Research On Evaluation And Influencing Factors Of Basic Public Health Service Capacity

It has been 11 years since the 2009 "Opinions on Deepening the Reform of Medical and Health System" put forward the goal of realizing the equalization of basic public health services.The implementation of basic public health services,the construction of hierarchical diagnosis and treatment system,and the improvement of national basic drug system have gradually promoted the construction of basic medical and health service system and promoted coverage of the equalization of basic public health services.At present,the material level of residents has been greatly improved,and the concept of health has become more and more popular.The demand of residents for medical care has gradually increased,and the demand for basic public health services has gradually increased.The ability of the government to provide basic public health services represents the level of basic public health services enjoyed by all residents.Therefore,to evaluate the capacity of basic public health services and explore the influencing factors of the capacity of basic public health services are conducive to optimizing the allocation of government health resources and improving the accessibility and effectiveness of basic public health services.On the basis of systematically summarizing the research results of basic public health service capacity at home and abroad,this paper constructs the evaluation index system of basic public health service capacity,and comprehensively evaluates it based on entropy weight TOPSIS method,and uses panel data model of 2011-2017 to analyze its influencing factors.The research conclusions are as follows:（1）from 2011 to 2017,the average weight of health insurance showed a fluctuating upward trend,while the average weight of health insurance,disease prevention and control and public health showed a fluctuating downward trend,indicating that people are paying more and more attention to the importance of health insurance in life.（2）From 2011 to 2017,the capacity of basic public health services declined slightly on the whole,and the gap between provinces in the capacity of basic public health services continued to widen.（3）From 2011 to 2017,the capacity of basic public health services in the eastern region has declined,and the capacity of basic public health services in the central and western regions has been greatly improved,which indicates that the development of basic public health services in China is unbalanced,showing obvious regional differences.（4）Urbanization level and technological innovation have a positive and significant impact on the ability of basic public health services,and the elderly dependency ratio and disposable income have a negative and significant impact on the ability of basic public health services.Based on the results of the model,some suggestions are put forward.First,optimize the structural layout of basic public health service capacity from three aspects: increasing the investment in basic public health resources between regions,promoting the cooperation and coordinated development of public health among regions,and broadening the scope of basic public health service projects;second,accelerate the urbanization process from two aspects:attaching importance to the quality of urbanization and promoting the development of new urbanization,so as to improve the basic public health service capacity Third,we should increase the input of science and technology in public health and improve the policy of science and technology innovation in public health,so as to improve the ability of basic public health services.