One is the serious lack of government investment. Now township health centers are welfare institutions, bearers of heavy public **** health services, such as disease prevention and eradication, maternal and child health care, vaccination, health education, etc., these public **** service affairs, the need for public *** financial support, but the grass-roots level government due to its own financial constraints, scarcity, coupled with the irrationality of the planning, the serious lack of investment in it. Even the limited funds allocated in the budget is difficult to put in place, and there is a tendency to decline year after year, so that the township health centers are seriously underdeveloped.
The second is the sharp decline in business conditions. With the formation of rural health services market, competition is very fierce, because most people "small illnesses into the village, the city", the health center can only be in the county (city) village medical institutions in the cracks of survival, the utilization of existing health resources is very small, the operating income has been sharply reduced, and even the normal payroll and expenses can not be guaranteed, how to develop? How can we talk about development? Basically lost the ability to self-accumulate entrepreneurship.
Third, the quality of personnel is low. In the existing medical personnel, with a college degree or more only accounted for a few percent. Secondary school education above a certain percentage, but most of the young people who have not yet started. The shortage of experience and skills makes it difficult to attract service users. And do not have the provisions of the personnel accounted for almost half, and older, obsolete skills, simply can not meet the "needs" of service users. In particular, a significant number of health centers do not even have regular laboratory and radiology staff. The most serious is that the current college medical graduates, simply do not want to go to the township health center to work, resulting in a "personnel generation, no one to follow" dilemma.
Fourth, medical equipment is extremely simple. Most of the health center equipment is the 1970s and 1980s out of the product, basically to the end of the life, can not meet the clinical needs, resulting in a serious outflow of patients. In this case, the health center itself and social forces are not investing in infrastructure incentives, making it seriously lagging behind, not at all adapt to the growing demand for services of the rural masses, the loss of the image and confidence in the public.
Fifth, the reform and development of poor guidance. Township health centers to develop and grow, reform is the only way out, but how to change? How to change? Rural township health centers lack of initiative, enthusiasm and creativity, and the lack of higher levels of its correct guidance, guidance, advocating the government-run, take charge of it, "complete reform", "a sale of it" of it, thrown to the market to allow its development of it. Resulting in a lack of classification and guidance, rural township health center infrastructure and public **** health facilities have seriously shrunk, urban and rural health development polarization, "rich and poor" gap is getting bigger and bigger, urban and rural health development is seriously uncoordinated and unbalanced.