Analysis on the rural doctors’ contracted service practice in Dafeng county of Jiangsu province and Shengzhou county of Zhejiang province
10.3969/j.issn.1674-2982.2015.12.012
- VernacularTitle:乡村医生签约服务实践分析--以江苏省大丰市和浙江省嵊州市为例
- Author:
Kun ZHU
;
Xuebin QIAO
;
Xiaojuan ZHANG
;
Miaomiao TIAN
- Publication Type:Journal Article
- Keywords:
Rural doctors;
Contracted service;
Rural health;
Incentive mechanism;
Classified diagnosis and treatment
- From:
Chinese Journal of Health Policy
2015;8(12):60-66
- CountryChina
- Language:Chinese
-
Abstract:
Objectives: The paper aims to analyze the practice and outcome for the rural doctors’ contracted service in Dafeng and Shengzhou counties. Methods:The methods used were typical sampling which played in selec-ting Dafeng and Shengzhou counties and interviews conducted with the director of the bureau of health in Dafeng and Shengzhou counties, the dean of the township health centers ( two for each county) and the rural doctors ( four for each county) . We adopted descriptive statistics to analyze the quantitative data and incentives. Results: The rural clinic and/or township health centers were the main contracted service providers and services were supplied to all in-habitants, especially to the target patients such as those suffering from NCDs. The individual benefit packages were designed to coordinate with local demands and the security and incentive mechanisms were established. Conclusions:Contracted service brought several benefits such as meeting the individual demands of inhabitants, rural doctors were inspired and the basic rural health system consolidated, the basic public health service quality was improved, and the function was intensified for the primary health institutions. The rural doctors’ contracted service is helpful to advance rural health care reforms, and provides more evidence in setting up the local rural health policies. It still needs fur-ther perfections. Suggestions:The rural doctors’ team construction should be strengthened and the incentive mecha-nism, summary and evaluation of their contracted service should be improved timely.
