Study Of The Village Medical Service System

In the several dozens years before the1980s, the Chinese countryside backward economy and the hygiene condition as well as the farmer health's lowest demand, has caused China unique "barefoot doctor" to be and has formed the traditional rural cooperatives medical service system. Barefoot doctor has lost its system foundation and occurred to rural doctor's transformation along with the tradition cooperative medical treatment's disintegration after 1980.Lax village medicine management as well as ignorance of countryside medical service caused the countryside medical service environment confusion and the difficultly of the farmers' medical care In the 1980s.The country Started to strengthen gradually the countryside medical service management from the 1990s. In 2003 the country started the experiment site and has carried out the new cooperative medical treatment system gradually, to improve farmer's state of healthTaking Y county in Anhui as a case, I studies our country village medical service system's operational mechanism and the achievements. From the organization establishment, the function transform, administrative action and supervision bottleneck ,analyze County sanitary supervision institute which is the management and the surveillance department of countryside medical service From medicine control system and the new cooperative medical treatment system , analyze the countryside medical service system construction, and explain this county medical service system's practice pattern.The village clinic is the lowest medical service organization, as one kind of main Medical establishment, the village clinic has made the very big contribution for the countryside medical service work, so at present with future certain time, the village, the farmers will not be able to lack of it. On the other hand, this kind of village clinic in some sense has the village public domain function.The construction of countryside medical service system promoted the countryside medical service system's consummation, improved the countryside medical service quality. The effect of the countryside medical service institution's development is: The health organization and the procedure compatibility strengthens, the medical organization or the organization interior division of labor refined, local characteristic and the independency of the medical organization and the procedure are obvious. Simultaneously system's development is also promoting the practice innovation which has been well tested by the construction of standardization village clinic in Y county.But there are some problems in the village medical service system, which needs improvement. Insufficiency of the financial investment and the imperfect of compensation mechanism, the obsolete of medical equipment and short with the talented person as well as the service function dislocation are restricting the village medical service development. Therefore the optimization of health resources deployment, expansion of the financial investment, the reform of management system, adoption of many kinds of medical safeguard and the system construction will be specially important, which are the effective ways to change the village medical service environment and improve the farmer health standard.