第5章 机构与 医改.ppt

临床医学导论第五章 医疗卫生组织机构与医改 接连发生的食品药品安全事件 * 流动人口健康问题 Y1982 30 million Y2005 0.13 billion Y2010 0.16 billion * 居住环境恶劣 较差的免疫保护 不健康的生活方式 管理难 5) 健康不公平 人口老龄化 双重疾病负担 慢性病的危险因素流行 工业化和城市化带来的不良影响 健康不公平 * 城乡居民健康差距 Source: China Human Development Report 2005 2000年我国各省城乡居民期望寿命（岁） 城市：75.2岁 农村：69.6岁 * 医改确定一个大目标 建立健全覆盖城乡居民的基本医疗卫生制度，为群众提供安全、有效、方便、价廉的医疗卫生服务。 以保障 人人享有基本卫生保健 完善医药卫生四大体系 （ 4樑） 建设医疗保障体系 完善医疗服务体系 加强公共卫生服务体系 建立健全药品供应保障体系 健全八项体制机制和基本条件（ 八柱） 管理体制 运行机制 投入机制 价格形成机制 监管体制 卫生科技创新机制 和人才保障机制 医药卫生信息系统 卫生法律制度 * This introduction will be divided into five parts: population aging, negative effects of industrialization urbanization, double burden of diseases, unhealthy lifestyles and their sequels, and health inequalities. * * This introduction will be divided into five parts: population aging, negative effects of industrialization urbanization, double burden of diseases, unhealthy lifestyles and their sequels, and health inequalities. * * This introduction will be divided into five parts: population aging, negative effects of industrialization urbanization, double burden of diseases, unhealthy lifestyles and their sequels, and health inequalities. * * This introduction will be divided into five parts: population aging, negative effects of industrialization urbanization, double burden of diseases, unhealthy lifestyles and their sequels, and health inequalities. * * This figure shows the change of the percentage of older adults in China from 1950 to 2050. Our country already has about 102 million elderly (those ages 65 and over), or over one-fifth of the worlds elderly population. And the percentage of elderly in China is projected to triple from 8 percent to 24 percent between 2006 and 2050, to a total number of 322 million. * * Chinese family support system is very weak in 21st century. 4 grandfathers and grandmothers, 2 father and mother, and 1 child, that is so called 4-2-1 syndrome. * * This introduction will be divided into five parts: population agin