新形势下对医疗管理工作的实践与思.pptVIP

Company Logo 公司 徽标 Company LOGO 新形势下医疗管理工作的实践与思考 湖南省卫生厅 龙开超 博士 为人民群众 健康提供医疗保障 医药卫生体制改革---- 四大体系：公共卫生 服务，医疗服务，医疗保障，药品供应 工业化，城镇化， 老龄化，疾病谱 变化，生态环境变化 宏观 微观 任务 世界的健康问题 总人口的快速增长 人口老龄化 慢病 新发、再发传染病 增加的疾病负担 人口健康制约社会与经济发展 我国的健康问题 老龄化和出生缺陷在一个巨大的人口数量基础上发生－结构性问题 传染病和慢性疾病的双重威胁－结构性问题 食品安全、药品安全、职业卫生、环境卫生－阶段性/结构性问题 疾病负担加重－阶段性/结构性问题 卫生服务能力不足－阶段性/结构性问题 中国人口年龄比例的趋势图 （ 1950-2050 ） 老龄化变得越来越明显 中国人口预期寿命 WHO：年龄超过60岁人口占社会总人口10%以上为老龄化社会 中国20世纪末进入老龄化社会 2005年达1.44亿（11%） 我国解决健康问题的手段 手段 有限的选项 短期难以奏效 因为 ： 低水平的医疗保障水平和日益增加的疾病个人负担的矛盾 城乡二元结构与东西部发展差异使总量不足卫生资源具有结构性缺陷 US 的启示 The Nations Medical Research Agency The National Institutes of Health (NIH), a part of the U.S. Department of Health and Human Services, is the primary Federal agency for conducting and supporting medical research. Helping to lead the way toward important medical discoveries that improve peoples health and save lives, NIH scientists investigate ways to prevent disease as well as the causes, treatments, and even cures for common and rare diseases. Composed of 27 Institutes and Centers, the NIH provides leadership and financial support to researchers in every state and throughout the world. For over a century, the National Institutes of Health has played an important role in improving the health of the nation. The NIH traces its roots to 1887 with the creation of the Laboratory of Hygiene at the Marine Hospital in Staten Island, NY. The NIH is an agency of the U.S. Department of Health and Human Services. With the headquarters in Bethesda, Maryland, the NIH has more than 18,000 employees on the main campus and at satellite sites across the country. With the support of the American people, the NIH annually invests over $28 billion in medical research. More than 83% of the NIHs funding is awarded through almost 50,000 competitive grants to more than 325,000 researchers at over 3,000 universities, medical schools, and other research institutions in every s