On The Lack Of Government Responsibility In The Urban Community Medical Services And Its Countermeasures

Community Medical Services is an important component of urban health work and its construction is a basic step on the way to realizing the goal of establishing a universal primary care system. It is a fundamental responsibility of the government to provide the social public with an economic, convenient, and fair medical service.From the 1990s, Community Medical Services have been installed in the cities of China. Changsha City since 1999 the establishment of community medical service centers, spread out across the board in 2000, The urban Community Medical Services began to take shape through the nearly more than 10- year construction and the development .They not only play an important role in enhancing the hygienic service fairness and the availability greatly, but also satisfying the health needs and medical treatment of urban and rural residents. With the continual development of Community Medical Services, deep level problems In the urban Community Medical Services developing process has restricted the sustainable development of the urban Community Medical Services and need immediate solutions. Therefore, the evaluation and investigation of Community Medical Services have greatly practical significance.In this paper, the perspective of government responsibility, the use of empirical analysis, through the five zones in Changsha City community medical services field research to identify community health care services in Changsha City in the gaps to the basis of analysis of urban community medical services in the Government and the reasons for the lack of responsibility, trying to determine and strengthen the government medical services in urban communities the responsibility of the building, put forward Countermeasures and suggestions for future research and prospects. Changsha City from the survey, urban community medical services can not be separated from the organization, leadership and support.Government medical services in the community of primary responsibility for the performance in the following: to strengthen leadership and rational allocation of resources; to strengthen the legislation, policy guidance-oriented; step up publicity efforts to increase people's sense of identity; to increase the input into the direction of focus; innovative pricing mechanism improve the protection system; attention to personnel training, improve the incentive mechanism; a well-established two-way referral, the first community consultation; perform its regulatory responsibilities and improve the rules and regulations.