Research On The Responsiveness Of Health System In Rural Regions In Guizhou Province

Aims: This research investigated the responsiveness of health system in county, town and village levels in rural regions in Guizhou province. Combined the situation, the weight of eight parts of the responsiveness was established. Then, the level, distribution and influencing factors were analyzed. Suggestions of improving the responsiveness were put forward.Methods: The methods and theories of health economics, biostatistics, and operations research were used in this research. Combined household investigation and KIS investigation, measures and suggestions of improving the responsiveness of health system were explored. The main methods included: (1) literature study; (2) professional consulting; (3) multi-input precedence chart: based on the professional consultant, this method was used to form the weight of the eight parts of responsiveness; (4) fuzzy comprehensive evaluation: based on the weight and spot investigation materials, this method was used to evaluate the responsiveness of village clinic center; (5) biostatistics: descriptive statistics and statistical reference such as chi-square test and logistic regression were used to analyze the level and distribution of the responsiveness; (6) Gini coefficient and concentration: this two indexes were used to analyze the distribution of the responsiveness by single factor.Conclusions: Through the studies, the conclusions were put forward: (1) dignity, prompt attention, quality of basic amenities and communication were more important than social network, autonomy, confidentiality and choice of providers in the responsiveness of health system in rural regions in Guizhou province. This is different to WHO's opinion; (2) the customers of health service evaluated the eight parts of the responsiveness differently. Much of them can be improved more. The customers were limited to evaluate and monitor the health organization; (3) the suppliers of health service evaluated the eight parts of the responsiveness better, but also could be improved; (4) the distribution of the responsiveness between income groups, age groups and gender groups was equal.Suggestions: In order to enrich the theory of the responsiveness and put the appropriate weight of eight parts and contents and in the responsiveness in rural regions in Guizhou province, suggestions were: (1) strengthen the basic amenities construction. Put the facilities and equipment construction as prior consideration and improving the public amenities and conditions of waiting; (2) improve the quality of health professionals; (3) exert the responsiveness to improve the responsiveness of health system; (4) bring the suppliers of health service leading into play; (5) strengthen the exuberance education to the customers of health service, modify the level of them expectations, evaluate and monitor the responsiveness by different aspects; (6) consummate the responsiveness system continuously, improve the level and distribution of non-medical aspects; (7) optimize the position of village clinic centers in a mountainous areas and improve the prompt attention in Guizhou province; (8) form the price of medicine, ensure the customers and medical organizations profit.