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Research Of Construction On China Rural Community Health Service System

Posted on:2011-11-05Degree:DoctorType:Dissertation
Country:ChinaCandidate:H ZhouFull Text:PDF
GTID:1114360308471075Subject:Agricultural Economics and Management
Abstract/Summary:PDF Full Text Request
Because of the development of the society, economy, technology, the public health work of the hygiene has already entered comprehensive health care ear.It must develop community's hygiene service to reach the goal of snythesizing sanitarily.community's hygiene is served with basic medical treatment, such public health as prevention and health care and health education, etc, which are served for the main content.This text discussed the relevant problems of serving development of rural community's hygiene of our country mainly. On the basis of analysing our country's current rural hygiene service system current situation and question, it stated briefly the service function of the rural community's hygiene of our country. Then, It found out some community's hygiene experience of foreign countries where developed the community well. The article pointed out that structuring the rural community's hygiene service network should be based on the national conditions, and suited measures to the local conditions. It analysed that develops feasibility and meaning of the rural community's hygiene service. The paper also put forward the suggestion on the rural community's hygiene service, such as the mode of running, managing, compensating, operating etc. Finally, it analysed the supporting policy that influences the development of the rural community's hygiene service.The text analysed of China's rural community health service system, the existing problems and put forward countermeasures, and then made suitable to rural community health service model. This study will focus on the overall analysis; to case analysis will be complemented by case studies combined with the overall analysis. In economically developed regions and less developed areas of rural community health services, for example, the analysis stage of its development, to study the establishment of urban community health services have the same local characteristics of the health service delivery model to verify the feasibility.Studies have shown that infrastructure construction condition improved consumedly in China from the 21st century. The training to the community health service personnel has got good effect. The service mode and content of the community health service has successfully changed. The work load of the community health service centers and stations has increased greatly. The mean income and the profit and payout balance of the community health service centers and stations has increased greatly. However, several defects are detected in the study. The installation of the division is not ideal.Not sorting out the community health service troops according to the demand of the community health service. And the capability of the community health service troops is not ideal.Some public health services have not been carried out enough. The income structure of the community health service centers and stations lack of long-term and lasting reimbursement mechanism is unreasonable.To improve rural health service system at the new situation of market economic development, the policy options should put priorities to fllowing areas:to sterngthen government responsibility for people's health, to optimize rural health system, and to ensure the adequate public health provision, so as to protect rural people's rights in health and health service utilization. Governmental coordination of establishing a balancing mechanism between different plans is important to enhance equity between different plans and members within and outside the mechanism. The quality,efficiency and equity of China's rural medical service are not satisfactory. It could be attributed to insufficient input of medical resources to the rural sector, lack of medical security system in rural areas,and to the absence of government and market function on the medical service sector due to undeveloped medical management system. Although the disintegration of original rural community medical scheme was heavily influence by the economic reform, its technical design was also unsustainable, limiting its survival and development under certain historical environment. Once its dependent institutional context changed, its design defects were completely exposed, such as the participatory model, the average contribution level, the compensatory model and the payment method.From above of all, rural community health service has the feasibility of carrying out. The experience is worth applying and spreading; to spread the propaganda of community health service; expedite the transformation of health center in villages and towns to the community health service center in deed; strengthen the whole medical knowledge training to enhance the capability of the community health service troops that can lay a personnel foundation to the community health service.
Keywords/Search Tags:Rural community, health service, Health service system, Construction
PDF Full Text Request
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