Study On The Reform Of Community Health Service System In Pukou District From The Perspective Of The New Rural Cooperative Medical System

This paper is a study on the reform of community health service system under the new rural cooperative medical system.The new rural cooperative medical system has activated the vitality of community health service organizations,Enhanced its role and utilization,Community health service center,especially in the design of the new rural cooperative medical system,By governments at all levels unprecedented attention.With the advance of the new rural cooperative medical system,the community health work in our country is developing rapidly,and the medical needs of the community residents are satisfied.At the same time,along with our country's social and economic development level to further improve,residents' health needs to change,no longer limited to sick medical treatment,and gradually shift to a higher level of the whole family medical field health concept,covering the needs of biomedical,social and mental health services.The supply of community health services is therefore a shift towards providing personalized,continuous and comprehensive health services to individual residents.The changes in the demand of community health service and the service utilization under the new rural cooperative system will bring about the reform of the community health service.Before the implementation of the new rural cooperative medical system in Pukou District,the community health service center is facing the shortage of human resources,weak technical ability,and serious lag in infrastructure facilities.At the beginning of the implementation of the new rural cooperative medical system pilot,although by means of compensation ratio to encourage residents to more choice of community health service.However,due to the level of service can not satisfy the participation of residents,residents prefer to choose the high price,far from the road of tertiary hospitals,community health service institutions in the existing to new rural cooperative medical system normal operation to provide organizational guarantee,failed to achieve new rural cooperative medical system of ease "see a doctor difficult,expensive design original intention." Pukou District,in the wave of transformation and reform,has chosen the reform of community health service system,established a new model of community health service system under the new rural cooperative system,the public service center as the supply platform,constructed with the whole family doctor team service,providing a people-oriented "six in one" continuity,comprehensive service function,reconstruction of community health service supply organization system.In this study,according to the practice of community health service system reform in Pukou District,the paper analyzes the supply mechanism of community health service from the perspective of stakeholders,and analyzes the difficulties and reform achievements,and explores the county's community health service system reform.Theoretical level,based on literature research and policy analysis,this paper expounds the theoretical connotation of community health service system,and historical origin.The functional location of community health service is pointed out."To provide personalized,continuous and comprehensive,to the individual,and to cover the health services in the fields of biomedicine,sociology and psychology,etc." The goal needs to start.From the supply of public goods supply theory,government regulation theory,research on the public welfare of community health service supply mode,explore the supply of compensation mechanism,supervision mechanism,coordination mechanism,put forward the new model of community health service supply.In the practical level,the reform process of Pukou District,which lasted nearly three years,from the perspective of stakeholders,analyzes the goal of the reform process of the community health service supply agency itself.From the needs of both supply and demand to meet the needs of the situation and policy analysis of the main characteristics of the community health service,the organization structure,operating mechanism and its reform achievements and difficulties.Through field interviews and questionnaire survey,the practice of the reform of community health service system in Pukou district is facing the main problem:Transformation of service functions,Problem of compensation mechanism of supply organization,The problem of insufficient human resources and service ability of the supply institution,Medical personnel enthusiasm is not high,The construction of the two-way referral system is not complete.From the aspects of system,mechanism,organization and objectives,the cause of the problem is analyzed,and the decision-making basis and suggestions are provided for improving the mechanism and measures of the reform of community health service system.Based on comparative study of domestic and international community health service system of past life and foreign typical models,The change of community health service system after the implementation of the new rural cooperative medical system,Starting from the organizational structure of the system,based on the needs of community residents to maximize,explore the new trend of the reform of the community health service system.To improve the reform of community health service system,to balance the supply capacity of community health service and residents' demand,From the following aspects:first,optimize the government supply management mechanism.Establishment of standardized system of community health service;Improve the financing standards and coverage of the new rural cooperative medical care system,and reform the way of payment;Improve the human resources security and incentive mechanism of the supply of community health services;Establish a cooperative mechanism based on hierarchical diagnosis and treatment system.Second;is to meet the health needs of community residents is expected to expand the supply of community health services;The supply model of non governmental organizations in the construction of health needs of community residents;Establish a marketing approach to meet the needs of the community residents.Provide a theoretical guidance and practical guide to the medical reform.