Discussions on the supply status and mechanism improvement of primary public health services in China / 中华医院管理杂志

ABSTRACT

The past ten years have witnessed China′s primary public health services making remarkable progress in the number of projects and funding subsidy standards, but such problems as the single nature of the main supplying entities, poor supply mechanism and low supply efficiency are still prominent. The authors comprehensively expounded the present situation of the supply of primary public health services in China from the aspects of implementation subject, service content, fund guarantee, human resources, supply mode and performance evaluation, studied and summarized the evolution process and characteristics of public health service supply model. On such basis, they recommended on improving the supply model from the perspective of tripartite subjects of government, market and social organization, so as to speed up the formation of the government-led public service supply model, in which the market, the society and other pluralistic subjects participate equally, construct the competitive supply pattern of medical and health services at county and township levels, strengthen the purchase from social organizations and improve the performance evaluation system and supervision mechanism.