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Study on Present Situation and Developmental Strategies on Private Medical Facilities in Rural Tertiary Health Services Network

Author: ZuoJingYan
Tutor: ZhangLiang
School: Huazhong University of Science and Technology
Course: Social Medicine and Health Management
Keywords: Private medical institutions Tertiary health service network Village health Status quo Developing
CLC: R197.3
Type: Master's thesis
Year: 2008
Downloads: 135
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Abstract


Objective: through in-depth study of the status of the private medical institutions in the rural areas, to clear the existing problems in the private medical institutions in rural areas as well as its role. Rational analysis of the development of ideas of private medical institutions in rural areas, to summarize how to make private medical institutions and public agencies harmony, collaborative development, to play its due role and function, to clarify the responsibility of government in the development of private medical institutions in rural areas. Wrap around the reform experience in the national health policy environment, explore the village-level medical service system development direction and development strategy, and to further clarify the functional orientation of the private clinics. Method: 1. Documentary research access to a large number of domestic and international literature on rural health and private medical institutions. Specification analysis research needs to use the theory of policy studies, economics, management science, social ethics, political science and other disciplines, and logical reasoning. Empirical research through questionnaires, in-depth interviews in the three counties to collect papers relevant information required. Experts to discuss the method of this study repeated interviews and rigorous argumentation research conclusions and research methods on the basis of pre-formed, in-depth discussions of the experts of the Institute of Medicine and Health Management. 5. Statistical analysis methods utilize Epidata questionnaire data entry using the Microsoft Office Excel2003 SPSS11.5 descriptive analysis. Results: 1. Clear proportion of villagers choose private medical institutions in the utilization of health services, based on field survey results show that the research group in the three regions of eastern, central, western, central and western regions of the villagers use of private sector medical services ratio more than 70%. 2. Elaborated the incomplete functional expression of private medical institutions in the network performance and the reasons for rural private medical institutions showed a \\Clear in the rural health network at all levels of private medical institutions, the number of village health the private proportion in more than 80%, some of the western region, has even reached 100%. The proportion of private institutions in the county-level hospitals in less than 10%, the proportion of private township hospitals in less than 1%. Conclusion: the role played by the private medical institutions in the different levels of the health network is not the same county and township levels the role of the private medical institutions to complement the health services, promote competition, an active market; role of village-level private medical institutions supplemental the village health resources insufficient to fill the vacancy of the health service delivery system. 2 network, the main problem of the private medical institutions in the township and village levels, county and township levels, in particular, is a village-level institutions medical institutions mainly to public medical institutions, competition phenomenon fewer. And there are more in the village-level and private institutions, for the driver of the economic interests of the institutions series of disorderly competition. Village-level private medical institutions, there are some unstable factors affect the ability of the village health services network service providers, but also affect rural health work carried out. Private village health reflects the functional defects, mainly for health ventricular function orientation deviation, the service quality of the health room to be questioned. At the same time, the management system of the hospitals in the health room unscientific. Village health service delivery system in the future will be the performance of public and private co-exist \take different development strategies. The 6 health laws and regulations and policy documents for the development of rural private medical health care institutions (2) proposed to absorb some of the private medical institutions to become sentinel cooperative medical institutions (3) a variety of measures to strengthen the responsibility of government work together to strengthen the building of village health (4) expression, improve the private village health services to provide capacity

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Hospitals, general hospitals
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