The Research Of The Rural Community Health Service Problem

In recent years, China’s economic level is greatly improved, the majority of farmers to rural health services are of high quality and high level more and more high. Gradually improve the medical problems of farmers, improve the quality of life of farmers, is an important objective of the development of rural community health service. In the current era, although the Chinese government on rural medical service more and more financial investment, rural health care has developed to some extent. But the development and problems coexist, there is still a lot to solve the problem of the development of rural health. The development of the rural medical health service development still lags behind the economic and social health, the growing demand of farmers is still not satisfied, rural medical and health resources allocation still lags behind the city. Therefore, should continue to carry out research on rural community health service problems, new ideas, new breakthroughs in exploration and development of rural medical and health service.In this paper, normative analysis, questionnaire and econometric model Logit, Shandong Province medical and health services in rural community development, system and framework, development, service, management status, needs and utilization status were analyzed proposed rural community health service optimization measures. By studying the following conclusions:(1)Analysis of the dialectical relationship between rural community health services and rural community construction, there is a shortage of health professionals and technical personnel, there is a link between medicine illegitimate interests, residents are more concerned about basic health services in rural areas of multi-level diversification, domestic medical expenses expense ratio and the proportion of the population rely entirely on its own cost access to health care are high, rural health work system and community health service system is not perfect challenge; there is also increasing investment, with external good ambience, villagers’ autonomy system has been basically completed, rural medical and health care sciences developed rapidly, there can learn from foreign experience and other opportunities.(2)Proved five stages of development in Shandong Province Rural community health services development, namely the initial development stage of stable development stage, recession, recovery and development stage, rapid development stage. Current medical and health services in rural areas in Shandong Province has achieved remarkable results of the province’s stable and rapid development of rural health services.(3)Through the analysis of rural community health service changes in the number of agencies, facilities, health human resources, management as well as service mode to draw: In recent years, the number of changes in Shandong Province, rural community health service institutions is not the case, the village clinic target big gap between the organized form of a single village health should be appropriate to increase the number of village clinics in Shandong Province, and gradually achieve the goal of full coverage of village clinics, and to encourage various forms of organized way the number of national requirements. Compliance rate of Shandong province township hospitals and village clinics building area is high, but still did not meet the phenomenon, a serious shortage of Status of village clinics of medical devices, should not the standard of township hospitals and village clinics positive Retrofit, increase the village health medical device configuration. Shandong Province township hospitals staffing basic standards, but lack of staff registered nurse, village health staffing needs to be further strengthened and improved, the majority of staff satisfaction with training opportunities is not high, that the training is better, the training time is short, insufficient training practice affecting results. Shandong Province, rural community health service integrated management remains problematic, lack of appropriate supervision regulations. Urgent need to establish and improve the integrated management, and strengthen the rural medical institutions and medical staff supervision and management. Content and manner of Shandong Province rural community health services, mainly covers community-based prevention, community health, community health, community rehabilitation, community health education and family planning services.(4)Through the questionnaire organize, analyze the availability of Shandong Province health services in rural communities, know the situation, demand and utilization, and the use of econometric model Logit, affecting rural communities in the utilization of health services factors were Logit regression. The results show that rural residents in Shandong province health services accessibility, awareness, satisfaction and efficiency are at a high level, first select a scale community health service institutions and higher prevalence after farmers, rural community health service Work carried out more successful. However, there are still some problems can not be ignored: Community medical facilities and health care workers in the technology needs to be improved; lower resident satisfaction of medical fees; awareness has not reached everyone knows; the peasants mainly in the need for disease treatment, prevention, care, rehabilitation, health education and family planning advice to farmers attract less; more chronically ill, the elderly, women and other vulnerable groups, community health service demand and utilization, But community health care institutions for health services for special groups be further improved. Gender, age, income and health insurance in the form of personal use of community medical institutions influence.(5)The development of rural community health services should follow people-oriented, according to local conditions, integration of resources, focused principles. Rural community health service optimization measures: First, to build full coverage of basic health care system, improve the health care system; the second is the establishment of national essential drug system, stable prices of essential drugs; third is to strengthen financial support and increase investment in rural community health health investment; fourth is to strengthen health services personnel development in rural communities, improving the quality of medical staff in rural areas; 5 is to establish and improve the rural medical and health policy and legal system, strengthen supervision and management; six is the optimal allocation of health resources in rural areas, promote the use of resources efficiency; seven is to rely on modern computer technology, strengthening management information system.