All people are faced the difficult problem in the world.The reform of medical system is Related to One billion three hundred million People in our country. The reform of medical system is begin with basic medical and health care system is to provide the public product in core. The reform of medical system added Eight hundred and fifty billion huge investment in2009.With The reform of medical system into Deep water.The government and many Scholars pay attention to new Medical and Health system in rural area. Either Medical reform into market or Government leading Medical and health services, it can not be ignored the government in rural medical and health field character.Under the condition of market economy, Government's function is transforming sadly and the government has not pilot rural health development, even effects the longitudinal development. So it must reform the goal in the near future government and the development of rural health service function with the situation of economic transition period. For the vast rural areas, we have been awared the government is the development of rural health service only thrust.In this paper, my analyzed is based on the perspective of public service of the new medical reform three years and focused on the basic medical and health services research.In order to avoid the controversial of public hospital reform.We are argeed aspects of achievements in new medical reform process example the Progress in the public health service, basic medical care and health services Health insurance coverage and so on. Also we have founded the problems which is the medical expenses exceeds groovy growth, In this paper we are based on this situation the main reason analysis, we have a different point of view with that will reform failures to born in the planned economy of the medical service market.Researching shows that the increase of medical expense and the medical service market have a certain degree of relevance, but the advance of medical service market and not the cause of medical cost of rapid growth.The reason is because the allocation unfair in medical and health resource. Also the government did not make clear the public service responsibility in the medical and health system reform process. Government not only allows market forces to release, but also gives up the regulation of the marketization process In particular The new medical reform has some problems, the government in the field of medical service to realize the equalization of public services function defect. Its performance can be conceptualized as a system and two system dislocation. A kind of system whereby the medical insurance system development is not perfect, The residents' medical expenses out-of-pocket proportion still account for a large proportion. Although the reform medical security achieved wide coverage in this three year, but the low level of quality of in this problem can not be ignored,for example the problem of adverse selection, balances rate is high, not portable,and so on. This system not only caused urban and rural medical expense burden great injustice, but also it will due to lack of third party purchaser, formed" the supplier induced demand of medical service" in medical service market.Two systems dislocation Include one is the Public hospital medical insurance organization did not fulfil the third party purchaser's monitoring function which Cause of medical expenses exceed groovy growth and doctor-patient relationship. Another is Urban and rural medical and health resources allocation system distorted. which Cause the Medical and health resources excessive focus on large and medium-sized city.in addition.Government is one important regulators of the medical services. Aggravate the supply of medical service distortion because of no clear relationship with medical institutions. behaviorThis combination of H County examples to illustrate the new medical reform three years of existence the problem. And we discuse the realization of public service equalization new medical reform factor. At the end of the article from the government's institution, medical's institution, farmer's four levels put forward to realize rural basic medical and health services even equalization path selection... |