Research on China’s Urban Equalization of Basic Public Health Services
|School||Jiangxi University of Finance|
|Keywords||Equalization of basic public health service Public health service system Public finance Transfer payment|
The existing range of basic public health services include EPI,matemal and child health,pre-hospital emergency treatment,blood collection and supply,as well as infectious diseases,chronic diseases,endemic diseases prevention and control;project identification is based on the health needs of residents,as well as the Government’s fiscal sustainability.At this stage equalization of basic public health services refers to equal access to every citizen by the state determined,free of charge to rural and urban residents in the provision of basic public health services.How to promote the equalization of basic public services,not only raised the central and local governments have attached great importance also attracted widespread attention in academia. Therefore,the study of China’s cities and towns equalization of basic public health services is of great significance.In this paper,equalization of basic public health services of China’s cities and towns as a research object,analysis of the current status of related research on the basis of summing up China’s urban,history of the development of basic public health services and real problems.The use of welfare economics, Keynesian economics,liberal economics and the theory of public goods to analysis equalization of basic public health services in cities and towns in China.Through the reform of urban basic public health services should follow the basic principles of investigation and the corresponding build urban medical insurance system to explore the basic ideas of reform of China’s urban basic public health services,thereby clearly the basic objective of the reform.In this paper,by theoretical analysis to program design, research and evaluation of the situation was reviewed,and then apply the relevant theory analysis.Compare the vertical and horizontal situation indicators in developed countries to evaluate the development and existing problems of China’s basic public health services drawing more reliable conclusions.Finally,the reform of urban basic public health services was discussed and we designed a holistic program.First, relevant theories about the equalization of basic public health services are introduced. Then arrange the development and changes of basic public health services in China; from the founding under the planned economy system of urban public health system to medical reform in the new century after the establishment of basic public health system.In progress at the same time,also saw the inadequate of current system..For the current stage,real problems exist in urban basic public health services are evaluated profound and objectively.Inefficiencies in health investment,the objective gap between regions,as well as basic public health services out of touch of medical insurance, impede the process of equalization of urban basic public health services.Analyzing the existence of practical problems,while combining with the successful experience then proposed the equalization of basic public health services into the basic objective of reconstruction of public finance system,to develop a practical basic,public health services planning which has the financial resources to ensure.Put great efforts to develop primary health care and health institutions to make sure all the urban residents can enjoy roughly equal basic public health services.The equalization of basic public health services of China’s urban-oriented research also needs to continue in-depth. "Equalization" is a dynamic process,the standard of equalization is different in different historical conditions,different social and economic development.Therefore,with regard to equalization of basic public health services of China’s urban-oriented research also need to continue in-depth exploration of these developments.