The exploration and evaluation of service model and its effectiveness of health management for rural population in Minqin country, Gansu Province

Abstract

Objective To explore new strategies for rural public health reforming so than early prevention for healthy farmers and early detection and treatment at disease on-set stage could be ensured. Methods Based on the integration of New Rural Cooperative Medical Care System(NRCMCS)and rural community health resources, the new rural health management model was implement in Xuebai Township. The results from this implementation and its effectiveness were evaluated. Results The main behavioral health risks were determined based on prevalent major diseases and common diseases. After the implementing the new health management model, the numbers of inpatient visits obviously increased, including in both out of the county and local community hospitals. As a result, the proportion of inpatient visits in the county hospital was decreased. The average costs of inpatient and reimbursement were decreased in out of the county and local community hospitals. The service capacity and equipment usage rate for local community hospitals were improved. In addition, 84. 43% of participants of this new model showed satisfactory. Conclusions Health management is a multi-win strategic choice, which can strengthen the health consciousness of participants, improve the usage rate of health care resources, increase the efficiency of utilization of the funds from NRCMCS and decrease the economic burden of rural residents to treat diseases. Key words: Rural health; Multiphasic screening; Health management; Effectiveness assessment