Research On Perfecting Three-level Medical Service System In Rural Areas Of China

Three level medical and health service system in rural areas is an important part of security system of medical and health services in China and to improve the work of the three level medical and health service system in rural areas is of great significance to promote the work of grading treatment.Through the analysis of the development path of China's three level medical and health service system,using the mlogit regression model,based on China Health and Retirement Longitudinal Study,CHARLS database,analysis of China's rural residents choose the influencing factors of hospital.At the same time,with the gradual advance of the new medical reform,the construction of the system of grading treatment pilot work carried out in various parts of the country,the county medical community is Anhui province to promote the work of the pilot classification model,and achieved some results.The first chapter is the introduction.This chapter describes the background and the topics of this paper put forward the significance of the focus of the previous research,comprehensive analysis,combining with the research methods and research path,focus,difficulties and innovations of this research are summarized.The second chapter is the theoretical basis and stakeholder analysis.At present,the reform of China's medical and health system is in deep water area,and the promotion of the reform can not be separated from the support of the theoretical basis.This chapter combines the basic economic theory of welfare economics,social division of labor theory,industrial chain theory,and analyzes the application of these theories in improving the rural three level medical and health service system.At the same time,due to the promotion process in the grading process,will be a large number of stakeholders and their composition of interest groups.These groups have a very important impact on the implementation of a policy,such as the government sector.Therefore,this chapter will analyze the specific performance of the stakeholder groups in the process of grading treatment and the possible choice tendency.The third chapter expounds the causes,process and present situation of the establishment of China's three rural health service system The three level medical and health service system in rural areas in our country is constantly improved with the change of the times.The new Chinese since the founding of the party and government attach great importance in the field of health care,and combined with China's nationalconditions,explore a set of suitable China rural health service system.In the fourth chapter,we analyze the influencing factors of the choice of the rural residents in our country by using the survey data of China Health and Retirement Longitudinal Study,CHARLS(2011).This chapter uses the Mlogit multinomial regression model and the marginal effect analysis.The paper finds that the residents in China receive the influence of age,gender,education level and income when choosing a medical treatment unit.Among them,the income of the choice of treatment behavior is very worthy of in-depth study.Higher income groups tend to choose the medical institutions at county level and above,which shows that patients with higher medical services,but also to prove that the basic level of service capabilities of medical institutions in order to get the trust of the grassroots.It brings great challenge to the construction of "the first diagnosis" in our country.The fifth chapter analyzes the impact of the county medical treatment system on the construction and improvement of the three level medical and health system.The article thinks that the county medical community can promote the construction of the grading system of diagnosis and treatment after the settlement of medical insurance payment,administration and so on.Finally,in the sixth chapter,we consider the relevant measures to improve the three level medical and health service system in rural areas,and put forward the improvement of the administrative system reform,the transformation of organizational philosophy,the application of modern information technology and so on.