The Empirical Research On Government Purchases Of Community Health Services

The government purchases of community health services play an important role in creating city national health services system, which with the concept of "prevention first, prevention and treatment integrated ". It not only can promote the development of China’s medical reform, but also can solve the problem of "shortage and high expense on health care" in current industry. The government purchases of community health services have been widely applied to establish the national health services system in many countries all over the world. So our Government introduces this service model, and strives to raise the standard of public health service. However, the standard of China’s government purchases of community public health services is still at an early stage compared with developed countries. This paper will be based on government purchases of community health services in Ordos city to investigate the current issues in a real case study and make in depth analysis, on the meanwhile, make a comprehensive analysis of the current implementation of the government purchases of community public health service policies, in order to provide a valuable reference which can make the government purchases of community public health services system perfect and achieve the economic development. This paper is divided into seven chapters.The first chapter, it describes the background, the significance of the topic and the research all over the world and etc;The second chapter, it analyses the definition of public health services and public health products, on the meanwhile, it points out the necessity of government purchases of community public health services;The third chapter, it introduces the government purchases of community public health services, and analyses the benefits of government purchases of community public health services, such as x community in Ordos city;The fourth chapter, it analyses the problem of government purchases of community public health services, such as community public health service provider dilemma, low efficiency, lack of referral system, and the failure of cooperation between principal and agent;The fifth chapter, it analyses the five causes which restrict the development of the government purchases of community public health services, such as the deficiency of health service connotation construction, lack of government compensation, lack of the talent of community health services, and the imperfection of the regulatory mechanisms assessment and public health service system community;The sixth chapter, it analyses several modes of government purchases of community public health services in order to provide a reliable guidance for our government, such as the England, the U.S.A, and the Germany; it also points out several problems in community health service system, such as lack of a certain degree of organization, neglect of preventive care, and dividing the labor in meticulous;The seventh chapter, we must take the following measures in order to perfect the policy of government purchases of community public health services. First, establish a wide range of participatory mechanisms and a wide range of services to enrich the connotation of public health services and improve the ability of community public health service. Second, determine the reasonable manner and scale of government investment. Third, speed up to construct the general community health services staff by improving the treatment of community health service team. Fourth, improve the regulation, supervision, and evaluation mechanism. Finally, optimize the government purchases of community public health services system through raising the role of government’s leading, improving medical insurance policies and etc.