Dissertation > Excellent graduate degree dissertation topics show

Study on Public Health Services Supply in Rural Areas by Private Health Institutions in Perspective of Mechanism Design Theory

Author: SunCuiHuan
Tutor: JiaHongYing
School: Huazhong University of Science and Technology
Course: Social Medicine and Health Management
Keywords: Private health institutions Mechanism Design Theory Public health services
CLC: R197.1
Type: Master's thesis
Year: 2011
Downloads: 40
Quote: 0
Read: Download Dissertation

Abstract

Research purpose of this study, based on a comprehensive understanding of China's public health services, in particular the status of the supply by the public health services in rural areas, and the problems, efficiency, learn from more mature at home and abroad on the theory and practice of the private sector to participate in the supply of public health services experience combined with China's actual and proposed the idea of ??rural public health services, the supply of private health institutions, combined with the typical case investigation and analysis, the proposed mechanism design theory perspective, rural public health services in private health institutions supply model and implementation of social support system solutions, including the relationship between the interests of public health stakeholders coordination, policy support (compensation, protection, etc.), discover the path to achieve. Research methods literature research methods provide the status quo of China's rural public health service system retrieval and data query, the problems, the status of private health institutions, data reports, and related research. Based on this classification, the results of the study compared to summarize the main point. Scene typical survey method to investigate County's public health service and the status quo of the investigation, and for each of the different participating subjects questionnaires and targeted interviews. Semi-structured depth interview access according to pre-determined the problem, based on data tiering select regional health administrative departments at all levels of staff, the staff of the public health system, the person in charge of the private health institutions were conducted in-depth interviews, the full collection of rural The public health service views and opinions of the supply of the relevant interest groups the gain factors affect the private health sector to participate in the supply of public health services in rural areas. 4. Statistical analysis method based on the nature of information, the use of relevant statistical methods, affecting the supply capacity of public health services in rural areas, supply efficiency, the government other than the main key factors involved in the supply of public health services in rural areas feasibility analysis. On the basis of mechanism design theory mechanism design in-depth analysis of the supply status quo of China's rural public health services and policy background based on the implementation of a balanced strategy, policy and social goals of the individual self-interested behavior, and give full consideration to the incentive compatibility and display principle completion of the private health sector participation in rural public health service delivery mechanisms specific design. Results: 1. Rural public health resources distribution uneven, mainly to government supply of public health resources and uneven distribution of the number, the eastern region has more resources, the central and western regions resources has almost the same situation is slightly better than the western, central; distribution of resources between the different cities of the same region is not balanced; total government expenditure on health, but per capita lack; public health is mainly provided by the Government, other forces involved in the near-zero; provide public health services staff overall lower level of the city better than in rural areas; With the medical model and changes in disease spectrum, public health services in rural areas is facing new challenges. 2 private medical institutions low recognition of the masses, the masses hospital choice tend to public medical institutions for medical treatment 90% of the investigating officers preferred public health institutions, mainly due to proximity and reasonable costs; 1.7% preferred private health institutions for medical treatment, do not choose the reason for do not believe in private health institutions, like government-run hospitals; choose private health institutions personnel, the main treatment causes colds and other common diseases; private health institutions and public health agencies in the cure rate, etc. There was no significant difference. Experts and scholars to provide public health services for the private health institutions skeptical expert advice focused mainly for public health services, the government-led; social forces can not participate in the public health service, the reason concentrated mainly in the profit or business purposes, equipment, technical limitations; government support for private health institutions policy inadequate, \The actual nature is not changed. Private health institutions viable private health institutions to provide public health services to provide public health services entirely feasible with the external and internal conditions to provide public health services. New medical reform program explicitly proposed social forces organized health agencies to participate in the public health services related to content; relatively substantial number of private health institutions have a certain economic strength, rich human resources, to some extent, you can make up for lack of rural public health service supply status quo . Feasibility of mechanism design method of mechanism design theory perspective. Mechanism design theory is that in any given economic or social goals, freedom of choice, voluntary exchange, decentralized decision-making under conditions of whether and how to design an economic mechanisms (ie formulate what laws, rules, policies, regulations, and resources configuration rules) so established consistent with the objectives of the economic activities of the participants' personal interests and designers. Targeted public health services, government, health, personal tripartite information completely open with each other can be completed in the decision-making under conditions of free choice and the free exchange of health services, in line with the mechanism design theory analysis conditions. Suggestions: a policy level, the overall resource configuration government intervention to ensure fairness; amendments to the medical and health institutions management mode, limiting the size of the public medical institutions; adjust the classification of medical institutions, secondary classification; adjust tax policy, and grading ; strictly fair access; service ratings, be amended accordingly clinics authorized privileges and tax standards; improve the legal system. Operational level first, to the city for the unit of the Public Health Service uniform standards approved health funding shortfall and avoid the resulting moral hazard; Secondly, the per capita public expenditure on health standards as the basis for transfer payments, grants to implement formulaic assessment of the Government fiscal effort; once again, to establish strong with the weak multi incentives fusion mechanism; Health equalizer into the government assessment, the establishment of government accountability and incentives.

Related Dissertations

CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
© 2012 www.DissertationTopic.Net Mobile