Study On Questions And Countermeasures Of Siping Community Health Service Development

The community health service overseas has been gradually developed since World War ll, in order to cater for the request of improving the living condition, perfecting the public welfare and raising the level of the inhabitant medical care. After dozens of years'development, the developed countries have already had the mature patterns. They are seemed as the"gatekeeper"of western society public health, the medical service, the social security and the welfare system. There are so much mature experience that is worthy of learning.Since we were implementing the reform and open policy, our country's public health undertakings have developed fast, the quality of the health service has been improved greatly. And we have made great progress in protection against diseases, raising the level of people's health, and making social to be more stable. However, because the management of the public health is weak, the public hospital pursues the profit, and the phenomenon of being difficult to see doctor and not affording to see doctor is increasingly. the government especially the administration of public health department reexamined the development direction of our country's medical service and the point, pondered how to solve the problem that plenty of people can not afford to see doctor, found a solution to work out the problem that we paid attention to medical instead of prevention, and because of the weak public health services, taken measurements to eliminate the bad influence that effect the stable social.In order to provide the comprehensive medical care service for the community inhabitants, let them enjoy the convenient, quick and moderate price medical service, reduce the medical expense and satisfied the need of solving the problem that is difficult to see doctor, our country vigorously develops the city community health service; It adapts the request of old age tendency in our country, helps to realize prevention primarily and control the diseases, It also satisfies people's growing and changing requests of medical service. It is the solution to solve the problem that our country's public health service is weak. It is good to raise the quality and benefit of our country's public service and also good to raise people's health quality. It is the important way to enrich the concept of city community work, to work out the fairness and efficiency of health service, and to maintain and promote the stable society.Our country began to explor the community health service in the mid-1990s. We have experienced the preliminary exploration stage when we mainly pay attention to control the community chronic illness, the stage when we make experiment to develop and the standardization stage when we adapt policy to develop. As the related policies and regulations about the community health service in our country have been gradually perfected, the community health service in our country has been the standardization stage,and the community health service has been developed fast.As a medium city whose economy is underdevelopment, Siping City is early afoot to begin the community health service work. In the course of developing the community health service, Siping City starts early, makes the benefit, accumulates much experience, and acquires a big success. It has already established 9 community health service centers, and 66 community health service stations. Now it owns 290 professional technical people working for the community health service. The community health service has basically covered 75% of the urban population. It also does lots of work, satisfies community inhabitant's need of the medical health. Before the 2006, Siping City's community health service work kept ahead in the Jilin Province. However, the Siping government does not invest sufficient capital to develop the community health service that leads to restrict the development of the whole city community health service work. Because the area of the community health service organization is small, and the layout is not reasonable, its function can not be entirely realized. Because both the policy and the capital related the community service are not carried out, the community health service can not go forward. Because the compensation mechanism of the community health service is not perfect, the community health service organization becoming pursuing profit. In addition, because of the shortage of people working for the community health service, the quality of the community health service is poor. Having analyzed and studied, in theory, I have a clearer understanding about the government function that the government should take on responsibility to develop the community health service, and in practice, I have a profound understanding about the government ability that the government's service ability is limited. In order to help Siping city to develop the community health service healthily and rapidly, I think we should take the following 5 measures:First, further clarify the government function in developing the community health service. The public health service which the community health service provides is public goods. It must be provided by the government or be purchased by the government. The preliminary public goods of the community health service should be paid proportionally to the government financial ability. The rest part is paid by the community inhabitants according to the market price. In respect of the private products in the community health service, they are purchased voluntarily by the community inhabitants according to the market price, and the government should compensate disadvantage group for suitable subsidy. The development of the community health service in Siping City must insist on the principle that government took the lead, enhance the investment of the community health service, bring into the finance budget and establish stable investment mechanism; According to the request of provincial government, we should carry out individual funds about the community health service, gradually increase the subsidy standard, and compensate both public health and health management services for subsidy. Second, positively carry out supporting policies and measures to develop the community health service. we should actively carry out the organization setting of the community health service and arrangement standard, set up the community health service center and the community health service stations according to stated standards, equip sufficient entire section doctor, the community service nurses and public health doctors, truly realize workers arrangement, guarantee to pay workers who work for the community health organization sufficient wages, and implement variable management. Positively help the community service organization to improve the conditions of medical technical personnel and facilities. Bring the community health service organization into the medical guarantee, Take measures to lead patients to make full use of the community health service that make patients diverge from hospitals. Reduce patients'economical burden, and costs of medical guarantee. Strengthen the price management of the community health service and drugs. The price rate of drug that the community health service manages is no more than 15%. Guarantee the quality of drug. Pay less attention to the benefit which will compensate for the community health service.Third, manage to construct the community health service center with proper priority and reasonable layout. Make full use of the existing local hospitals, enterprise and institutions'hospital resources, and expand them to be the standard community health service centers. While we are trying to complete 7 centers which are being constructed, we have to start another project about other 6 community health service centers which now need to decide their location and construction. While we are trying to complete 7 centers which are being constructed, we have to start another project about other 6 community health service centers which now need to be decided their location and construction. Unit 65 exiting community health service centers by adjusting to 30, and change the situation that community health service centers are too dense. The community health service organizations need to be equipped by corresponding personnel and facilities to fulfill its functions. The work that suits the community should be taken over by community, and make the community health service functions effectively.Fourth, strengthen cultivating the community health service talents. Make full use of Siping City's abundant medical health educational resource, strengthen the construction of faculty, develop the medical and nursing education that suit the need of community health service, make cultivation plans, and manage to complete the task about training and improving. Continue to educate the community health personnel on entire section medicine. Siping City wants to spend two years in systematically training the existing community medical personnel, on the basis of theory study, to raise the ability of practicing and the work ability.Fifth, strengthen supervising the community health service to guarantee the community health service to be commonweal. Try to control the admittance of community health service, practitioner and technical projection by law. Emphasize the management of drugs, medical facilities and use to ensure medical safety. Establish and improve the comprehensive assess and supervise patterns that involve the administration of public health department, the government correlation department, the community inhabitants and so on. Combine work performance, service efficiency, financial subsidy and wages with profits to make the capital use reasonably, to prevent from pursuing profit and ensure the community health service to be commonweal. Apply the modern science and technology to strengthen the construction of the community health service information platform, Push the electronic government affairs positively, push electronic files in community inhabitants'management, and implement variable management. Make use of electronic media, develop some kinds of health education activities and gradually change the bad living habits, to raise the health level of community inhabitants.Making reference to our country's policy and overseas mature experience, we have looked back and sum up the experience, success and problems that Siping City has processed for decades of years. On the basis of that, we are trying to study the strategies of developing Siping City's community health service for the future. It not only helps to improve the development of Siping City's community health service, but also is good for the similar medium cities whose economy is underdeveloped as well to use it for reference.