The Reform Of The Urban Community Medical System:from The Perspective Of Public Governance

Developing our society’s medical services is very important to realize the whole society’s health care and to guarantee the People’s livelihood, what’s more, it is one of the most effective way to help China’s citizens to solve the problem of the expensive medical bills and difficult access to quality medical services. And at the recent Second Session of the12th National People’s Congress, the government put that building a comprehensive well-off society as the goal of the government work. At the Convention, the government has also put forward new policies of medical reform.Community Health Services, briefly saying, it refers to provide humanized and continuous medical services, which mainly serves for the community residents’ common and frequently-occuring diseases. It aims to promote the serving efficiency of the mechanism of government public services. Public governance theory emphasizes on the introductions of the private sector management and market-oriented incentive mechanism for the government provision of public services. It also emphasizes the involvement of social forces and the interaction between the public department and the private sector. The rise of the theory lead the new wave of global’s public service reform and provide a new perspective to the provision of public goods and public services. To optimize the community health governance institutions is of great significance to ease residents’ pressure on medical care, to reduce medical expenses and to improve the efficiency of the services of the country’s health care system, etc. But today, China’s community health care exists many problems due to the relatively short-time-development and the unshaped community health governance structure. The situation is, there are a waste of medical resources, difficulties in implementing the referral system, inadequacy of personnel training mechanism and government funding.This paper, from the new perspective of public governance, by visiting20community health service centers in Xiamen, analyzes the existed problems in our country’s city community health service management through the results of data analysis of the300questionnaires. And after referring to foreign country’s experience of community health service system, we can explore how to build the optimized the governance structure of community health care in our country then to improve the efficiency and service level of community health service system.This paper includes five parts, the first part mainly introduces the background, origins, review, and thus proposes ideas and methods in this paper, after that it points out the innovations of the study. The second part mainly elaborates the theory and basis of public governance. The third part analyzes the governance of community medical care by the methodology of combing historical overview and distributing questionnaires. From the case of Xiamen City Community Health Services, it discusses the problems of China’s community health care system. The fourth part analyzes different governance structures of health care systems in the United Kingdom, the United States and Singapore, and then draws inspirations from these three countries to our country.The last, combined with public governance theory, put forward countermeasures and suggestions which are based on the status and problems in China’s urban community health services to both the community and government levels.