An Analysis And Countermeasures Of Public Health Financial Inputs In T County

The "17th National Congress of CPC" puts forward"establish the old-age insurance system and accelerate the new type of cooperative medical care system in rural areas. Improve the three-tier health care network in rural areas. Increase the government's responsibilities and spending in rural medical areas. We must center on rural areas, develop systems of public health services, medical services, medical security and medicine supply ", we can see that the rural medical problems have attracted the Central Committee of the CPC and the State Council's great attention.So I think the research about the financial input to rural medical services is very valuable.Based on the investigation of the finance and health in T County, We knew the grading system of health expenditure, medical and health institutions and financial situation etc. And we propose increasing financial input to public health, optimize the structure of public expenditure and improve the efficiency of the use of health resources in urban and rural areas, and so on.MethodThe research of related literatureSurvey using questionnaireInterviews to related personage from government's administrative bodies and health service agenciesThe combining of static and dynamic analysisResultThrough the research, We understood the status of economic and social development, financial support for health in T county, The survival and development approach of health agencies Under the current public finance system in T county.DiscussionT County's finance is a typical "Social Security finance" (ensuring eating, normal operation, stability, education and public service). Therefore, the input of the government to health is hard to increase.The financial input to health is in a low proportion of financial expenditureThe financial input to health is in a low proportion of total health expenditurePublic health agencies are financed mainly rely on the extra-budgetary revenueThe financial input to medical institutions is small There are some major issues about the health development:Market-oriented approach to the financing of health increased the cost but did not significantly increase the efficiency.Public health agencies provide services in a towards tendencyHealth administrative departments decentralized the macro-control ability, led to inefficient allocation of resourcesT county health development mode adjustments:From the year of 1998 to 1999, the survival of medical institutions have totally depended on the of the market compensation. In addition, the prevention of maternal and child health care function in township hospitals is independent, establishing the "public health service center", direct funded to it, in order to effectively carry out the work of preventive health care and maternal and child health care. This, approach reflects the Health Administration under the constraints of limited financial security can only guarantee public health, abandon basic medical care.ConclusionThe survey showed that the model of the market financing in short term can't be changed. The reasons for lack of input to health don't lie in the county itself, but rather with the country's macroeconomic development, financial system reform, the characteristics of the course of our own health development in our country. In the kind of broad policy context of the reality of the situation in accordance with their own adjustments to the financial support of health policies to address the issue of the provision of services, which hastened the development of this pattern in T county.The economic and social development level in T County lies in the middle or lower level. County's public finances input to health indeed is limited, in order to better promote the development of rural health services to ensure that the financial health of rural investment, we propose policy recommendations to improve public finances into the field of rural health:Improve the intervention of government to the rural medical care systemImprove the functions of the government, construct matching measures about rural medical care systemConstruct the legal system on public health, improve the legislation of healthStrengthen the construction of health services system, indicate the direction of financial inputConstruct multi-level medical insurance system in rural areasIncrease financial input in medical aidStrengthen financial input to the priorities of the public health...