Legal analysis: l, insufficient funding. In the survey found that some townships and villages in the construction of health rooms in the local township government has not invested in the standardization of village health room construction area of 80-100 square meters, the provincial financial subsidies per square meter of 400 yuan, the county financial support of 100 yuan, a total of provinces and counties to subsidize each square meter of 500 yuan, the actual cost of each square meter in the 800- l000 yuan, each health center in order to complete the livelihood project on time and quality, only the health center to fill the difference in construction funds. The reason for the high cost is mainly because the provincial development and reform commission, the provincial health department unified construction drawings require high and rising construction materials.
2, health center acceptance into the operation stage after the bad effect. The first is that the quality of rural doctors vary, and even some health room houses, fully equipped, is no rural doctors, some rural doctors driven by profit, intercepting patients at home, delayed, minor illnesses dragged big. At the same time, due to the reduction of medical fees, the implementation of zero-differential sales of medicines, rural doctors are also responsible for a large number of public **** health services, and the original alone at home compared to the workload, low income. In the past, the fee schedule was in the mouths of village doctors, and there was no uniform standard. Whether the village health center can be sustained is a big problem. The second is the problem of the difficulty of adapting to cross-village practice by rural doctors. Due to the implementation of integrated management, personnel can be transferred to each other according to need, most of the health room is 2, 3 people, the original village doctors deployed to the outside of the village doctors in the business there must be some kind of resistance, resulting in the new outside the village doctors difficult to carry out business.
3, the ownership of the village health center. According to the requirements of the village health office by the village organization to provide housing, township health hospitals are responsible for business guidance, then the village health office in the end belongs to the village committee or township health hospitals government subsidies should be to the village or to the township health hospitals some of the questions have not yet been a proven solution. Our practice is to build a new village health center housing property rights belong to the health center, and the village department *** with the construction of a notary public notarization, clearing the ownership of housing property rights.
4, the town health center on the village health center supervision and management function is not strong. Integration of management capacity book is weak, the main reason is the health center after the medical reform staff shortage, integration of the Office of personnel wages can not be implemented. So the village health room charges are not standardized, diagnostic and treatment activities and drug channels are not standardized, illegal individual practice of medicine and health hospitals practicing disorderly competition, will affect the normal development of health hospitals. Many town health centers are still negligent in their management of the administrative, operational and financial aspects of village health offices. At the same time, some village doctors charge indiscriminately, see patients without registration, medication without prescription, collect money without invoices, lack of supervision and constraint mechanisms.
Legal basis: "Chinese People's **** and State Social Insurance Law" Article 2 The State establishes a basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance system, to protect the citizens in old age, disease, industrial injury, unemployment, childbirth and other situations in accordance with the law from the State and the community's right to obtain material help.