Analysis on Service Competitive Power of Township Health Centers Based on Service Shares among Target Groups

doi:10.7664/CHE20170810

Abstract：To observe the evolution of township health centers(THCs) competitiveness during 2009-2015,explore the key factors of the change,and provide references for the development of township hospitals.Methods:Using provincial data from China health statistics yearbook to calculate the service share and changes in target population of THCs from 2009 to 2015,Pearson correlation coefficient was used to measure the relationship between service share and related factors in township hospitals.Results:Compared to 2009,the relevant economic and social variables had increased significantly in 2015.The share of outpatient service was positively correlated with per capita disposable income of rural inhabitants(r=0.39),and negatively correlated with the village doctors per 1 000 rural inhabitants(r=-0.39) in 2009.There was no statistical significance in 2015.The share of inpatient service was moderate negative correlated with per capita government health expenditure(r=-0.58) and per capita number of hospital staff(r=--0.56) in 2009,which was not relevant in 2015.THCs personnel per 1 000 rural inhabitants was not related with inpatient shares in 2009,but was moderate positive correlative in 2015.Conclusion:Since the new medical reform,the competitiveness of outpatient service of township hospitals increased slightly,the competitiveness of hospitals declined significantly.The factors affecting THCs competitiveness showed great change,the competitive relationship with competitors and the economic factors in medical system were weakening.The competitiveness of THCs mainly depended in human resource and hardware.It needed to play the function of THCs,especially promote resource allocation level based on defining service function.