The Background and Main Discovers on Rural Doctors and Their Service Model Reform Study in Shanghai of China

The paper aimed to discover what’ s going on rural doctors and their service in Shanghai of China presently, if did their service meet to Shanghai People’ s need, and what are the content, model, and supporting policy and system of their service if normalizing rural doctors gradually so as to play a role during making a correlative reform. In order to realizing this objective, the study surveyed 8 districts, including Baoshan, Jiading, Minghang, Songjiang, Qingpu, Nanhui, Fengxian and Chongming, 24 towns and 72 counties. The discover included: (1)There were several problems, such as shortage quantitatively, aging, lower quality and income of rural doctors in Shanghai of China; (2) Lower service efficiency, about 50% of 8 hours a day, and paying more attention on medical service than disease prevention and control by rural doctors; (3) Visiting a patient at home 0.6 times every day every rural doctor, this good service model of visiting patients were kept, however, the accessibility of this service should be improved. ( 4) 98.3% of surveyed residents satisfied rural doctors’ service and felt that their need was met. (5) Putting in practice the policy of integrated management town and village health organizations, training rural doctors, substituting them for doctors with higher quality with their retiring, and making them normalized were better ideal reform model, 98.3% of health organizers and providers approved. (6) With rural doctors retiring, substituting them for doctors with higher quality and educated formally needed 19 years and every town hospital need shoulder visiting a patient at home 3 595 times every year. 77 002 000 Yuan were increased to improve the rural doctors’ income and social insurance.