The Research Of The Urbancommunity Health Service System In The Context Of New Health Care Reform

Chinese community health services is the development from the initial stage to the high-speed development period, the new medical reform put forward "reduce residents medical expense burden, cogent alleviate’medical treatment is difficult, expensive’’problem, to" establish and improve the coverage of urban and rural residents in the basic medical and health system, for the masses to provide safe, effective, convenient, affordable medical and health services "as a long-term goal, vigorously develop the basic medical and health services.Improve community health service system, everybody has access to primary health care rights.Construction based on community health services, community health service institutions and hospitals at all levels, prevention and health care organizations in combination with linkage of the new city health service system. Adhere to the prevention, combining prevention with treatment, optimize the city health service system structure, convenient masses, reduce costs, establish the harmonious doctor patient relationship, have very important sense.This paper takes Shanghai as an example, in the new medical reform background, draw lessons from foreign community health service system construction experience, the use of public management theory, theory of public product, supply and demand equilibrium theory and other related theories, explore how to better adapt to China’s national conditions of community health service system.Based on field research, focus on the discussion of city community health service system construction from the current situation.This paper argues that in recent years Shanghai community health service system construction is successful, the result is be obvious to people.The medical condition is improved apparently, protect the health of the people.But at the same time, some problems also began to gradually, such as city health development quality resources excessively to the major hospitals, community health service resources shortage, unreasonable allocation, basic medical and health care can not meet the basic needs of the masses.These are caused by the current medical contradictory main reason.In order to deepen the reform of health system optimization of city, city health resource structure, the development of community health services, and strive to meet people’s basic health service demand.This paper from the residents for the community health services based on the actual requirements, combined with community health resources and community health service agencies to provide services, through comparative analysis, to guide the community health service providers to make more effective use of community health resources for community residents to provide community health services.