Community Health Service Institutions In The Public Interest Objectives Incentive Mechanism

As a basic link in the city health service system, Community health have catched more and more concern by government and community. Highlight the public welfare is the core goals of the current community health service reform and the core objective of our country's NEW Medical Reform. To establish incentive mechanisms with public welfare as the goal of the new community health service agencies is an important guarantee for sustainable development to the public services reform of community health.Changning District of Shanghai as one of the pilot areas of national community health reform, had always put public welfare as the core of the reforms to reduce healthy costs and focus on the improve of the community health services. A series of innovation have took place in the community health service model and system, Highlighted the public welfare in community health services. This article is aimed at public welfare under the background of reform in community health services, used Shanghai Changning District Community Health Service reform as an example, to do objective research and analysis of public welfare in the current incentive system, point out the problems and weakness,give suggestions to further improve and enhance the incentive system for community health services. To adapt to the public welfare as the goal of the current institutional framework, in order to promote the sustainable develoment of public welfare of community health servicesBased on literature read about the domestic and international community health, the hospital incentive system and the theory of motivation.To use the evaluate channel of Changning District Community Health Policy Research Center (CFC), by literature, questionnaire surveys, interviews and other research methods for collect research data and information, analysis Changning District Community Health Service community's residents satisfaction and community satisfaction.To interview the community health management center's leader and part of the Community Health Center leader, discussion and analysis of the shortcomings of the design of incentive systems and effect, draw some relevant conclusions.Through the research, to put public welfare as the goal of the incentive system of community health services. by system design and implementation results, Changning District had really balanced both the equity and efficiency to some exten, but due to the public welfare-oriented system's own defects and the lack of incentives on the managers of community health services, it may lead to abnormal development of fairness and efficiency, leading to unsustainable incentives, so, it's must to strike a reasonable balance on the relevant factors and strengthen community health manager's incentives, improve and enhance the incentives for community health service system to ensure that the direction of public welfare in community health services.