Study ont he Effect of"Strong Grassroots"and Improvement of Primary Health Services Ability Based on the Data of China Health Statistical Yearbook from 2010 to 2021
Objective To explore the effect of"strong grassroots"policy since the new medical reform and improve the ability of grassroots medical and health services.Methods Based on the data of China Health Statistical Yearbook from 2010 to 2021,four indicators of diagnosis and treatment number,balance of income and expenditure,personnel status and institutional status were se-lected to conduct descriptive statistics and comparative analysis of the effect of"strong grassroots".Results The absolute number of medical visits showed an"N"type fluctuation,and the relative proportion had an obvious downward trend.The scale of revenue and expenditure increased,but the balance ratio of revenue and expenditure remained low.The total number of practicing(assis-tant)physicians increased,but rural health personnel lost.The total number of primary health institutions was increasing,but the number of village health institutions was decreasing.Conclusion The bottleneck of the limited effectiveness of primary health insti-tutions is mainly attributed to the insufficient work force,the imperfect incentive mechanism,the insufficient technical means,and the unsmooth coordination mechanism.It is suggested to innovate services,perfect functions,and strengthen the"bottom of the network"of health services,ensure the supply of resources such as staff,drugs,inspection and inspection equipment for primary health institutions,give full play to the embedding and use of big data,internet,artificial intelligence and other technologies,im-prove the incentive mechanism of health institutions and personnel.
"strong grassroots"effect situationprimary health careservice capability
NETL
NSTL
万方数据
