Rural Health Service Evaluation Studies

1. Aim and significanceThe public health service system for rural areas, an essential part of Chinese public healthservice system nowadays, is a principal carrier which ensures the implementing of the policiesand services of public health in rural areas. With the rapid development of Chinese economy andthe disequilibrium of the development of rural economies among different rural areas, theimbalance of the distribution of the public-health-service-source becomes more and moreprominent, which engenders a bottleneck in the further development of Chinese public healthcause. Thus it is absolutely necessary to have an investigation, with aim to provide reference formacro-level administration of the distribution of the public-health-service-source, into the publichealth service system for rural areas. The factors at which the investigation aims include the need,utilization and distribution of the public-health-service-source.2. MethodologyBased upon the data from primary survey of World Bank and China rural Health Projectswhich are implemented in 40 counties which tend to fall into three categories: Area-1, Area-2and Area-3, according to the degree of economy development, of 8 provinces, this thesisexplores the need and utilization of the public health resource and the amount of public healthinvest in different rural areas, according to the model of the comprehensive evaluation ofpublic-health-service from the perspective of statistical k-means theory. And another theoreticaltool used in this thesis is the classification of areas according the features ofpublic-health-service system, among them.3. AnalysisThe first result from the investigation mentioned above manifests itself in the following thethree pairs of contrasting numbers: first one is that the ratio of persons with illness during afourteen-day span is 18.80%, the ratio of the persons with chronic ailment is19.60%, both arehigher than the corresponding the national average data, that is 17.67% and 17.05% respectively,according to the fourth investigation of the national public-health-service; the second one is thatthe ratio of the persons to see a doctor during a fourteen-day span is 11.50%, the average ratio ofthe impatient per year is 6.60ï¼…, both are lower than the corresponding national average data,that is 15.19ï¼…and 6.84ï¼…respectively; and the last one is the numb ofhygiene-technical-personnel per thousand persons is 2.40, higher than the national average amount 2.21.And the second result manifests itself in the other three pairs of contrast numbers: theaverage annual income and expenditure in Area-1 is 9398.80 RMB and 591.80 RMB respectively,that corresponding number in Area-2 is 5721.69 RMB and 511.23 RMB respectively, and thatcorresponding number in Area-3 is 2934.57 RMB and 381.48 RMB respectively.Based upon the two results, it is a corollary that Area-1 is characterized by high need,richness vs. low utilization of public-health-resource, that Area-2 low need, richness vs. misusingof public-health-resource, that Area-3 low need, low vs. lacking of public-health-resource. ThusArea-1, Area-2 and Area-3 belong to C-area, E-area and F-area respectively within the system ofpublic-health-service.4. ConclusionThere are more or less problems existing in Area-1, Area-2 and Area-3. The main problemof Area-1 lies in low utilization of public-health-resource, need to adopt various kinds HealthPromotion and health education measures to promote the rational use of health services,increasing health service level, finally reach a dynamic balance. Area-2's richness ofpublic-health-resource and low need lead to a misusing of public-health, need to use any kind ofpropaganda to raising the attention of people on disease and health, by means of development ofgrassroots health services, and make sure the really needs can get the health services, then toincrease Area-2's health services level. Because of the poor development of economic, Area-3'sneed of health and the public-health-resource is low, although the use seems pretty well, but thefact is still not hopeful. It need us to try our best to develop economy, play good government'sfunction in the regulation of health programs, offer certain preferential policies, at the same timepromote the complete of system that ensures basic medical care further, increase the justificationof health service, and rising from the valley bottom at the end.