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Study on Taking Chinese Medicine Service Items into Financial Compensation Mode

Author: WangGuanJun
Tutor: YinAiTian
School: Shandong University
Course: Social Medicine and Health Management
Keywords: TCM Services Cost Estimation Financial compensation mode
CLC: R197.1
Type: Master's thesis
Year: 2011
Downloads: 59
Quote: 0
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Abstract


Chinese medicine services in history is an effective means of preventing and curing diseases of our people, is still an important part of China's medical and health undertakings, has the unique advantage of of \However, with the rapid development of economic globalization and scientific and technological progress and modern medicine, the characteristics and advantages of Chinese medicine services in China has gradually weakening, there has been the cause of Arrested Development, service providers tend to shrink some of the characteristics of diagnosis and treatment techniques, methods dormant, disappearing and so the situation of the Depression. The focus of this research task is to analyze the existing problems in the practical application of TCM Services through research, a clear source of the problem, to explore appropriate protection mode of the development of Chinese medicine services, to promote the application of scientific and standardized TCM Services, a powerful guarantee for the cause of Chinese medicine services to inherited and sustainable development. According to Shandong Province, the reality of medical services, the use of stratified random sampling method, select the Shandong Ningyang (as economic underdevelopment county), Zhangdian District (as a medium-developed economic zone), Qingzhou (as an economic moderately developed counties), Rongcheng (as more economically developed county) as the project study sample of counties (districts), on the basis of the baseline survey sample counties (districts), explore the mode of protection sustainable development of Chinese medicine services . The baseline survey investigated a total of four counties (districts) Traditional Chinese Medicine Hospital, People's Hospital of the four counties (districts), eight township hospitals, 24 village clinics. The survey collected information includes: the basic situation of each sample counties (districts), the sample medical institutions at all levels (manpower, equipment, financial), the sample medical institutions at all levels to carry out the basic situation of Chinese medicine services, Chinese medicine services project cost questionnaire, Chinese medical services personnel intention questionnaire and related personnel depth interviews. In this study, by analysis of the status quo of Chinese medicine service projects in Shandong Province in the primary health care institutions, found Shandong Province grassroots medical institutions in the development of Chinese medicine services situation is not satisfactory, the following problems. Policy areas: the development of the pharmaceutical industry and service assurance policy mostly floating on the surface, the lack of clear guidance and effective measures to implement all levels of government is not enough emphasis of Chinese medicine services, lack of strong setbacks and other issues in the face of Chinese medicine services primary care support safeguards; service characteristics of Chinese medicine does not get enough attention, lack of new policies, such as the concern and attention of the medical insurance and basic medical and health service system, the Chinese Medicine Hospital as a service specialty hospital preparation has been mandatory restrictions; TCM Services agencies widespread low price charged phenomenon, especially the as some \From a service delivery perspective, TCM service project to carry out serious fewer kinds of Chinese medicine service project to provide are not enthusiastic; primary health care institutions TCM service capacity shortage, the loss of Chinese medicine services personnel; TCM economic efficiency is low, grassroots Chinese medicine service personnel to provide services in Chinese medicine's positive sexual frustrated; the primary TCM Services revenues accounted for the low income proportion of primary health care institutions and managers at all levels of the degree of attention of the Chinese medicine services is not enough, the lack of resolve Chinese medicine services gradually atrophy enthusiasm. Chinese medicine services in their own problems: the lack of traditional Chinese medicine theory of inheritance and innovation; uneven level of Chinese medicine services provider; TCM service clinics means fuzzy efficacy standards, the majority of services in the treatment process is difficult to assess through quantitative means. Demand reasons: TCM service demand is not high, a downward trend; social public recognition of Chinese medicine services decline with age and declining trend. Gradually shrunk and are not enthusiastic for TCM services projects, studies suggest that two main reasons, economic reasons, technical defects. Financial investment protection through appropriate financial compensation mode should improve relevant policies, increase of Chinese medicine services, to support the development of primary health care institutions TCM Services. This study follows the scientific feasibility of TCM Services Compensation has explored improve the TCM service price compensation mode, classification compensation mode compensation cost estimates by agency compensation model, according to Chinese medicine services personnel capitation compensation mode, The mode of the advantages, disadvantages and feasibility. Finally, on the basis of the cost estimates and expert advice, considering the scientific nature of the compensation, operability and feasibility, after \The severe Chinese acupuncture, Chinese massage and expert voices Orthopedics non packaged the surgical techniques bonesetting class items, all kinds of Chinese medicine services of the pilot areas now average 50% of the price charged for financial compensation mode. Packaged in accordance with the determined classification compensation mode, explore the system construction. TCM Services included in the financial compensation, is a new work, covers a wide range, is more complicated. This study clearly the of TCM Services Compensation necessity and importance, and the corresponding financial compensation mode. After all, this study is a theoretical study, if they go into the actual operational level, there may be many problems and obstacles that are difficult to predict. Therefore, I hope that through this study can initiate aroused concern and attention of TCM Services, through many different levels of expert mode compensation analysis and argument, and further amended and perfect TCM Services Compensation mode as soon as the Chinese medicine services the project financial compensation for the pilot study, conscientiously study and practice depth study constantly sum up, eventually provide TCM services in the province and even across the country to promote the financial compensation mode and embodiment, in order to promote the development of Chinese medicine services career.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
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