The Study On The Evaluation Of Primary Health Care From2008to2010in Fujian

ObjectiveUnderstand and grasp the basic medical institutions of Fujian Province in the reform process,to carry out the basic medical and health service system construction and the equalization ofpublic health services related to the construction of the basic situation, achievements, problems,through the analysis of the causes of the problems, put forward the corresponding policy proposalfor the next stage reform, expect to work smoothly provide practical basis and experience.ContentsTo establish the basic medical and health evaluation index system, and usestatistical methods to verify the index system. By using the index system to analyzethe basic condition of basic medical and health in Fujian in2010,and to evaluate2008-2010,before and after medical reform, Fujian province grass-roots healthcomprehensive changes.Methods1The questionnaire surveyThis topic data collection bases on "The county level health comprehensivesurvey ", which investigate the grassroots medical and health situation of the84counties in Fujian. After collection the questionnaire, we are start to summary,inputand database work.2Interview surveyAccording to the development level of county economy, respectively, ineconomically developed counties and the general development level of county,Changle and Ninghua were selected for investigating, the responsible person andmedical personnel in Health Bureau, township hospitals, community health serviceinstitutions for interviewing. Results1In2010Fujian Province basic medical and health service system construction andthe equalization of public health services construction to obtain certain result, but alsoexist some problems, such as basic medical and health institutions the imbalance ofregional development, service ability regional differences exist, health personnelwhole level is low and the public health service development is not equal problem.2Grassroots medical and health institutions compensation channel changes,1000population general practitioners, agency compliance rate of construction the threeindicators and achieved certain results, and make clear its main by the reform policiesbrought; other achievement index cannot separate medical reform policy thecontribution rate of size; some indicators and even health goals deviate from.Policy Implication1To further accelerate the development of grassroots medical and health institutions,including the promotion of balanced development of regional economy, improvingthe compensation mechanism,and exploring the establishment of dual referral and thedivision of labor and cooperation mechanism.2Strengthening health personnel construction, which to play security role ofpreparation, attracting talent, improve the personnel funds guarantee mechanism,tarrying talent, establish a sound performance appraisal, increasing financial supportpolicy.3To promote equalization of public health services development, including theimprovement of the public health of special transfer payment system, a reasonabledivision of intergovernmental governance and the property rights, to establish theequality of public health services standards system, increase propagandist strength,raise public awareness.