Formation mechanism of the weakening of village clinic′ s medical service capacity in Shandong province
10.3760/cma.j.issn.1000-6672.2020.01.008
- VernacularTitle: 山东省村卫生室医疗功能相对弱化形成机理分析
- Author:
Zhongming CHEN
1
;
Guifang REN
2
;
Wenqiang YIN
1
;
Lingyu LI
1
;
Dongmei HUANG
1
;
Hongwei GUO
1
;
Lili ZHU
1
Author Information
1. School of Public Health and Management Weifang Medical University, " Health Shandong" Severe Social Risk Prevention and Management Synergy Innovation Center, Collaborative Innovation Center of Social Risks Governance in Health, Weifang 261053, China
2. Head Office, Weifang People′s Hospital, Weifang 261053, China
- Publication Type:Journal Article
- Keywords:
Village clinic;
Village doctor;
Medical service;
Grounded theory;
Vulnerability;
Shandong province
- From:
Chinese Journal of Hospital Administration
2020;36(1):32-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the formation mechanism of the weakening of village clinic′s medical service capacity in the context of new medical reform.
Methods:Purposive sampling method was used to enroll 38 rural doctors and managers of rural health centers and health offices in the interview from October 2015 to November 2015. And grounded theory was adopted to analyze reasons and their mechanism of the weakening of village clinic′ s medical service capacity.
Results:29 first-grade categories and 7 second-grade categories were worked out in text encoding. With the implementation of the ongoing healthcare reform, support from financial, policy and technology increased significantly, but due to the synthetic action of unexpected negative effects of the reform, superposition and accumulation of disturbance and ineffective support, village clinic′ s medical service capacity began to weaken.
Conclusions:The weakened village clinic′ s medical service capacity is a result of the synthetic action of 3 reasons. The persistence of this status will intensify the vulnerability of rural health service system and be bad for the implementation of hierarchical medical policy and the strategy of rural vitalization. Measures should be taken to optimization the essential medicine system, establish a comprehensive assessment mechanism for basic medical service and basic public health service of village clinic, strength the strategic purchasing of medical insurance, improve the financial compensation mechanism, and complete training system of village doctors, aims to promoting sustainable development of village clinic.
