A Survey on the Present Situation of Chinese Community Health Service-The Present Situation of "Six in One" in Community Health Service Centers of the Eastern,Middle and Western Areas

Objective To understand the developing state of the basic service items in different regions′ community health service centers.MethodsA questionnaire covered 200-community health service centers from eleven provinces (or autonomous regions,or municipalities) was carried out.ResultsIt is shown that 85.50 percent community health service centers have set health record for residents,and the proportion of health care contract is 53.50% only;there are 70.00% of the service centers where referral to the higher level was carried out,and 46.00% of the service centers where referral to the lower level was carried out;the centers equipped with the appliance for rehabilitation accounted for 56.50%;the rate that centers obtain the certification from family planning department was 68.91%;the proportion of health education development was more than 90%.ConclusionThe community health services in different regions are facing different kinds of difficulties and challenges.So it should be encouraged to raise the proportion of concluding health care contracts between community health service organizations and the patients.Two-side referral did not work well,downward referral rate was obviously lower than upward referral rate from community service centers.The rehabilitation service development rate was too lower to meet the demand of market.The developing rates of terminal care and psychotic management in community health service centers were lower generally.