本文選題：基層　切入點：計生隊伍　出處：《重慶工商大學(xué)》2017年碩士論文

【摘要】：自1982年計劃生育被納入憲法作為基本國策35年以來,計生網(wǎng)絡(luò)在我國計生事業(yè)的發(fā)展中起到了重要的作用�；鶎佑嬌W(wǎng)絡(luò)具有及時提供計劃生育工作信息和統(tǒng)計數(shù)據(jù)、政策代言、政策執(zhí)行、社情民意的傳遞等四大基礎(chǔ)功能,其特定的工作機制和部門對于計生事業(yè)的發(fā)展發(fā)揮著重要作用。但隨著我國人口老齡化態(tài)勢的加劇,從2013年“單獨二孩政策”到2016年“全面二孩”政策的不斷調(diào)整,2013年衛(wèi)生計生機構(gòu)整合,國家提倡多元主體綜合治理,“互聯(lián)網(wǎng)+”等四大背景給基層計生網(wǎng)絡(luò)的發(fā)展帶來了嚴(yán)峻挑戰(zhàn)�；谒拇蟾母锉尘�,新時期下我國基層計生網(wǎng)絡(luò)服務(wù)急需轉(zhuǎn)型。本文采用文獻研究、問卷調(diào)查、數(shù)據(jù)報表、焦點小組訪談等方法,對我國基層計生網(wǎng)絡(luò)的基本功能特點及優(yōu)勢,基層計生網(wǎng)絡(luò)建設(shè)現(xiàn)狀等進行研究。主要的研究內(nèi)容及結(jié)論如下:通過對重慶市五個區(qū)縣的三大類計生工作人員,其中150名計生行政管理人員,190名計生技術(shù)人員,90名計生專干進行問卷調(diào)查發(fā)現(xiàn):第一,在人口政策調(diào)整及衛(wèi)生計生機構(gòu)整合的背景下,計劃生育工作建設(shè)沒有削弱反而得以強化,大部分人對機構(gòu)整合持支持態(tài)度,但機構(gòu)整合后衛(wèi)生計生管理體制亟待理順。第二,基層計生人員普遍反映工作難度增強。82.12%的基層計生行政管理人員與44.71%的計生專干認(rèn)為實施單獨兩孩政策讓群眾覺得政策放松了,基層計生工作更難了。第三,計劃生育機構(gòu)職能急需轉(zhuǎn)型。69.15%的基層計生技術(shù)人員與72.94%的計生專干認(rèn)為基層計劃生育行政管理機構(gòu)應(yīng)該積極進行職能轉(zhuǎn)型。第四,計劃生育利益導(dǎo)向政策有待進一步完善、計劃生育基本技術(shù)服務(wù)補助經(jīng)費不足。基于以上實證研究內(nèi)容,本文從服務(wù)觀念轉(zhuǎn)型、服務(wù)內(nèi)涵轉(zhuǎn)型、服務(wù)內(nèi)容轉(zhuǎn)型、服務(wù)方式轉(zhuǎn)型、服務(wù)組織架構(gòu)轉(zhuǎn)型等方面提出了計生網(wǎng)絡(luò)服務(wù)模式轉(zhuǎn)型的合理路徑,其中結(jié)合服務(wù)內(nèi)容轉(zhuǎn)型與服務(wù)方式轉(zhuǎn)型重點提出“全生命周期服務(wù)3+3”模式。第一個“3”指青少年、成年、老年等三大類服務(wù)人群,第二個“3”指基礎(chǔ)服務(wù)需求包、輔助服務(wù)需求包以及特殊服務(wù)包等三大類服務(wù)需求包。具體表現(xiàn)為:其一,向全人群以基礎(chǔ)服務(wù)需求包的形式提供計劃生育與生殖健康信息咨詢、生殖健康相關(guān)疾病預(yù)防及治療、孕周期生殖健康服務(wù)、生殖健康權(quán)利的維護等服務(wù),以咨詢與現(xiàn)場服務(wù)的方式開展。其二,向青少年以輔助服務(wù)需求包的形式提供健康教育服務(wù),以計生工作人員政策宣傳、學(xué)校課程設(shè)置與父母言傳身教等方式開展。其三,向育齡婦女以輔助服務(wù)需求包的形式提供健康教育、宣傳指導(dǎo)、隨訪服務(wù)等孕周期服務(wù),以服務(wù)項目銜接強化、孕周期轉(zhuǎn)介與信息查漏結(jié)合等方式開展。其四,向老年人以輔助服務(wù)需求包的形式提供醫(yī)療保障,生活照料以及精神滿足等家庭服務(wù),以醫(yī)養(yǎng)結(jié)合、家庭醫(yī)生簽約、活動參與等方式開展。其五,向特殊人群以特殊服務(wù)包的形式提供職業(yè)規(guī)劃、心理輔導(dǎo)、家庭權(quán)益保障等服務(wù),以職業(yè)教育、心理輔導(dǎo)教育及民生建設(shè)與養(yǎng)老服務(wù)建設(shè)等方式開展。最后,本研究為基層計生網(wǎng)絡(luò)服務(wù)成功轉(zhuǎn)型提供了保障條件。第一,促進基層計生網(wǎng)絡(luò)服務(wù)職能轉(zhuǎn)型,以適應(yīng)計生新形勢;第二,理順衛(wèi)生計生管理體制機制,促進衛(wèi)生計生事業(yè)均衡發(fā)展;第三,提高計劃生育基本技術(shù)服務(wù)補助經(jīng)費標(biāo)準(zhǔn),增強工作人員積極性與群眾滿意度;第四,進一步完善計劃生育利益導(dǎo)向政策,保障特殊群體權(quán)益;第五,發(fā)揮基層計生網(wǎng)絡(luò)在社會公益性事件中的作用,強化社會治理創(chuàng)新理念;第六,探索“互聯(lián)網(wǎng)+婦幼健康”服務(wù)模式,促進信息共享。本研究的創(chuàng)新點在于首次結(jié)合人口政策調(diào)整、衛(wèi)生計生機構(gòu)整合、社會治理創(chuàng)新、“互聯(lián)網(wǎng)+”等四大背景,為我國基層計生網(wǎng)絡(luò)服務(wù)模式轉(zhuǎn)型提供了合理路徑,并豐富了計生網(wǎng)絡(luò)的服務(wù)內(nèi)涵。但由于政策的調(diào)整,實證研究范圍有限,本研究在此方面尚有不足,亟待進一步的完善。
[Abstract]:Since 1982, family planning was included in the constitution as a basic national policy in 35 years, the development of project network in China's family planning work has played an important role. The grassroots network has to provide family planning information and statistical data, policy advocacy, policy implementation, transfer the four basic functions of public opinion the specific, the working mechanism and the Department plays an important role in the development of family planning services. But along with our country population aging trend intensifies, from 2013 two separate child policy "to constantly adjust the 2016" comprehensive two child policy, 2013 integrated health planning agency, the national comprehensive management of multi subject, "the development of Internet plus" four big background to the grassroots network brings severe challenges. The four reform based on the background of the new era of China's grassroots network services are in urgent need of transformation. This paper uses the literature research Study, questionnaire survey, data report, method of focus group interviews, the basic functions and advantages of China's grassroots network, the grassroots network construction present situation and so on. The main research contents and conclusions are as follows: the planning staff through the three categories of the five counties of Chongqing City, 150 a family planning administrative personnel, 190 health technicians, 90 Planning Engineer survey found that: first, the integration of health organizations in the population policy adjustment and the health of family background, family planning work construction did not weaken but can be strong, most of the people on the integration of institutions supportive, but after the integration mechanism health management system need to be straightened out. Second, grassroots planning staff generally reflect the difficulty of the work of enhanced.82.12% grassroots administrative staff and 44.71% Planning Engineer believes that the implementation of a separate two child policy to let people think The policy was relaxed, grassroots work more difficult. Third, basic functions of.69.15% family in urgent need of restructuring agencies plan planning technical personnel and 72.94% Planning Engineer believes that grassroots family planning administrative institutions should actively carry out the functions transformation. Fourth, interest oriented family planning policy to be further improved, the basic technical services of family planning funding subsidies based on the above empirical study. This paper, from the concept of service transformation, the connotation of service transformation, service transition, service transformation, service organization structure transformation and put forward reasonable design path network service model transformation, which combined with the service content and service mode transformation and put forward the key transformation of "full life cycle service 3+3 mode. The first" 3 "refers to teenagers, adults, the elderly and other three categories of service groups, second" 3 "refers to the basic service package, auxiliary service Service requirements and special package service pack three categories of service request packets. Specific performance: first, provide information on reproductive health counseling plan to the whole population based on service demand in the form of packets, the prevention and treatment of diseases related to reproductive health, pregnancy reproductive health services, reproductive health and rights maintenance services, to consultation and on-site service manner. Second, to young people to assist the service request packets in the form of health education services, the planning staff to carry out propaganda policy, school curriculum and parents' words and deeds and other means. Three, to women of childbearing age to auxiliary service demand packages to provide health education, publicity and guidance, follow-up service such as pregnancy services, services to strengthen the cohesion, pregnancy and referral information combined with other ways to carry out the leak. Fourth, providing medical care to the elderly in the auxiliary service demand package Security, life care and spiritual satisfaction and other family services, to the combination of medical care, family physician, and carry out activities to participate in other ways. Fifth, to special groups with special service package in the form of occupation planning, psychological counseling, family rights protection and other services, to carry out occupation education, psychological counseling education and the construction of people's livelihood and pension service construction. Finally, the graduate student network service provides guarantee for the successful transformation of the grassroots. First, promoting grassroots transformation of network service function, in order to adapt to the new situation of family planning; second, straighten out the health planning management system, promote the balanced development of health services; third, improve the basic technical service family planning subsidy standards, enhance the enthusiasm and satisfaction of the masses of staff; fourth, to further improve the interest oriented family planning policy, protection of special groups' rights; fifth, play at the grassroots level Family planning network in the event of social welfare in the role, strengthen the innovation of social governance concept; sixth, explore the "Internet plus maternal and child health service mode, promote information sharing. The innovation of this research is to combine the population policy adjustment, integrated health planning agency, the innovation of social governance," Internet plus "four big background that provides a reasonable path for China's grassroots network service model transformation, and enrich the connotation of family planning service network. But due to the adjustment of the policy, empirical research is limited, the research on this aspect is still inadequate and needs to be further improved.

【學(xué)位授予單位】：重慶工商大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：C924.21

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