Effect Of Social Medical Status On Equity In Quality Of Medical Service

Effect of Social Medical Status on Equityin Medical ServiceIn the field of medical sociology investigation in the equity of medical service usually aimed at the equity of health condition of different group by economical condition. However, the grouping method only considering the condition of social economical resource, it did not involved the influence of the level of health knowledge, social status, and involving medical social relationship etc, which were essential social resources that influence the equity of medical service. So investigators only paid attention to the bad effect on special population due to shortage of economical resource, but ignored the social deep contradiction behind the economical problem. We considered it couldn't resolve the problem about equity of medical service and equity of health.The article expanded the nonmaterial factors such as medical economical ability, involving medical social relationship, health education level and authority position etc, on the basis of medical resource of traditional social medicine and health economics, puts forward the concept of new medical resource in medical sociology meanings, divided medical resource into public health care resource and background medical resource. Furthermore, according to the difference of occupation in the nonmaterial factors ( background medical resource ), carried on social stratification, put forward the concept of social medical status. The study evaluated the effects of medical service of patients in different social medical status, which provided the new criterion for social population grouping (social stratification), and provided the new visual angle for study of the relationship of social stratum and equity of medical service. So as to better explain the influence of social stratification on equity of medical service in China. From the visual angle of social medical status, the study revealed the difference in occupation and distribution of background medical resource, which lead to different social medical status, and revealed the inequity of medical service under the same medical assurance system. We discussed if the distribution of social medical resource was reasonable in available medical assurance system. In our country, if there was difference in medical service received in different patients and what was the difference, if the service provided by hospitals affected by social factors such as social stratification, status and occupation,if the quality of medical service was same for patients under the same medical assurance system, and what was the essential problem that lead the inequity. By theory analyzing and truth investigating we drew conclusion: the medical assurance system in China was inequity; social medical status of social members was determined by the possession of the background medical resource, and the difference of social medical status lead to different life pattern; medical service was affected by social factors for its social attribute; the difference of medical service was formed by interaction of doctors and patients during treatment; the difference of social medical status may aggravate the inequity of the medical service. On the conclusion, the author gave some suggestions on how to reduce the effect of social medical status on equity of medical service. First to reduce the difference of social medical status, on the other side, we should improve and standard our medical service. In detail that is to construct the right equity idea, to possess the relation of equity and efficiency appropriately, to accelerate economical construction and decrease the difference between cities countryside, construct and perfect multi-stratification medical assurance system, to rise the medical knowledge level of public people by performing health education and to form good living habits and healthy living style, to reduce the imbalance of information between doctors and patients, so as to reduce the uncertainty of medical service. Furthermore, we should deepen the innovation of hospita...