Study On The Development Of Chinese Urban Community Health Service

Urban community health services are an important component of the national health system. urban community health services have dual characteristic of poblic and enterprise. The former reflects non-profit element of the urban community health service institutions, and commits to the protection of public health. The latter performances characteristics of the economic organizations, generates revenue by providing the basic medical and public health services, and ensures the normal operation of the institutions. In order to fully reflect the public nature of urban community health service, which needs to be adjusted on the top-level design of the system, Changing the current policy differences from non-government-run community health service institutions, implement of the unified management policies and approaches in our country, break trade barriers and affiliation, assume the unified management towards person, financial, and material, implement the management model for unified income and unified expenditure, meanwhile income and expenditure are completely separated, the government has to afford the full cost of community health services, strengthen supervision and improve the evaluation system of the job performance. the main aim is the improvements of residents health indicators, the government guides the community health service to maintain the health of residents in the true sense, to change fundamentally the failure phenomenon of medical and health institutions since they has entered the markto impet oriented economy. One of the key elements of the urban community health service work is lement the responsibility system of the first diagnosis and two-way referral system, establish the comprehensive coverage, two-way referral urban medical service systems, which establish "Gatekeeper" system suitable for China’s national conditions, and play the gatekeeper’s role of Health insurance and medical care from community health services institutions.This paper consists of seven chapters. The first chapter is the introduction, puts forward the topic of this article, reviews the relational research and progress. The second chapter is "basic concepts and theoretical foundation of urban community health service", it defines the related concept of city community health service, At the same time,it discusses core elements of the theory of new institutional economics and its application to analysis of applicability of the development of urban community health service in china. The third Chapter is "The development course and the present situation of China’s urban community health service" It expounds the development process about the China’s urban community health service, as well as it analyzes the current development situation. The Fourth Chapter is "the analysis of problems about China’s urban community health service development". It analyzes the problems of urban community health service and investigates their causes from the following aspects:the concept of understanding, management system, personnel, innovation of science and technology, security measures, the two ways referral work and other key aspects. At last, it points the significant cause of problem is that it lacks the full understanding to the urban community health service work, it lacks the top level system design, it lacks the complete guide of the general medical theory system.The fifth chapter is "The case study:the research of community health service development of BaoTou. It takes the BaoTou as an example to research in-depth. Also it analyzes the problem about the present system mechanism, it investigates the process of the two ways referral works, it discusses the problem of team building of scientific and technological innovation, it researches drugs "zero price difference" problems. The sixth chapter is "the measure to promote china’s urban community health service development, It discusses the measures from the following three perspectives:strength system design, complete the connotation construction, also the management of two ways referral work which need to be reconstructed. Finally, it puts forward the perfect development measures to China’s urban community health service.The seventh chapter is the conclusion. It summarizes the study, and expands the thinking to deepen the reform of the medical health system.