上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (2): 153-.doi: 10.3969/j.issn.1674-8115.2011.02.008

• 专题报道（医改效果评估） • 上一篇    下一篇

上海市居民对医药卫生体制改革关注度的调查研究

丁 蕾1, 陆 琳1, 李妍婷1, 赵 明1,2, 马 进1   

  1. 1.上海交通大学 公共卫生学院, 上海 200025；2.上海申康医院发展中心, 上海 200041
  • 出版日期:2011-02-28 发布日期:2011-03-01
  • 通讯作者: 马 进, 电子信箱: majin@shsmu.edu.cn。
  • 作者简介:丁 蕾（1985—）, 女, 硕士生；电子信箱: kjcdinglei@163.com。
  • 基金资助:

    国家发展和改革委员会社会发展司项目（2009HR01）

Attention to medical and health system reform from Shanghai residents

DING Lei1, LU Lin1, LI Yan-ting1, ZHAO Ming1,2, MA Jin1   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China；2.Shanghai Shenkang Hospital Development Center, Shanghai 200041, China
  • Online:2011-02-28 Published:2011-03-01
  • Supported by:

    Foundation from National Development and Reform Commission of China, 2009HR01

PDF (PC)

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摘要：

目的 了解上海市居民对深化医药卫生体制改革重点关注内容，为完善医药卫生体制改革实施措施提供建议。方法 采用多阶段随机抽样方法对1 600名上海市居民进行人群随机问卷调查。结果 受访群众最关注的医药卫生体制改革问题是药品使用合格率、卫生人才培训合格率、医疗费自付比例和城镇居民医疗保险覆盖率。结论 医药卫生体制改革应加强药品关键环节管理，提高药品使用合格率；调整卫生人力资源的分布和结构，提高卫生人力的整体素质；积极落实国家基本药物制度，降低医疗费用个人自付比例。

关键词: 医药卫生体制改革, 公共卫生服务体系, 医疗服务体系, 医疗保障体系, 药品供应保障体系

Abstract:

Objective To investigate the attention from Shanghai residents on the medical and health system reform, and put forward suggestions on the medical and health system reform. Methods Multistage random sampling method was employed to investigate 1 600 residents with questionnaire survey. Results The issues most concerned by the investigated residents were rationality of drug use, qualification of training for medical staff, personal payment for medical expense and medical insurance coverage of urban residents. Conclusion The management of drug use should be enhanced, the distribution, composition and qualification of medical staff should be optimized, and the national essential drug system should be carried out to lower the personal payment for medical expense.

Key words: health reform, public health system, medical service system, medical security system, medicine supply system