Research On Fairness Of Basic Public Health Service In Urban And Rural Areas Of Qingdao City

The national basic public health services project is the important content in promoting the gradual equalization of basic public health services, but also the significant measure in protecting and promoting the health equity of residents. The government are taking efforts to build a harmonious society, promote social fairness and justice, and strive to improve the fairness of health services. In March 2009, the state council officially published "Suggestions from the state council of the communist party on deepening the reform of medical care system" and “the notice from the state council about printing and distributing the recent key implementation plan(2009-2011) on medical health system reform", and put forward to promote equal access to the basic public health service gradually as one of five important reforms in 2009-2011.This paper focus on analyzing the differences in Qingdao between urban and rural residents on acquiring the national free basic public health services and exploring the causes of unfairness from the aspects of policy and implementation. The paper aims at effectively propose relevant recommendations on promoting the equalization of basic public health services.With the establishment of fair evaluation indexes through the literature method and expert interview method, the paper compares difference of fairness between urban and rural areas with statistical methods of index data-using- rate comparison and chi-square test. Give index weight according to the expert opinions and comprehensively evaluate the urban-rural equity with the comprehensive score index method.The main results of this study: The basic public health service project in Q ingdao 2013 is better acquired in the countryside than the city. Analyzing the specific indexes, the indexes of health management of women and children company follow- up rate of patients with serious mental illness result to be better carried out in urban areas, while the health archives management, the health management of the elderly and the health management of chronic diseases shows to be better implemented in the rural areas. The index as the management rate of patients with severe mental illness results to be with no difference between urban and rural residents.Conclusion and suggestion: The fairness difference of basic public health service project between the city and the countryside in Q ingdao is minor mainly with the reason of the resource distribution imbalance and the population flow. It is feasible to optimize the resource allocation, strengthen the floating population management and complete the assessment mechanism in order to further equalizing the basic public health services in Qingdao.