【作者】 汪金鹏；

【导师】 江启成；

【作者基本信息】 安徽医科大学 ， 社会医学与卫生事业管理， 2004， 硕士

【摘要】 党的十六大明确提出了在本世纪头二十年，集中力量，全面建设惠及十几亿人口的更高水平的小康社会，使经济更加发展、民主更加健全、科教更加进步、文化更加繁荣、社会更加和谐、人民生活更加殷实。全面小康社会的最终目的是实现人的全面发展、人和自然的和谐以及社会和谐。卫生作为社会系统的重要组成部分，必须与整个社会经济发展相适应，同时也是实现社会经济现代化的重要保证。制定一套能够客观反映小康社会而又切实可行的居民健康素质评价指标体系，对于全面建设小康社会来说是非常重要的。本课题在对小康社会内涵全面界定的基础上，通过特尔斐专家咨询等研究方法遴选出安徽省小康社会居民健康素质评价指标体系，共4大类(人群健康水平、卫生服务提供和获得、居民健康生活环境水平和卫生资源配置)14个指标，并对这14指标进行详细解释。选择人均GDP在3000美元以上的6个中等发达国家作为下限参照国，4个发达国家作为上限参照国，并结合我国部分达到全面小康社会城市(如北京、上海等)的实际情况，从安徽省省情出发，制定出全面小康社会卫生总费用占GDP6～8％、食品卫生监测合格率达到90％以上等安徽省小康社会居民健康素质评价指标体系各目标理论值。从研究者的角度出发提出一些使安徽省2020年全面进入小康社会的实施策略和政策性建议：完善公共财政政策，加大卫生总费用占GDP的比例：调整不合理的卫生总费用结构，合理分担健康模式： 建立健全城乡居民基本医疗保障体系，增进健康保障，促进卫生公平；增加农村卫生投入，改善农村卫生状况，提高农民健康水平，降低婴儿死亡率和孕产妇死亡率，提高平均期望寿命；变革卫生支出的投放方向，有效分配卫生资源，增加基本公共卫生服务的可及性；实施新的卫生监督管理模式，提高食品卫生监测合格率；加大城镇化建设，倡导文明生活方式，提高城乡居民健康素质。更多还原

【Abstract】 The 16th National Congress of Communist Party of China has proposed concentrating strength in the first 20 years of this century clearly, build the more high-level well-to-do society which benefits more than ten hundred million people in an all-round way, make economy development, democracy sound, science and education progress, culture prosperous, society harmony, further more well- off people’s lives further. The final purpose of the well-off society in an all-round way is that people and natural harmony and society of realizing people are harmonious. The hygiene must be in conformity with whole social economic development as the important component of the social system, realize the important insurance with modernized social economy too at the same time. Making one set can reflect the well-to-do society and feasible resident’s health quality evaluation index system objectively, as to building the well-to-do society in an all-round way is very important.This subject is on the basis of the thing that define to the intension of well-to-do society, select resident’s health quality evaluation index system of well-to-do society of Anhui province through special research approaches, such as expert’s consultation, etc, amounts to 4 big classes (crowd health level, offer and obtain hygiene serve, resident healthy living environment, resource distribution of the hygiene) 14 indexes, and carry on the detailed explanation to these 14 indexes. Choose per capita GDP consult the country as lower limit in 3000 above 6 medium-sized developed country, 4 developed country for Anhui province enter well-to-do society in an all-round way in one year, is it propose some tactics and suggestion of the policy of implementation to proceed from the researcher’s angle s consult the country as upper limit, and combine the actual conditions that the part of our country reach the city (such as Beijing, Shanghai) of the well-off society in an all-round way. Proceed from province feeling of Anhui province, making Anhui province Total Health Expenditure (THE) account for 6-8% of GDP, food hygiene monitor qualification rate exceed more than 90% every theory value of index in one-year hygiene. For Anhui Province enter well-to-do society in an all-round way in one year, we propose some tactics and suggestion of the policy: Perfecting the public financial policy, strengthen the proportion of taking GDP of all-inclusive cost of thehygiene. Adjusting the unreasonable hygiene all-inclusive cost structure, share the health mode rationally; Setting up and amplifying basic medical security systems of urban and rural residents, the guarantee that improve health, promote the hygiene to be fair; Increasing rural hygiene input, improve the rural hygiene state, improve peasant’s health level, reduce infant mortality and pregnant and lying-in women’s death rate, raise and expect the life-span equally; Improving hygiene input direction of expenditure, assign hygiene resource effectively; Utilizing all strength to meet resident’s hygiene service demand; Implementing new hygiene supervise management mode to raise food hygiene monitor the qualification rate; Strengthening urbanization construction, advocating the life style of the civilization to improve the health quality of urban and rural residents.更多还原