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产权变迁对乡镇卫生院运行影响研究
引用本文:范 玲,陈家应. 产权变迁对乡镇卫生院运行影响研究[J]. 南京医科大学学报(社会科学版), 2014, 0(3): 195-199
作者姓名:范 玲  陈家应
作者单位:南京医科大学公共卫生学院,江苏 南京 210029;南京医科大学卫生政策研究中心,江苏 南京 210029
基金项目:国家自然科学基金项目(71173117)
摘    要:目的:了解不同产权制度对乡镇卫生院运行状况的影响。方法:采取典型抽样方法,调查南通市两个县(区)的所有乡镇中心卫生院和一般卫生院的运行状况。结果:民营机制对改善乡镇卫生院经济运行状况有明显促进作用;政府举办的乡镇卫生院能更好地执行基本药物制度;政府举办的一般卫生院医疗费用水平明显低于民营机制卫生院,但是存在运行效率低下等问题。结论:坚持政府主导,强化政府监管才能保证乡镇卫生院健康发展。

关 键 词:乡镇卫生院  产权改革  运行
收稿时间:2014-05-19

Impact of property right ownership change on operation of township health center
Fan Ling and Chen Jiaying. Impact of property right ownership change on operation of township health center[J]. Acta Universitatis Medicinalis Nanjing(Social Science), 2014, 0(3): 195-199
Authors:Fan Ling and Chen Jiaying
Affiliation:School of Public Health, Nanjing Medical University, Nanjing 210029,China;The Center for Health Policy Research,Nanjing Medical University, Nanjing 210029,China
Abstract:Objective: To investigate the influence of different property regimes on township health center operation. Methods: By using the typical sampling method, the paper investigated the operation status of all township central and general health centers in two counties (districts) of Nantong. Results: Private operation mechanism significantly improved the economic status of township hospitals. Township hospitals managed by government better implemented essential drug system. Cost of general health center managed by government was lower than that of private hospitals. However, those general centers had a common problem of running inefficiently. Conclusion: Government-leading should be insisted and government supervision should be strengthened to assure healthy development of township health centers.
Keywords:township health center  property right  operation
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