The Empirical Study Of Establishing The"Three Main Points And One Benefit""Tend Towards Equality"Community Health Technology Service System

Since a long time ago."medical treatment is difficult and expensive" has become the principal contradiction of people’s current economic development life, the problem has plagued our country’s ordinary citizens and health policy makers. In2009, China promulgated 《the central committee of communist party of China state council on deepening the reform of medical care system "s suggestions》, shorted as the" new medical policy", the main principle is "keep the basics、strong the basic leveh establish the mechanism". As the main fore to solve the problem about people of seeing a doctor, it had developed a lot in the four years, the number of the community health stations and the outpatient service is constantly increasing, But the main focus of seeing a doctor still stays in the large hospitals, it failed to improve our residents from the medical pattern that they keep on seeing doctors in the big hospital., summarizes the reasons why, in the final analysis. the community health service center (station)’s medical technology level is far to meet people’s growing health needs. This paper, from view of the community health service, discussed how to tight the government, hospitals, and communities force together, in order to improve the technology level of community health service, as quickly as possible Tend towards Equality", which can make people get real benefits.Our country is currently in the development of economic high growing period, together with the quality improvement of health knowledge is more and more, so the traditional health needs has to be changed, from former condition will be obvious to hospital, more to "disease clinic+preventive care" health requirements mode. And as social changes and the advance of the human civilization, the traditional medical pattern also have been transformed into a "social+creature+psychological" with the new model, so simple to "passive cure patents" give priority to the diagnosis and treatment of hospital has been difficult to adapt to the development of the society, such as the psychological treatment, prevention and health function can only transfer to community and in the side of the masses provide the most suitable, the most intimate, the most attentive service.At present the community health human resources constitute is not reasonable, community physicians showed a strange phenomenon, which was called "two high and one low", Community doctors technical level structure is unbalanced, level is not high, most of them transformed form a specialist, barefoot doctors and so on. Their level are limited, can’t satisfy people’s needs, cause people’s reliability of the community health doctors is lower. So people are more willing to choose large hospitals, even the medical expenditures is higher, it’s only caused the community medical waste of resources and pushing up the cost of health care spending further, make big hospital overcrowded, the masses medical clinic satisfaction is stepping down.On the other hand, although the big hospitals have good technology system, but because of China’s policy direction has been led to "marketing services", and the government support is insufficient, so the big hospitals have to chase profit, by excessive examination, over-prescribing drugs, so the medical and health service charge is higher, and it also increased the burden of people.By studying the "Three Main points and One Benefit"’"Tend towards Equality" Community health service system, take the government support as the dominant of community development, take the hospital as a main guide to support community development, the community as the main body of community health service, in order to make the improvement of the CHS, in the diagnosis and control of common diseases, chronic diseases sides, close to the level of big hospitals, and finally make it easier and benefit people.In this article, I used the theory with practice method, the literature methodology method, the descriptive statistics analysis and policy environment analysis, retrospective statistics analysis and brainstorm and DE phil method. I chose eight experts who is relevant to CHS, put forward their for community health service the current development trend of new Suggestions and innovation measures, from all walks of life innovation management, puts forward an innovative idea. Panel discussion. Each expert should give1-3opinions in view of the current technology of community health service’s weakness and the corresponding improvement measures, combined with the community health service all over the country which did very good at CHS areas, as the practice operation provides a feasible basis, make discussion result more real and operability.In this paper, I chose several representative countries and summarized the experience. The community health service of British’s root basis is the perfect higher medical education, strict inspection system, practicing standards, perfect the supervision mechanism, mandatory laws and policies in the primary survey protection community, and drug inspection induction of preferential policies, which is rooted in its small population number, and based on the abundant economic strength. The patient’s medical expenses is along with himself, so the doctor’s technical level directly related to their income level, the doctor itself also pay more attention to his education level. America’s commercial insurance system is more efficiency, but there is no fair, t despite that, its still useful. Australia’s various features is similar to Britain, more characteristic is its subsequent career education is going on very well, the rural doctors in remote areas of can accept the perfect medical continue to education projects, through the network or any other means, and there are assessment mechanism、the credit mechanism. The characteristics of Cuba is in its medical care service is national free, medical career is completely hold by the state, the patients have no economic worries, medical personnel are also input directly by the state, they don’t need to worry about employment, but they were forced to remote regions so they can qualified in a few years, Cuba’s advantage and disadvantage are both obvious.Summary the community health service experience of the country abroad, we can conclude this:1. The perfect financing mechanism and strong economic strength, provides community health technology service a solid backing;2. The completely structure. From the central to local levels are a perfect set of medical institutions, a clear division, perfect supervision and institutions, providing good operation organization;3. The duty of the government is clear, the medical system policy is clear, the community health services in the medical system’s location is clear, provide a sound and effective system security;4. The higher education mechanism. All of the countries that I selected began to pay attention to the medical education from higher education stage, for the general practitioner cultivation mechanism is very perfect, the appropriate employment and salary mechanisms are completely, society status is high, the return and the satisfaction is naturally high, social atmosphere is good, provides the effective incentive mechanism; On the national advanced medical treatment as a technical support and protection, enhanced the community technical services of reliability and validity.This paper summarizes the Haizhu District and a big public hospital for developing community health service experience, to use for reference. Haizhu District by strengthening the government leading status in the community health services, increasing the funds investment, increasing hardware facilities, strengthening the construction of the talents ranks, improving information system construction, improving the performance appraisal incentive mechanism and establish the resources sharing project between big public hospital and community health service center, make the regional community health services job promoted to a new height, made great achievements. The big hospital in Guangdong by make a cooperation agreement with several community health hospitals, implement two-way referral and guidance, to make full use of medical resources, reduce the burden of patients, supporting cooperation community hospitals, has obtained certain effect.Our current CHS’s main characteristics are:lack of "Tend towards Equality" social approval is not high; Community health service staff is lack of "Tend towards Equality " professional technical training, patients trust degree is not high; Community health " Tend towards Equality " lack of the permanent service system, the crowd satisfaction is not good; Lack of community health service " Tend towards Equality " incentive mechanism, talent structure is imbalance; The government lacks the complete supporting community health " Tend towards Equality " technology service policy, cannot form the comprehensive regulations safeguard; The government, hospitals, community are lack of effective coordination mechanism.In "Three Main Points and one Benefit"" Tend towards Equality " community health service system, the government, big hospitals, communities in the process of development should be one of the organic combination of the whole, the government support the community development as the dominant, the hospital as a guide to support community development of main, community medical institutions as a community health service main body, their play an irreplaceable function, the lack of an effective mechanism will contact them up and need further added.In order to realize community health service system " Tend towards Equality " the main ways are:complete general practitioner raising and training system, promote community doctors " Tend towards Equality " technology level; Establishing the " Tend towards Equality " salary incentive system, using the Maslow’s hierarchy theory of needs; Strengthening the government function, and guide the development of " Tend towards Equality"; Encourage hospitals and community health service center’s cooperation, mutual benefit and reciprocity, speed up the " Tend towards Equality’The innovation points of this paper is first proposed "three Main points and one Benefit""Tend towards Equality" system, which consider the government, hospitals, communities as a mutual connection, correlate to consider the whole of the long-term development of the community, the author proposed the government support community health service leading operation mechanism, establish a hospital is support community health services and establishing regular operation mechanism of community health service operation mechanism of subjectivity, and finally to the masses in medical health system reform to get health care benefit; Establishing the "Three Main points and One Benefit""Tend towards Equality" Community health service system has improves the new theory level of CHS. In the current medical resources which are under the condition of limited, fully mobilize enthusiasm of every parts, complementary advantages, the moral and economic profits achieve a win-win situation. In the three parts under the premise of cooperation, improving the technology level of community doctors, make " Tend towards Equality " reality, make the patient backflow to community, reduce health-care costs, promote medical clinic model changed.At present there are still a deficiency:the government support, there exist many bottleneck; Change the patients’ clinical pattern is difficult; Change the internal behavior of chasing interest rate has a difficulty; The development of community itself by objective conditions restrictions. Government, hospital, community, since there are regional administrative management and interests conflict and so on, it’s hard to combine the three of them into an organic organized group.In the future, to continue with the major policies of the state health policy, combined with the Guangdong province community health services development present situation, to sum up experience, the model will continue to deepen the perfect.