The Analysis About The Puzzle Dom Of Public Healthcare Service And The Research Of The Countermeasure In Shandong Province

The issue of "lack of adequate and affordable medial service" has become the concentrated reflection in the public healthcare service field. It is also the social focus that the people reflecting strongly and the government pay more attention to. With the public production point, this paper is aimed to analysis how to deal with the "lack of adequate and affordable medial service" in the public healthcare service field of Shandong province from the mechanism.This paper was introduced public production theory and market-failure theory. According to the public production theory, the attributes of different kinds of healthcare service were analyzed. In addition, using the market-failure theory and combined with the attribute of healthcare service, the failure conditions in healthcare service were analyzed too, And then, the degree of all kinds of healthcare service that the government should provide were raised. The paper analyzed the puzzle Dom of the healthcare service in Shandong province form the following parts: weakly healthcare service, the decline of healthcare service affordable, urban large scale hospital has obvious trend of income, the individual healthcare service cost of the resident increased faster. The issue of "lack of adequate and affordable medial service" is the concentrated reflection of these puzzles Dom. This article analyzed the reasons about the puzzle Dom of healthcare service in Shandong province that included the developing of basic healthcare service mechanism was slowly, the proportion of medical finance investment was lower, the finance investment structure of distribution was unreasonable and some unavoidable factors raised the cost of the healthcare service. The paper also used the experiences of the foreign government which about providing healthcare service to the resident. These experiences included increase the amount of the medical finance investment whit the economy developing, increasing the proportion of healthcare service expending, the government should provide the basic healthcare service to the resident etc. From the researching of the above and combined with the actual factors in Shandong province, aimed at the puzzles Dom of healthcare service in Shandong province, the method was find to solve the issue that "focusing on the capacity of healthcare service provider while taking account of the needs and wants of the public": the first one is to built a medical finance investment mechanism which is increased stably; the second is to optimize the finance investment structure of distribution, ensuring the public health expending, increase the finance assistance to the all kinds of healthcare service institution, especially to the basic level. And then, the healthcare service institutions in the urban and countryside could provide a basic healthcare service that the price could not more than the actual expending cost in the healthcare service. The public healthcare service institutions could charge as the model "the expending of the hospital running +the actual cost of the healthcare service"; the last one is to build the basic healthcare system of all the people steeply.From the healthcare service system angle, the article makes an actual choice to solve the issue of "lack of adequate and affordable medial service" that recover and enhance the public character of public health system and exert the double function of service and provide of the healthcare system. Moreover, this choice is an innovation point. According with the public health conditions in Shandong province, the advice of the paper has the benefits that less investment,more effect and easier completion. In addition, the advice is a good reference that to mitigate the confliction between the limitation of finance investment and the developing health demanded of the public and could solve the issue of "lack of adequate and affordable medial service" furthest.