CQ Largest General Hospitals's Sufferer Medical Care And Health Care Research

The general survey in the third national healthcare service shows there still has been as great difference existing in the healthcare service between urban and rural area, which highlights the inequality between the residents with high income and those with low income. For Chongqing city, compared with the other three municipalities directly jurisdiction of the central government, there is deficiency in various indicators of equity due to the special geographic feature"large rural area and small urban area". The top 10 largest general hospitals are mainly located in the urban prosperous area such as Nanan District, Yuzhong District and Shapingba District, which in a sense affects the equity on the accessibility to healthcare service and leads to the lower awareness of the residents in healthcare in Chongqing than in other three municipalities directly jurisdiction of the central government. Although big efforts have been taken on the community healthcare service in recent years and the number of community stations reached to 75 up to 2006, the backward situation in medical equipments, talents and techniques still remains compared with that in big general hospitals and most residents are willing to go to big general hospitals both for medical care and health care for various reasons. This situation can not possibly be changed in short time, thus the top priority at present is to solve the problem of inequity of healthcare in big general hospitals which can promote the development of healthcare in community. Under such background, the study on the equity of healthcare service utility in big general hospitals in Chongqing is of great significance. In the research, we conducted Delphi consultation and identified the factors affecting the equity of healthcare service utility in big general hospitals. After that, we set up the investigation scales to know the status quo of the equity of healthcare service utility for outpatients and inpatients of the 10 hospitals. By using the methods of lorenz curves, gini coefficient and concentration index, the inequity of the 10 hospitals was further inquired. At last, we put forward the strategies for solving the problems based on the status quo and various impact factors of healthcare in the top 10 hospitals. The conclusions of the study we made are: 1. the construction of the Delphi consultation tables of equity of healthcare in big general hospitals in Chongqing. 2. Through three Delphi consultations, the various factors affecting the inequity was identified. 3.the construction of survey scale of healthcare utility of patients and confirmation of the reliability and validity by ways of factor analysis and reliability and validity test. 4. the collection of data in equity of healthcare in big general hospitals in Chongqing through survey. 5.the inequity confirmation of the equity of healthcare in big general hospitals in Chongqing by calculating the lorenz curves, gini coefficient. 6. the suggestion and strategies to promote the equity of healthcare according to the research results. The conclusions are of great significance in directing the promotion of he equity of healthcare in big general hospitals in Chongqing.