Study On The Equalization Of Basic Medical Services In China In The Process Of Universal Health Coverage

World Health Organization presented the main objectives of social development is to achieve universal health coverage, to achieve the equal enjoyment of the highest attainable health services, after 2015. China to "healthy and comprehensive well-off of the whole people" for the development goals, in accordance with the strategy of "protect the most basic health services, strengthen the bottom of medical institutions, build a sound preventive mechanisms" to promote reform of the medical and health system, and made great progress to enhance the economic affordability, deliverability of services, availability of services, and effectiveness of the system. From "the Eleventh Five Year" period stressed that to achieve the goal of equalization of basic public service, from the period of the "Twelfth Five Year Plan" put forward to improve the equalization of basic medical services, to promote the share of people off. Therefore, it has very important significance to explore the equalization problem of China's basic medical service between different provinces.Based on the national conditions, in this paper, economics theory as the theoretical foundation to explore why basic medical services to achieve the equalization; based on universal health coverage, from the affordable, deliverable, gainable, and effective four dimensions to construct basic medical services equalization evaluation system. To each index of annual average growth rate measure of China's basic medical service level of the status quo and trend; the structure deviation degree method research,31 regions in 2014 basic medical service differentiation status. Based on the index variation coefficient and entropy to identify key indicators of equal effect.Based on entropy weight TOPSIS method to study the basic medical service equality of evolution and the present situation, and the use of cluster analysis method to divide the equalization level; the equal level in each dimension measure the area difference dimension recognition; measure the dimensions of area equal level is to identify the dimensions of the region difference.Research results show that, due to the government health investment structure imbalance, the transfer payment system is not sound, powers do not match, supervision and evaluation mechanism imperfect, and other reasons, the national basic medical service development and defects coexist; equalization of basic medical services improved speed slow, space-time difference is significant; regional overall and dimensions equal level of significant difference Therefore, based on the research experience at home and abroad, put forward the basic medical services equalization of strategic institutions, functional agencies, regulatory agencies and the use of the population of four aspects of multiple optimization strategies.