Research On The Urban Community Health Services Demands Influencing Factors And Measures In Governmental Regulation Perspective

The city community health service is an important part of health, get the partyand government attach great importance. However, as our country city communityhealth service development, residents of community health service demand hasincreased, the contradiction between supply and demand of community health servicealso gradually highlight.For example, the city community health service supply and demand imbalance,the city community health resources allocation is not reasonable, not good enough tomeet the city residents’ health service needs. Countries and governments at all levelsthrough the related policy laws and regulations promulgated by perfecting the urbancommunity health service system construction, guarantee the city community healthservice supply. The government in the city community health policies, communityhealth resource allocation and regulatory played a crucial role.In this paper the government control theory, institutional economics theory,health service demand theory as the foundation, the market environment impact ofurban community health service organization operation and development of reason,mining community health institutions advantage and be helpful for community healthwork to influence factors.Changchun city in jilin province as an example, the study of urban communityhealth service institutions, community residents, community health service center staff,slow patients to community health service demand and utilization. On the one hand, tounderstand the city community health service organization operation status and healthservices utilization situation, analysis the community residents and slow patientshealth service demand, this paper discusses the influence factors of supply anddemand contradiction between the two sides, and puts forward the perfect citycommunity health service development, meet the residents health needs ofcountermeasures and Suggestions. On the other hand, through the researchperspective of government control of the city community health service supply anddemand relations, constructing the corresponding conceptual framework, from thechange of home-textile consider suppliers’ adaptation measures, to improvecommunity health service provides the basis for the development. Based on the literature review method, field survey method, questionnaire surveymethod, nine in changchun city for level stratified cluster sampling, using descriptiveanalysis, trend chi-square test and logistic regression analysis of urban communityhealth service demand and utilization system analysis.Theoretical research results, construct the government control the communityhealth service demand and utilization conceptual framework, that is, from theory thegovernment through the control means adjustment, reform and improvement of theexisting community health resources and medical market to provide funding support,the use of market regulation mechanism, and provides the corresponding policyguiding, At the same time, the government through the collection of communityhealth service supply and demand both sides of the feedback information, timelyadjustment of control means, meet the residents’ health needs. The empirical researchshows that there are nine administrative region of changchun city census register thetotal population of2.479million people, community health service center51,community health service center of the institutional setup, staffing is not reasonable.The drug income accounted for62.67%of the proportion of the business income.2011changchun nine administrative region of the people to call number and domesticsickbed only number respectively for20670and735. Two-way referral projecttransfer out people and into the people only for2356and537.408community healthservice center staff to the community health service utilization survey results showthat education for college and the following accounted for65.94%of the total numberof investigation, the title for intermediate the following accounts for87.50%of thetotal number of investigation, from the time of1-3years in the majority,35.54%, upto49.50%of the medical staff said wage condition not satisfied.1461community residents of community health service needs of the results ofthe survey showed that65.71%of the community residents in common with generalwill first community health service center to see a doctor, the reasons for the rise ofthe technical level of the medical treatment (39.97%), service attitude good (34.77%),the geographical position convenient (17.18%), regression analysis shows that theresidents choose whether community health service agencies to see a doctor andtraffic conditions, medical costs, the price of drugs, medical personnel attitude,waiting time, whether into the medical insurance reimbursement range related to suchfactors. Residents’ health needs, in order to establish a home sickbed (23.48%), provide a fixed, long-term general practitioners (20.67%), provide telephonecounseling (19.85%).416patients with chronic diseases community to communityhealth service needs of the results of the survey showed that93.82%of thecommunity slow patients will choose in community health service agencies to see adoctor, and the vast majority of selection in community medical reasons for cheap(42.28%), near home, convenient transportation (40.76%), not in community healthservice institutions of medical reasons for the doctor’s technology skeptical (38.46%),to the community health service content don’t understand, utilization rate is low(30.77%). Regression analysis shows that the slow patients whether you choose tocommunity health service institutions and medical diagnosis and treatment technology,transportation, medical price, service attitude, whether to participate in communitypublicity and family income and other factors.Research shows that, by investigation of the city community health serviceorganization resources has not been fully utilized, and community health servicecannot fully meet the needs of the community health service. Community residentstake use of community health service resources influence factors according to theiradvantage in the order the traffic, medical costs, the price of drugs, medical personnelattitude, see a doctor waiting time, whether into the medical insurance reimbursementrange. Community health service the differences between the supply and demand, thegovernment regulation to solve.Based on the above research results, should be through the standard citycommunity health service organization setup and urban community medical,pharmaceutical price formulation, perfect the community health service organizationsupervision system way to strengthen countries and governments at all levels to thecommunity health service organization of macroeconomic regulation and control; Throughascension city community health service center personnel comprehensive quality and servicequality, strengthen community connotation construction, in order to further promote the urbancommunity health service ability; Guide people to make full use of urban community healthservices, reasonable distribution of urban community health service resources, and satisfy thepeople’s growing health service needs.