Research On Public Health Services System Reform Of Western Local Governments

With the degree of marketization reform deepening,urban and rural,between the east and the west for the gap of citizens health level gradually expand,citizens become financially-difficult or poverty,that is more serious.Strengthen the grassroots health service system construction,improving the grassroots health service and the western region health service ability,promoting the farmer groups health is very important.Only in the western region of understanding the basic situation of the public health service,understanding local government in the public health service ability construction and development are the main,can be helpful for a national and the local government in analyzing and solving problems,and make the relevant policy goals more clear.The study of the theoretical value lies in:first,through the research of western experimentsite area public health service,can a summary of western local governments public health service system reform of experience with the shortage,for local government to promote the public health service providing the theory basis for sustainable development;Second,with the aid of empirical research,to further broaden and deepen the local government public health service theory research,rich equal public services theory treasure;Third,through multiple disciplines and the combination of western local governments to public health services research,in a certain extent perfect owes the developed area the public health service theory.This article through to the western region of the public health service into and regional economic and social development of the relationship,investigate the public health service and improve the people's livelihood relationship,use shaanxi province as research samples,through the province shenmu,fugu,ZhenAn,YanLiang five national and provincial pilot area counties public health service system reform of analysising,search for local public health service system reform of trouble.From the public health service,we put forward for west of the equal access to the public health service supply system,i.e.western public health service investment,reduce the cost of people medical service,improve the public health service effect,let the people "to see a doctor more easy",to solve good public health,that is the most important problem of people's livelihood,and perform the duty of the government..This study in the public health service input take the methods of difference from western and eastern gap,and select region in the east several pilots system comparison,explore the western public health service backward factors.Western governments to public health service and regional development of the relationship using regression analysis,take the way of sampling theory,the selection of shaanxi five pilot area counties(rich,medium,general,poverty),more case study,the different emphasis on public health service reform mode for analysis,using content analysis to point out the inner mechanism of the western public health service,with Logistic model to test the cure of all operating modes of the effect,the theoretical hypothesis,on the basis of the western regions present the public health service supply system and mechanism to government.The public service from the point of view of the public health service is to explore the relationship between input and regional poverty rate.The results show that the public health service support for civil public health service cost prediction function very obvious,especially the medical service convenience degree and citizens health improve degree two dimensions,and both of the public health service into explanation effect can be amounted to 17.7%.This indicates that the public health service investment tend to take a convenient way to deal with the citizens of the public health service problem in the work.Citizen public health service costs and rates of poverty have significant positive correlation.This suggests that,to lower the cost of public health service citizens often used to reduce government less medical financial support;And citizens to public health service cost evaluation capacity is low government,because do not know the feeling of the citizens,often can reduce investment by way of keeping the efficiency of medical service.This study of another is found,the medical convenience degree of citizens and the correlation between healths improve degree.However,this research institute of the public health service scale did not distinguish between citizen satisfaction and citizens health improve two dimensions.The future research can test different if the samples will be the results of the influence.Through the multiple regression analysis,found that funds,technology with citizens is negatively related to the cost of medical service.It shows that if the government takes the attitude of the cooperation with medical institutions,pursues the win-win results,often can keep better public health service into effect,effectively reduce the medical treatment cost for citizens(including money,time,energy,feelings,etc),and leads to the medical personnel can better involved in the entire medical system reform.Health service staff with citizens in the investment cost of medical service related.This suggests that they tend to adopt concession in the style of the medical personnel,because the medical cost subject to citizens,his sense of achievement dose not get satisfaction,also shows a real level,so it cannot be good into the reform,which causes the person to reform the fall in the levels of perception cohesion.Through the hierarchy of regression analysis,found that the public health service investment cost of citizens,and then affected regions rates of poverty.This shows that the public health service into itself will not affect poverty areas,but affected by the cost of medical service influence and citizens fall in poverty.At the same time,from the public health service system experimentsite area east of comparison,the western in the public health service system all aspects are far behind the eastern regions,no matter in the reform of time or in the public health service commitment all lag many,the ideology of the rulers of the change of system plays an important role;Further through the eastern and western areas is equal access to public health service,found that public health investment too little in the western region.the behind the most fundamental difference between the eastern and western area,it is that which lack of investment in the west of the public health service,in the whole country the west is the lowest level.At the same time,this low investment also increases the cost of medical service citizens received,impacts the the development of local economy.