Urban communityservices are an important part of work. Urban public health and service system basis.Is to achieve universal access to primary health care goals for the link, but also promote equity, maintaining stability and an important content of building a harmonious society. Great efforts to develop , build community-based health services, and preventive health care institutions and services division of labor is reasonable, in close collaboration with a new urban health service system, for the implementation of prevention first, combining prevention with control approach, optimization of health service structure, and facilitate the people’s health care, reduce the cost burden to establish a harmonious relationship between doctors and patients to alleviate the care difficult and expensive issues are of great significance.Xiangtan City Community Health Services After nearly a decade of development, has made great progress, in order to improve people’s health played an important role. But the community health service functions is not fully developed, in urban health work in the “net at the end of role has not really materialized.The main purpose of this study:summary analysis of Xiangtan City,2005-2009 health reform and urban community health services to carry out the status quo, the actual results and problems to explore the urban community health services to carry out the feasibility of carrying out the process to identify the constraints that exist in,combined with a new round of health care reform goals and the current medical insurance system to explore the effective promotion of community health services in Xiangtan City, the healthy development of countermeasures.This study used cluster sampling and purposive sampling method of combining of Xiangtan City,18 community health service centers, three community health service stations, 50 health service centers (stations) staff,697 local residents and 15 community health service personnel research. Data collection, qualitative data and quantitative data using a combination of methods, quantitative data analysis is mainly used descriptive statistical methods for processing.The study found:Xiangtan City, community health service network has basically taken shape; community health service institutions an obvious improvement in the infrastructure; the training of community health service personnel have achieved good results;community health service institutions in the service mode and service content has basically achieved from the traditional medical model to change the way community health services; preventive health care and public health services has also been made to carry out major breakthrough. However, the launching of community health services, there are some problems:an integrated community health service agencies service capacity is not strong, with six large gap between the requirements of integration; community health service coverage is low; the service technical level is not high, the residents recognized low; practitioners low quality of personnel; the service function and practice of the need to be further improved and standardized; scientific performance appraisal system and incentive mechanisms are not yet established. Because of these problems:The absence of public health functions;community health service system standards are not perfect; service quality is low, general shortage of medical personnel; the community’s first diagnosis and two-way referral system were not implemented.Suggestion:Stick to the government-led, promoting community health service system; optimize the operating mechanism, to improve service efficiency, build service networks;to raise funds to expand community health service channels, improve the compensation mechanisms; improve two-way referral and counterpart support work to improve health resources utilization efficiency; to strengthen community health service team building; to strengthen supervision and of community health services;improve the medical insurance system; universal access to information management, improve the health files; improve performance evaluation index system.
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