| With the rapid development of economy,politics,and culture,my country has successively carried out several medical and health system reforms,and gradually formed a basic medical and health system centered on the medical service system,drug supply security system,medical security system,and public health service system.system.In recent years,the reform of my country’s medical and health system has gradually deepened and advanced,and the people’s medical environment has gradually improved,and the medical conditions have been gradually improved.However,in the reform process,the medical and health sector has also continuously exposed some deep-seated problems,which restrict the improvement and development of my country’s medical and health undertakings.This article takes the medical and health system reform in Anhui Province as an example,gradually analyzes the problems that have emerged in the medical reform in Anhui Province,and based on the perspective of government responsibility,starting from the four perspectives of "provider","guarantor","guide" and "regulator".Analyze the causes of problems in the medical reform in Anhui Province and give targeted countermeasuresThis article mainly uses literature research method,statistical analysis method,inductive deduction method,actual investigation method and other methods to summarize the problems existing in the reform of the medical and health system in Anhui Province,and analyze the reasons,and finally give perfect countermeasures.The full text is divided into five chapters.The first chapter is the introduction,which introduces the research background and significance of the article,and systematically sorts out relevant documents at home and abroad.The second chapter defines and elaborates the related concepts and theoretical basis of the medical and health system reform.The third chapter is divided into three sections.The first section systematically analyzes the reform process of the medical and health system in Anhui Province.It is mainly divided into four development stages: the initial stage of medical reform exploration,the orientation stage of medical reform,the establishment of medical reform framework,and the refinement of medical reform policies.,Gradually introduced the transition process of the medical reform in Anhui Province from initial exploration to mature development.The second section introduces the status quo of the medical and health system reform in Anhui Province,including the government’s financial investment in health care in the medical reform,the current results of the medical reform in Anhui,and the survey and analysis of satisfaction with the status quo of the medical reform.The third section summarizes the existing problems in the reform of the medical and health system in Anhui Province: the medical and health system is not yet perfect;the social medical security system is not yet perfect;the diversified medical system is not yet mature;there are still loopholes in the medical supervision system.Chapter 4 analyzes the ineffective implementation of government responsibilities in the reform of the medical and health system in Anhui Province from the four aspects of "provider","guarantor","guide" and "regulator" : the government as the "provider" medical construction responsibility Insufficiency,mainly including the inadequate construction of "hardware" facilities in primary medical and health institutions,inadequate construction of medical and technical personnel,and slow progress in the policy of medical consortia and medical community;insufficient guardianship responsibility of the government as a "guarantor",mainly including the government’s medical guarantee Insufficient implementation of responsibilities in system construction and insufficient government supervision in the use of medical insurance funds;insufficient leadership responsibilities of the government as a “guide”,mainly including the inadequate implementation of diversified medical incentive policies and the lack of equal preferential policies for social medical services;government actions The inadequate supervision responsibility of the "supervisor" mainly includes the misplacement of the government’s role in the supervision of social medical services,the lack of timely implementation of the government’s health finances,and the urgent need for correction in the medical and health field.The analysis of the problems in the government’s performance of responsibilities in the medical reform of Anhui Province lays the foundation for the next improvement of Anhui’s medical reform;Chapter 5 proposes perfect countermeasures for the government’s inadequate performance of responsibilities in promoting the reform of the medical and health system: the government as the “provider” It is necessary to improve the multi-level medical and health service system,including strengthening the "hardware" facility construction of primary health institutions,optimizing the construction of the talent team,and systematically reforming the system to build a multi-level medical care model;the government,as the "guarantor",should improve the system to protect citizens Life and health includes improving the medical security system,reducing the burden on citizens of medicine and health,and at the same time refining the medical insurance fund use system to make the medical security system more complete;the government,as the “guide”,should guide diversified medical services for a harmonious and win-win situation,including Social medical services provide fair and accessible policy support,and at the same time guide social medical services to develop in the direction of specialty,precision,and excellence;the government,as a "supervisor",must ensure the healthy development of the pharmaceutical market,including the need to improve the medical and health regulatory system,and guide the social management of medical services.Standardize medical care,strengthen the evaluation and supervision of the efficiency of government financial investment,improve the medical ethics and medical ethics supervision mechanism,and ensure the healthy development of the medical field.This study will provide a reference for the next stage of medical reform in Anhui Province. |
