The Study On Implementation Status Quo Of The Basic Public Health Services In Primary Health Care Institutions In Henan Province

Objective<the Opinions of the CPC Central Committee and the State Council on Deepening the Health Care System> in2009points out that Chinese Government will construct public health service system covering both urban and rural residents, promote urban and rural residents gradually enjoy basic public health services.The main institution of the implementation of the basic public health services is the primary medical and health institution, In2010, the State Council pointed out that the government would generally implement Residents’ health records, immunization programs, health education, prevention and treatment of infectious diseases, maternal health, child care, chronic disease management, Health care for the elderly, and patients with severe mental illness management,9kinds of national basic public health service projects included. So carry out the research to grasp the current implementation status of the province nine basic public health services in primary health care institutionsMethodsAnyang, Luoyang, Xuchang and Zhumadian were selected as the research semple areas, according to their location and level of economic development in Henan. Qualitative research and quantitative research were used in this paper.97people who are administration and operational staff from the pumping county were investigated, then to discuss in different grouping, and13executive leaders chose from the primary medical and health care institutions as the objects to conduct in-depth interviews. Questionnaire research are used in the Quantitative study.499urban and rural residents as the research object choosed from the extracted area to do questionnaires.ResultsIn the97primary medical and health institutions, there are39community health service centers in the city survey spot,58village and township hospital in the country survey spot. The average department number of provide basic public health services in the cities (6.87) is higher than rural areas (4.71); The public health manpower of the people on the job is too few, which in urban areas and rural areas respectively accounted for3.66%and6.12%. On the constitute of education background. urban residents mainly have Junior College degree, accounting for38.69%, in the rural it is mainly made of technical secondary School, accounting for55.95%; On titles Constitution, both urban and rural areas are mainly made of primary, respectively accounting for37.16%and50.47%. On the basic level technicians’working life, in the urban it is≥20years (28.82%), in the rural it is5-10years (26.62%); Regarding the further study situation, the city accepted training more often than rural areas, urban and rural areas receive training times in average is26.21man-time and14.43man-time; In the health funds, the city having33.33%institutions can meet the work requirements, but only6.90%of the rural institutions to meet the work requirements. In2010, urban areas and rural areas respectively accounted for10.62%and17.24%can enjoy local special policy support.2. In the13in-depth interviews of primary medical and health institutions, including nine kinds of basic public health services for all patients with health education, immunization and infectious disease management, but10institutions have Residents’ health records department and child health department,9institutions carried out maternal health department,8institutions have elderly health management department, and9institutions have departments for chronic disease management, but only3institutions carried out departments for the management of patients with severe mental illness. The number of service from97primary medical and health institutions provided shows that, the cities’ number higher than the rural areas is in the reported infectious disease area and diabetes management area, while the cities numbers lower than the rural is in establishment of health records and vaccination management of children.3. In a survey of499urban and rural residents,62.12%people had heard the "basic public health services", including urban (68.13%) which is more than rural areas (56.05%);54.71%of the residents knew that the primary medical and health institutions have ability to prevent disease;49.90%of the residents could walk to the primary medical health institutions in less than15minutes, and the resident of urban were more convenient than the rural residents to go to the primary medical and health institutions. In2010, about the number of people who has not been to the primary medical and health institutions, the number of cities is higher than that of the rural areas are respectively26.69%and18.55%. At the same time about enjoying the basic public health services projects, the urban is more than the rural areas in the these aspects, such as the establishment of health records, maternal health management, the elderly health management and high blood pressure patient management. However, in the area of vaccination the rural areas is more than the urban;79.88%of residents in the urban believes that the basic public health services provided currently can meet their demands. While54.98%urban residents is willing to accept basic public health services in the community health service centers, while45.56%of the rural areas residents choose to accept the services in towns and township hospitals; The resident can all afford the cost of the basic public health services per year per person is Y5and Y6-10most, both account for24.85%.Conclusions1.The primary medical and health institutions lack of the ability to provide basic public health services, therefore the government should increase the talents, technology and financial support to the primary medical and health institutions.2.Regarding the9kinds of basic public health services, the government needs to promote the implementation of children’s health, the maternal health, chronic disease management, and severe mental disease.3.The urban and rural residents had strong demands of the basic public health services projects, so the government should actively promote the primary medical and health institutions implementing the basic public health services.