangements for basic public health services and the challenges in their implementation.From a supply-side perspective,the study proposes governance pathways in four dimensions:improving the healthcare service system,reallocating healthcare resources,optimizing input-output policy tools,and fostering a supportive social environment.These strategies aim to better meet the growing healthcare needs of rural residents and safeguard the"health frontier"of rural revitalization.

supply-side structural reform perspectivevillage-level healthcare servicesrural doctorssupply-demand imbalance

翟海魂、张巧月、武菊芳

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河北医科大学医教协同与医学教育研究中心 河北 石家庄 050017

河北医科大学发展规划处 河北 石家庄 050017

河北医科大学乡村医师学院 河北 石家庄 050017

供给侧结构性改革思维 村级医疗卫生服务 乡村医生 供需矛盾

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(24)