| IntroductionAt the end of last century, our country government set up the public finance frame. Reforming the traditional public finance manage mode, setting up the public finance frame, whose purpose is to enhance the public service working talent of the finance. Farmers live in difficulties and return to be more poor with illness. Positive development of village hygiene business and exaltation of village hygiene service level are synthesize now of our country public hygiene business complete development.The study choosed taian country as the research object, passing to the synthesize analysis to the public hygiene and the medical treatment of village, to study the coordination function between governments for village medical treatment hygiene expenditure in the ratings public finance system, the development direction and circulate mode of the village medical treatment hygiene business in the finance system, so as to put forward the rationalization suggestion to Increase the usage efficiency of village hygiene resources and establish grass - roots medical treatment service organization and money raising systems that match the actual circumstance in our country village.Method1 Public economics analysis method2 Case analysis methodResultTaian county locates in the western and south of Liaoning province , which is ruled over by anshan City. The resources transfer ability and macro views of the county local government are lower than economic average level of the county area. After the tax reform, while the fanner burden is obvious to ease, the country two class income sources also correspond the decrease. The Taian County's public finance expenditure principle can generalize for" protect to have a meal, protect the operation , protect the stability and protect the education" , the public finance presented the typical characteristics of" have a meal the public finance" and" the crisis public finance"The taian county is opposite with the devotion of the medical treatment organization and the hygiene organization not enough, whose main reason is that did not implement the financial power guarantees to the government development of society and hygiene power. Under the control of the current public finance system, Various county medical organization all took development strategy to a-dopt the decided environment, they realized the fast development of the hospital under the difficult environment. Extend the hospital scale, purchase the medical treatment equipments, open the new service in exhibition item,which is a necessary means for medical treatment organizations to fight for the market. The development trend of the county medical hygiene organization can generalize for;the medical treatment organization stands steadily into the high technique with high service;the hygiene organizations develop towards the medical treatment organization mode.Under the decrease of the public finance and the dual pressure of the market the village hygiene hospitols adopted the change service mode and keep to cure, stabilize the wages level and freeze with the equipments renew etc. to exist. The county hospital have no the real help supports to, therefore, the village hygiene hospitals are placed in a kind of existing but have no development.Disscutiontaian county in set is an agriculture county in the history, the country public finance income is needy, increasing tired, the guarantee ability is limited , its industrial structure is the bottleneck for the public finance income to increase.2 N The cent tax system reform maked county class public finance accelerat to " crisis public finance".3 N Taian county' s public finance construction : not tax law public finance, beg for the rice public finance and the rigid public finance.4^The taian county public finance is typical" five protect the public finance" ( protect to have a meal, protect to revolve, protect stability, protect the education and protect the municipalty ). After" five protect" , the financial power is poor. Therefore, the government is hard to sanitary devotion to have the increment.5 N Seeing from national village public finance, the economy owes the village public finance' s basic characteristic is having a meal the public finance and re-volveing public finance, stabilizing the public finance and educating the public finance, the village government was compelled to withdraw the village hygiene realm.6AThe hygiene administration authorities controls the choice for protecting public hygiene, giving up basic medical treatment under the limited financial power.Conclusion1 ^The influence of the compensates mechanism change of the medical treatment hygiene organization in current public finance system: After county class hygienes lose the ability of adjusting the public finance, they can only keep the necessary macro view adjusting ability of the staff appointments to office the power with officers and workers personnel power. Medical treatment hygiene organi-zation make use of the market compensates, and this kind of excesssive exploitation still is in a period for quickly increasing. But the mechanism expiation now do not encourage the medical treatment hygiene organization to promote the social cost consciousness. The medical treatment hygiene organization provides society the equity medical treatment hygiene service within the reach is conditioned.2^ The new village cooperation medical treatment provide the behavioral influence is far not so big equal to imagining to the medical treatment hygiene organization. The new village cooperation medical treatment not yet presents out well the influence of the fixed - point organization service ability. The village medical treatment hygiene organization did not establish the new management system as the fixed - point organization of the new cooperate medical treatment.3^The village hygiene manages system are all the management system of County class centralization mode, the management system of the sample region regards controlling people as the tube linear, the management system regards the target duty system as the means.4^Because the village medical treatment hygiene organization management system and the hospital operates the mechanism reformation, the medical treatment hygiene organization entered an new history period with opportunity and challenge. The village hygiene management system reforms slowly, the hospital behavior is under the influence of administration power and market power . |
PDF Full Text Request