Abstract

The important manifestation of social civilization proves to meet the demands of patients for medical treatment to the greatest extent through promoting grass-roots medical reform, improving construction of grass-roots medical and health institutions and improving their service capabilities. Chongqing, the youngest municipality in China, has a population of 34.04 million, is also a typical city with a prominent urban-rural dual structure. Construction and development of service system in primary-level medical and health institutions is of great significance for improving health of people in Chongqing. This essay uses observation variables such as “community health service center”, “township health institution” and “village clinic” as it’s basis and puts its research objects on Chongqing Statistical Yearbook 2015-2018, the latest data from the National Bureau of Statistics and from Chongqing Municipal Health Commission Statistics Bulletin 2015-2018. Through statistical methods, collected and sorted data are imported into EXCEL table, and corresponding database is established. While statistical indicators include composition ratio, utilization rate, average and etc. and a descriptive statistical analysis is performed. Research and study are given on changes of observation variables of primary medical institutions in Chongqing from 2015 to 2018. It is found that: the number of primary medical institutions showed a downward trend as a whole; the proportion of patients seeking medical treatment through primary diagnosis and treatment was still relatively high; composition of observation variable in township and village level is unreasonable; and slow growth happens in the number of township first-level medical and health institutions and the number of beds. In view of problems found in the research, the essay puts forward some solutions to improve construction of service system of primary health institutions in Chongqing, namely, to invest more in basic construction of primary medical and health institutions, to guide medical graduates to work in primary medical institutions and to increase training and guidance of primary medical technicians. In this way, we can better promote the development of primary-level medical and health institutions in Chongqing and provide citizens with more and better medical services.

Highlights

  • Grass-roots medical and health institutions, as the “gateway of medical institutions”, are foundation of the entire medical system and play an important role in ensuring public health

  • The total number of community health service centers in Chongqing increased from 10,574 in 2015 to 12,395 in 2018, up 17.22%, which proves the highest increase among primary medical institutions

  • The following can be found through observing variables and changes in primary medical and health institutions in Chongqing, and comparing with the whole city: First of all, the overall number of primary-level medical and health institutions in Chongqing is declining

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Summary

Introduction

Grass-roots medical and health institutions, as the “gateway of medical institutions”, are foundation of the entire medical system and play an important role in ensuring public health. 3.2 Beds in Grass-Roots Medical and Health Institutions From the perspective of changes in the number of beds in primary medical and health institutions in Chongqing, the number of beds in community health service centers increased from 7900 in 2015 to 9400 in 2018, up 18.99% which shows the fastest growth among all grassroots medical and health institutions and exceeds the 15.25% increase in the total number of beds in primary-level medical and health institutions.

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