The Study Of Role Conflict In The Government Purchase Of Community-based Public Health Services

It’s great innovation of supply patterns of the public health service for the government began to purchase community public health service from the third party.It’s significant to meet the demand of grassroots public health service,at the same time,it can find equal access to public health service. Compared with the previous direct-provide pattern,the subjects of purchasing patterns has already from the government (provider) and community residents (beneficiaries) expand to three parties which including the government (purchaser),community health service agencies (provider) and community residents (beneficiaries). The role conflict caused by the different roles of three parties is one of the key factors that have a negative influences on the process of purchasing public health service.The main reasons for the status as follows:the purchaser’s related professional knowledge and ability is insufficient;the accountability of government functional departments is vague and the function of all the stakeholders’ interests is not exactly consistent; In addition,the number of providers is more than enough to creat a competitive situation;and the rating of beneficiaries’ awareness and supporting should be improved. In view of this, the cooperative strategy of the three parties would reduce the role conflict of purchasing public health sercives to a reasonable degree. The specific measures mainly include:the purchaser shall through master more relevant professional knowledge to enhance the ability of correct decision-making;clarify the powers and responsibilities of the functional departments to avoid multiple contradictory standards;to guarantee the stability of the financial compensation mechanism to ensure enough and timely funding;and actively cultivate the market, to form an effective competitive situation;providers should promote the service coupons to ensure the beneficiaries’rights to choose;to establish bidirectional referral system, highlight the functions of community public health services;the beneficiaries should accurately grasp the needs of their own, put forward the reasonable suggestion that which items should be purchased;what’s more,they also should be timely and objective to feedback to promote the process of purchasing. Only in this way can we ensure the diversity of the provider of community public health service, and ultimately to effectively meet the public health service needs of the community residents, futhermore, highlight the advantage of purchasing patterns.