| The community health service is the important part of community construction, which is an effective, economic, convenient, comprehensive, continual basic healthcare service. Performed by government leader, community participates and higher authority health organization guidance, the community health service takes the basic healthcare unit as the main body, full doctor as the backbone, the reasonable use of resources and technology; takes human's health as the center, the family for the unit, the community for the scope, the demand for the direction; takes the woman, the child, the senior citizen, the chronic patient, the disabled person etc. as the key point; takes the community main health problem-solving, the basic hygienic service need as the goal, melting prevention, medical service, rehab, with health education, birth control technical service as a whole.This article started from elementary theory of city community health service, introduces in detail including the community health service definition, the community health service object, the goal and the scope, the community health service essential feature and the principle as well as the community health service basic pattern; also earnestly studies domestic and foreign city community health service development situation, and summarizes experimental experience obtained from overseas city community health service through the contrast analysis between domestic and foreign city community health service operation pattern and the existing questions. Deep into reality, this article has carried on the full investigation on Changsha city community health service present situation; has performed multiple perspectives multi-level analyses to existing question and causes; has utilized related public management theories on Changsha city community health service operating mechanism, the service itself, the service content innovation, the service sector quality promotion as well as government action on city community health service; has proposed option for Changsha city to develop community health service; Through a series of illustrative case comparison, this article has proposed the countermeasure measure to Changsha city community health service development.The current our country health service system is facing with a series of questions, such as medical service disorder, levels of health unit function is fuzzy, citizens see a doctor difficultly, medical expense too high which already became our current social problems. The realization of city community health service function, will be enormously beneficial in alleviating these social problems, and play the role, which cannot be substituted, of constructing the harmonious society, improving the condition of seeing a doctor, reducing medical cost, enhancing consciousness of health maintenance. This article proposes a frame of chain management pattern, which is extremely vital practical significant in advancing Changsha city community health service development and how to reach the community health service function is thoroughly discussed. This pattern will be good for citizens to understands comprehensively and the effective use of community health service; For the government to make a wise plan on health resources including medical funds, clinical technology, diagnostic equipment as well as manpower allocation; as a theory basis on which construct the harmonious medical service system. Thus promotes its fairness, availability and efficiency, so as to reach the social concept of "everybody is equal to seeing a doctor". |