Study On Comprehensive Eevaluation Of Xiamen Community Health System Reorganization

OBJECTIVES:By collecting the files and information about Xiamen community health system restructuring and, to analyze their running situation, the interests stakemasses'attitude and views before and after that, evaluating their health resources configuration, using efficiency, fairness, and reactiveness. Overall, the basic purpose of this study is to address strategies issue of Xiamen community health system.CONTENT:The motivation of Xiamen community health restructuring; the details of Xiamen community health restructuring, the interests stakemasses'attitudes and views before and after that, comparative analysis, comprehensive evaluation, SWOT analysis and, the problems and policy recommendations of Xiamen community health.METHODS:1. Literature review2. Survey study3. Evaluation research4. Qualitative analysis5. Quantitative analysisCONCLUSION:(â… ) Positive effectiveness1. The community medicine and public health services had been strengthened comprehensively: sharp increase in outpatient visits; rapid improvement in the quality of medical services; community primary health care costs significantly lower; full strengthening of community public health service.2. The medical environment of community residents'has markedly improved.3. The public health information system has been built.4. The satisfacion of residents'have gotten a significant increasing.5. The community health service employees'satisfaction aslo increasing greatly.(â…¡) Issues1. Problems of restructuring itself: monopolies and development direction of hospital and the development of community health services inconflict; basic interface of medical and public health functions; construction of community health personnel.2. How does a Xiamen essential drug system converge with the national essential drug system and, how to balance the relationship betweenpublic hospitals'reformation and the development of community health services?(â…¢) Countermeasure and suggestion1. Expanding the market access, forming multivariate medical pattern.2. Further strengthen the integration, optimization of the organizational structure.3. Correctly handle the reality of the relationship between needs and future needs.4. Establishing the community health service center and supervision and constraint mechanism.5. Doing some convergence work: effective convergence of basic medicaland public health services; Xiamen essential medicines'system and national essential drug systems'effective interface, public hospital reform and development of community health service coordination.