The Practice Process And Improvement Of The Policy Of Sending Medical To The Countryside

The health status of the people in a certain extent reflects the fairness and efficiency of the national system.Since the reform and opening up, the central and local governments have introduced a series of policies, and gradually build up the health care system and mechanism for the rural people.Under the background of the analysis of rural cooperative medical system in the three periods of state and rural social relations, by analysis of Y Town, Youyang County, Chongqing send medicine to the countryside in the process of national and grassroots medical and health institutions, grassroots medical and health institutions and farmers, In this paper, the local government and its agents in the development and implementation of primary health care policy and the central policy there is a certain deviation, township hospitals and village health stations and rural doctors still face many difficulties;Y Town, showing the basic logic of the general rural social operation, still has the social characteristics of acquaintances;Medicine to send to the countryside in the state and grassroots medical and health institutions, basic medical and health institutions and farmers is the main body of the relationship is not simple opposition or a harmonious relationship, but multiple and interactive relationship. Therefore, relevant policy should reflect the characteristics of multiple interactions.In particular, the basic medical and health service condition of Y town is restricted by the following factors:Asymmetric information leads to the responsibility of the government performance is not in place, such as this would lead to the contradiction between medical and health service organization and service object, will lead to the main game one of the basic medical and health institutions appear interests first phenomenon, the local rural doctors and rural relationship is tense and ease;The comprehensive level of doctors in rural areas needs to be improved, such as the content and form of the theory and technology of basic medical and health did not achieve the diversification, the young doctor team difficult to flow to basic medical and health institutions, family and village health room integration in heritage management difficulties, rural doctors endowment exit mechanism is not perfect;Vulnerable groups of rural social medical aid system needs to be constructed, such as government heavily City Light Township in the urban-rural dual economic structure made short of basic medical and health resources, existing farmers disease patterns and individual farmers seeking affect the future of the form of government in rural medical and health service direction.At present, with further promote the new rural cooperative medical system, the government is to proceed to promote medical and health work a lower center of gravity and medical and health resources to the countryside, to provide safe, convenient and cheap and efficient public health and basic medical service for the masses, but farmers "medical treatment difficult and expensive" problems have not been fundamentally resolved.Therefore, we must to public welfare, continuity, non market principles to promote the basic medical and health system reform, really built up for all the people of benefit of rural social basic medical and health system, and send medicine to the countryside is in favor of the majority of farmers an important way to obtain an effective health service.This article includes the introduction, the main body and the conclusion.The introduction mainly describes the source of the topic, the domestic and foreign related research, the definition of the concept and the framework of this paper, research methods, innovation and deficiencies.The main body is divided into four parts,first of all, the changes of China's rural cooperative medical system, combing the tortuous process of rural cooperative medical security system, analyzes the state and the government's power and responsibility from the place, the lack of return to the process;Secondly,to send medical to the country and the primary health care institutions, based on the background of Youyang Chongqing Y town to send medical background, to send medical to the country and grassroots medical and health institutions to adjust the relationship;Thirdly,send medicine to the countryside in the grassroots medical and health institutions and farmers, expounds the health policy in grassroots medical and health institutions and village doctors, hospital to the countryside before and after medical health service contact doctor in the countryside and farmers;Fourthly,problems and their solution in the hospital to the countryside.The last is the conclusion.In the process of sending medical to the countryside, the government has both the public service and the political administration.Government from the laissez faire to leading role conversion reflects the urban and rural medical and health service gradually equalization, which is conducive to gradually reduce the gap between urban and rural areas and the realization of social justice, but also reflects the basic medical and health services through long neglected and marginalized to is gradually to be included in the governance system.