A Study On Managing Pattern Of Country Community Health Service In China

Since 1997, central taked the hygienic work "reforming the city health service system, positively developing the community health service, gradually forming the function to be reasonable, the convenient populace's hygienic service network" as the development direction, our country city community health service have developed vigorous. To 2005 year's end, community health service organization have reached 17,000, community health service center 1,382, community health service station 15,476, community health service network system formed basically. The organization system sum and the management system have also carried out widespread exploration, and have obtained certain experience. But social economy development difference between different places, the community health service development is not quite balanced. The community health service understanding lag, the service surface is not broad, the level is not deep, the entire section medicine raise has not formed the joint effort, throws the person to compensate the mechanism not to arrive, the management lacks standard and so on, all these questions seriously have restricted the community health service development.Each place in the community health service development process, generally felt puzzled : firstly, the policy is not bright, operationally misses, specially lacks the concrete policy instructions; secondly, there is not mature experience to be allowed to refer, some developed local success experiences often do not suit the general developed city and undeveloped city; thirdly, how the community health serves adapts with the local social economy development, how adapts with the local hygienic service demand is not clearly.Based on this research background, this research mainly through the domestic and international community health service movement mechanism and the management pattern, studies their community health service organization's operating form with emphasis, the organization nature, the different organization movement mechanism and the management pattern, summarize the experience which they succeeds, obtains the main results and the development conditions, the application value, and carries on the essential comparative analysis. Thus proposes some development instruction suggestion to our country community health service.This research uses the literature analytic method, the expert discusses, the scene diagnosis and the typical case analysis unifies, the essential character interview, the group discussion and so on to study the home, the outer city community health service, from the organizational structure, the management system and the movement mechanism and so on. Proposed further consummates to develop our country community health service rationalization proposal, for the government policy-maker to refer.The result altogether is divided two parts. The first part is the research to the overseas community health service management pattern and movement machine-made present situation. Through several developed countries (England, America, Canada, Australia, Germany) and the developing nation's, The paper analyzed community health service management pattern and the movement mechanism, summarized experience as well as lesson which may help we to study.The second part is our country community health service development history and present situation research. Through our country community health service history background, obtains the result, analyzes the flaw and the reason. Simultaneously utilizes the real diagnosis research method, revolves our country community health service, the movement machine-made situation to do compares studies.Through selecting Shenzhen Baoan block gongmin street to study the city as a sample, analyzed the community health service management pattern and movement mechanism. The analysis has the reform reason and the background, as well as the reform measures.The last part is our country community health service development goal pattern. Through the analysis classification, from the government angle, organization itself constructs and so on the aspect puts forward our country community health service further development policy proposal.