Investigation of the legal construction of 90 community health service centers
Objective:To understand the legal construction of the community health service centers in China.Methods:In September 2022,90 community health service institutions in various provinces of China were selected by convenient sampling method to carry out questionnaire survey,and 9 directors who participated in the questionnaire survey in Shanghai community health service institutions were summoned to hold a symposium on the legal construction of institutions.Results:Out of 90 community health service institutions,82 institutions(91.1%)had organized the study of the Basic Medical and Health Promotion Law of the People's Republic of China;69 institutions(76.7%)had formulated policies related to the Basic Medical and Health Promotion Law of the People's Republic of China;all institutions had signed service agreements with family doctors,established electronic(paper)health records for residents,provided basic medical services,and carried out national basic public health services;the equipment configuration of 77 institutions(85.6%)had met the relevant regulatory standards,of which 76.7%had not expired service,and the equipment configuration of 13 institutions(14.4%)had not met the relevant regulatory standards;64 institutions(71.1%)had received full allocation of funds from their local financial departments,and 75 institutions(83.3%)had been able to receive timely and full allocation of national basic public health service funds;70 institutions(77.8%)had implemented"equal pay for equal work"for employees,and 85(94.4%)institutions had purchased five insurances and one fund for employees.Conclusion:The formal implementation of the Basic Medical and Health Promotion Law provides legal protection for the legal construction of community health services,it is necessary to further promote the implementation of relevant laws and regulations,strengthen the hierarchical diagnosis and treatment construction of medical consortia,implement the responsibility of hardware standard construction of community health service institutions,and establish a performance-based salary system.
community health service institutionlegal constructionquestionnaire survey