Study On Regional Difference And Policy Optimization Of Medical And Health Service In China

Reducing the gap in China's medical and health areas and achieving equalization of medical and health services are not only the inherent requirements for ensuring poverty alleviation and building a well-off society in an all-round way,but also an important means of safeguarding people's livelihood and realizing the health of the whole people.It is also building a socialist harmonious society and achieving comprehensive and sustainable development.The prerequisites for comprehensively deepening reforms.Therefore,it is of great theoretical and practical significance to narrow the gap between regional health care and analyze the factors affecting the level of equalization of medical and health services.First,under the premise of expounding the relevant research background and research significance,this paper summarizes the literature review of medical and health service gaps at home and abroad through a large number of reading related references,and carries out the basic theories and related concepts involved in this paper.Overview.Secondly,from the historical point of view,the qualitative research method is used to summarize the historical overview and achievements of the regional medical and health care reform and development in the period of China's planned economy and reform and opening up.On this basis,the overall shortage of medical and health resources and resources The basic situation of the current regional gap in medical and health services in China is comprehensively analyzed from the perspectives of unreasonable allocation,uneven social capital management,uneven urban and rural medical and health development,small coverage of medical insurance,and inadequate medical security system.Using mathematical statistics,data comparison and Tyre index analysis,the paper analyzes the development of financial health services in the four major economic regions of the eastern,central,western and northeastern China(31 provinces,autonomous regions)in 2008-2017.The gap.It is concluded that since 2008,China's fiscal health expenditure has increased by a large margin,but the central government's proportion of medical and health expenditures has been declining year after year.Local governments' expenditures on health care are rising,and fiscal health expenditures are showing obvious localization.From the analysis of the gap between the total financial and health expenditures,the trend of the east,the west,the middle,and the northeast is presented.From the analysis of the gap between the financial and health expenditures,the medical expenditures in the central and western regions are relatively strong.The least is in the east;from the perspective of the per capita expenditure gap of financial health care,the western region is far above the average,and the northeast region is far behind the average;from the perspective of the increase in health care expenditure,the western region is in a dominant position;2008-2017 The regional Tyre index has been declining,and the gap between medical and health services has been narrowing.The decomposition of the Tyre index shows that more than 80% of medical and health regional differences are caused by regional differences.Thirdly,on the basis of qualitative and quantitative analysis,from economic development gap,government supply policy,fiscal transfer payment system,medical and health management system,equalization evaluation system and medical and health resources(including medical personnel,medical institutions and medical beds),etc.The aspect analyzes the main causes of regional differences in medical care in China.Finally,on the basis of the above analysis,combined with the causes of the regional gap in health care services,from the overall planning of regional health care development,optimizing resource allocation,focusing on innovative medical and health supply mechanisms,and improving the equalization-oriented fiscal transfer payment system,To construct an evaluation index system for the equalization and development of medical and health services in China,the countermeasures and suggestions for narrowing the regional medical and health services in China are proposed.