Research On The Present Status Of Rural Dubic Heath Services Based On Urban And Rural Integration Construction At Pinghu County

BackgroundWith the rapid development of China economy, City population gradually increased。According to the result of the sixth census, China’s population has reached1300000000, The population of city is49.68%。There are671800permanent population in Pinghu City, Registered population of486996people,Rural population occupies whole town population52.16%, But there are still more than half of the population are agricultural population The development of rural public health service, prevent and reduce the incidence of the disease, improve the health level of the residents, is the requirements of Reflecting economic and social developments. On the other hand, it will greatly reduce the possible diseases caused by the economic and social burden, for rural development and the construction of a well-off society to provide health security.From the investment economy of health point of view, the public health service is a kind service of low cost and good effect, at the same time it is a kind service that social benefit redound cycle is relatively longer.Pinghu City had becomed one of the pilot county that integrate the urban and rural construction in Zhejiang at2004. The government introduced the items of rural public health service In2005August.The authors want to study the services of rural public health in Pinghu city, describe the present situation of rural public health services, to explore the existing problems, and solutions.Data and methodThis study systematically and comprehensively collected the relevant information, including literature, books data, survey data, the policy papers of national and Zhejiang orPinghu government, research reports and government work reports, etc.Investigated the funds and persons of the public health from2004to2010,. Mainly through literature analysis, questionnaire survey, in-depth interview and statistical analysis method to studyResult1The construction of the public health system is preliminary formOn2006, at the operational level established the three level network by CDC, supervision of the health and maternal and Child Health Institute for county agencies, community health service center for the institution and the community health service station for the village class organization, at the government level setted the Office of public health management in county, the public health administrator in township, Village Liaison Officer and group information.2talent team constructionThe CDC was equipped with1.06people per ten thousand population, township with2/10000in registered population, a total of105staff members. Completed incorporation to the village doctors,they becomed the responsibility physician of the community, a total of311. Every thousand residents in urban and rural areas has0.48responsibility physicians. The rate that the ages of responsibility physicians has over50is91.32%, educated in high school and the following is89.39%. 3Financial investmentCounty-level:Financial investment for CDC has growth tendency from2004to2010,The rate of Financial investment accounted for a total payout increased from46.79%in2004to66.68%in2010,It is75.05%in2004to100%in2010at Health Supervision Institute.The operating expenses of Maternal and Child Health Institute is only250000yuan each year, Other project funds are the appropriation of the City part works for maternal and children health care, The rate of project funds increased from22.47%in2004to55.86%in2010.Township-level:The rural public health funding increased from5120000yuan in2004to14322000yuan in2010.The medical funding of the Farmers increased from20yuan per person to30yuan, the vaccination funding from250000to350000.4Building appraisal systemThe governments of county and township formulated the books in rural public health task, the test results would related the award to the leaderships at the end of one year. Public Health Bureau of County signed a task book with Community Health Centre, the test results would related the award of the center’s director, But the share of scores is smaller.5ability of rural public health serviceThe rate of children system administrated and infectious disease reportedrated continuously increase, the mortality of children under5years and infants drops ceaselessly, chronic disease management from scratch, the electronic archives are established in the community. But data is not connected with superior patient records.6Not supporting health service station In the new peasant communitiesNow, all of the streets and towns are establishing the new centralized community,18community had completed, the original several village or a village part were integrated into one community. New community not matched service stations and the responsible physician.ConclusionWith the integration of urban and rural construction as the turning point, the rural public health services in Pinghu had got full-scale developmenta, has made some achievements, but there are some problems.1The value degree of Government is unceasing enhancement, the financial investment increases ceaselessly, but still can not meet the needs of rural public health service development, including the income of responsibilitiful physicians is lower, and have not issued the standard, these seriously affect the enthusiasm of developing service. In addition, the financial investment funds is used without supervision, the system of funds used is loose, the efficiency is lower.2Three level network of public health service has been builded, the group of Talent is gradually strengthened. To the end of2010,the personnel age of organization in municipal and township is progressively younger, their academic qualifications and titles are improved. But the three network is not perfect, especially the number of the community responsibilitiful physicians is less, their quality is lower, the age of aging.3The urban-rural integration of medical management has been realizated, the cooperative medical system has been continuously improved, but not yet implemented the integration of urban and rural areas.4Preliminary developed the items of rural public health service that the provincial government formulated, but in some new communities the public health service institutions and personnel due to the lack of supporting, the service has not been fully carried out.