Xi'an Community Health Service Management Practice And Research

In this thesis, the characteristics, basic theory and operation modes of community health service are presented, including its definition, goal, scope and objectives. The author has studied the development and the documentations of the community health service in China and also in other countries. By analyzing and comparing the development and the issues of the community health service of several domestic and foreign cities, the theories and experimental experiences have been summarized which can be introduced and utilized in our service provisioning. Based on many years'working and studying experience in the community health service in the city of Xi'an, this thesis has carried on the multi-level analysis on the existing problems and their causes from multiple perspectives. By using the theories of the public administrations, this thesis presents the innovations in the operation mechanisms, service framework and service contents. How to enhance the motivation of the government in the community health service provisioning is also studied. The author participated in the National Conference on Community Health Service in 2009, and had comprehensive discussions with the representatives from many cities and provinces. Through a series of illustrative case comparison of the national-wide 22 key cities, the feasible operation modes, policies and measures for the community health service in Xi'an have been proposed.This thesis proposes to establish the multi-support system led by the government, which is vital in the development of the community health service in Xi'an city. Based on the concept of global health service, by breaking the current block partition of the health resources and fully combining the resources, the correspondence and collaboration among the local health facilities can be further improved. Using the community health facilities to provide the basic services and the non-profit medical facilities to provide the complementary service, the new city health service system, which has more reasonable partition and closer cooperation, can be established. The operation frameworks and modes of how to fully utilize the support from the street administration office (community committee), to introduce the evaluation from the third party and to maximize the functionality of the community health services are also investigated thoroughly. This thesis provides in-depth insight and also useful innovative guidance in improving the community health services in Xi'an.