| Community health service plays an important role in primary healthcare, which is an important way to realize people equally to enjoy basicmedical and public health service. Focus on the development of communityhealth services, and improve the basic medical and health service system isone of the important goals of deepening medical and health system reformin China. It’s a forceful measures to solve the problem of "difficulty andhigh cost of the doctor" in China. In recent years, the government has mademany explores in promoting medical health system reform, reducing theburden of patients, giving full use of community health service agencies,actively guiding the patients to cure their illness. But the community healthservice and social medical insurance reform has not yet been synchronizeddevelopment, basic medical insurance for the promotion of communityhealth service function is still limited, there are still many deficiencies inpolicy making, the basic medical insurance’s work is limited by manyfactors, there are some problems in system and management.This paperreviews the basic medical insurance policy changes in the dacades years inchongqing, combined with the empirical analysis of chongqing city basic medical insurance policy impact on the effect of community health use andits influence factors of community health service function, and combinedwith Britain, the United States and Germany medical insuranceparticipating in community health service experience, draw the suggestionthat in the social medical insurance to full coverage in the transition period,only by expanding health coverage, enhance residents’ awareness of thebasic medical insurance policy; Further widen tertiary hospitalreimbursement ratio, expand the scope of medical insurance payment;Payment reform, adjust measures to local conditions to explore complex ofpayment; Strengthening the government investment, improve the sharedpay system; Strengthening the regulation of insurance agency orgnaizationto community health service institutions; Strengthening the construction oftalent team, improve the community health service ability; Improving thebasic drug system, that can fully play the role of medical insurance incommunity health service, promote the healthy development of communityhealth service. |
