公共事业管理毕业论文-善治理论下的农村医疗卫生体制改革.docVIP

善治理论下的农村医疗卫生体制改革 （，2007级公共事业管理专业） 摘要：农村医疗卫生体制改革直接关系到广大农民群众的身体健康和经济、社会的协调发展，建立和完善农村医疗卫生保障制度，促进农村社会和谐发展，是我国当前政府治理面临的一个重要任务。而善治则是当代政府治理的最佳状态和必然选择。文章从善治理论视角下去发现当前我国农村医疗卫生存在的问题，再结合善治相关理念提出改善农村医疗卫生现状的措施：明确治理主体及其责任；完善相关法律与制度建设；加大投入力度，平衡资源配置；提高民众参与程度，促进第三部门发展；引入市场机制，提高效率。通过一系列的改善措施来深化体制改革，建立起一套完善的农村医疗卫生服务体系，更好的服务于广大农民群众。 关键词：善治；农村医疗卫生；改革 Reforming the rural medical and health system under the perspective of good governance （Huxiaofeng，Graduates of Public Affairs Administration，2007） Abstract：ural medical and health system is directly related to the health of the peasant masses and the harmonious development of economic and society. Establishing and perfecting the protection system of rural medical and health, and promoting the harmonious development of rural society is faced with an important task in Chinese current governance. And good governance is the best state and the inevitable choice of contemporary governance. This article goes from the perspective of good governance to analyse the current rural medical and health problems. Then combines with the related concept of good governance to put forward some measures to improve the rural medical and health: definiting the governing subject and responsibilities; perfecting the relevant legal and institutional construction; increasing investment and balancing resource allocation; increasing public participation and promoting the development of the third sector; introducing the market mechanisms and improving efficiency. To deepen system reform , establish a perfect service system in rural medical and health, and serve the broad masses of peasants better through a series of improvement measures. Key words：good governancerural medical and health，reform 一、善治理论阐述 （一）治理理论 治理理论是上世纪80年代在西方国家兴起的一种全新的理论，自从1989年世界银行首次使用“治理危机”一词并于1992年将其年度报告称为《治理与发展》后，治理理论便迅速兴起，并且主要用于国家的公共事务相关的管理活动和政治活动中。 根据治理理论学者格里·斯托克的概括，到目前为止，对“治理”的理解共有五种主要观点：一是治理意味着一系列来自政府但又不限于政府的社会公共机构和行为者；二是治理意味着在为社会和经济问题寻求解决方案的过程中存在着界限和责任方面的模糊性；三是治理明确肯定了在涉及集体行为的各个社会公共机构之间存在着权力依赖