The Role Of Private And Individual Health Care Services In Shanxi Province And Scope Of The Study

The research is about the scope and role of private medical practice(PMP).Based on the investigation of its present situation, we pinpoint the current utilization, role and scope of PMP , attitude and expectation of the patients .doctors , PMP investors and officials towards PMP. The objective of this study is to provide evidence information for health bureau to establish policy on private medical practice and medical institutions classification administration.Through the analysis of PMP utilization, this study shows the amount of patients who had gone to private medical institutions in last year occupied 25. 57% of all. patient who had used medical service and the ratio in rural areas (36.34%) was higher than in the city(14. 71%). The reason why the consumers use private medical service was PMP providing a choice, its convenience and high efficiency, flexible and relative reasonable charge models, good quality of health service etc. Private medical service plays an assistant and supplemental role in health care system in China, especially embodies in location of institutions, work time and service items. Furthermore, PMP improves accessibility to medical service in rural areas.In resident willing investigation, mostly consider the technical level of public medical institutions are higher than PMP while service quality of private medical institutions are better . It is to say that PMP and public medical institutions compete more than medical technique. In non-medical factors, eight aspects of reasonable expectation of PMP and public medical service in Shanxi province are compared through responsiveness measure of health system . The result indicates that dignity(DIG) , confidentiality(CON) , autonomy(AUT) , communication(COM) , prompt attention (PRO), social support networks(SSN) in PMP are better than public medical service while quality of basic amenities (QBA),choice of providers(CCP)are worse. PMP pay more attention to "patients as center", "protect consumers' rights and interests" and to meeting non-medical demand of consumers. Among the patients who used medical service, 39.82% are willing to recommend the PMP doctors to their friends and families, but merely 35.15% are willing to recommend the doctors of public medical service .The amount of people who consider technique level of public medical service better in rural areas (87.24%) are higher than in the city(78. 67%).But rural residents(25.17%) are more willing to choice PMP than citizen (16. 06%). Thus great disparity shows the advantage of non-medical factors attract patients more than medical factors.79.86% residents consider that they can't afford current medical charge, but the identity rate to PMP are higher than to public medical practice. Among the people who need but don't see a doctor, because of high fee-for-service, 60. 53% can't afford relatively inexpensive private medical service. These people are emphasis population to implement equity of health service.The development of PMP promote public hospitals improve administration level, increase competing consciousness in health care market, acclimate market demands. Especially after our country joining WTO, PMP will develop furthermore in an equity and just circumstance, even becomes "the important integral part" just as the prediction of PMP investors.