This study aimed to determine the relationship among socioeconomic status, social support and frailty, and its gender difference. Education and income were combined to indicate the socioeconomic status. The Social Support Rating Scale (SSRS) was used to measure the level of social support. Frailty was measured by the FRAIL Scale. Mediation effects were analyzed using the PROCESS 4.1 macro in SPSS version 26.0. Among the 936 participants, socioeconomic status had a direct effect on frailty (effect = − 0.088, 95

Chronic noncommunicable diseases, which can be referred to as chronic diseases, have become a significant challenge to global public health. Various studies have shown that traditional Chinese medicine (TCM) therapies are effective means of preventing and treating chronic diseases. The purpose of our study was to analyze the present circumstances of the use of TCM therapies among Chinese patients who have chronic diseases and explore the related influencing factors. Using datasets from the 2021 China General Social Survey (CGSS), we collected basic information, health status, and lifestyle data from 1,023 residents who suffered from at least one chronic disease. We analyzed the distribution characteristics of different indicators among patients using TCM therapies through the χ2 test and determined the main factors influencing the use of TCM therapies through binary logistic regression analysis. Among the 1,023 patients with chronic diseases, 502 (49.07%) used TCM therapies. The five types of TCM therapies were used in the following order of frequency: Chinese herbal medicine (73.11%), cupping (37.45%), acupressure or massage (31.27%), acupuncture (30.48%), and moxibustion (23.11%). Age, self-rated health status, frequency of drinking, frequency of medical visits in the past year, media information sources, types of chronic diseases, and comorbidities significantly affected the use of TCM therapies (P < 0.05). Compared with the population aged over 81 years, patients aged 41-60 years (OR: 1.978, 95% CI: 1.069-3.663) had a higher rate of TCM therapy use. Compared with patients who never drank, those who drank several times a year or less (OR: 1.628, 95% CI: 1.031-2.569) had a higher rate of TCM therapy use. Compared with patients who had never visited a doctor in the past year, those who had visited a doctor several times a week (OR: 2.888, 95% CI: 1.047-7.966), approximately once a week (OR: 3.101, 95% CI: 1.369-7.023), approximately once a month (OR: 1.988, 95% CI: 1.239-3.190), or several times a year (OR: 1.734, 95% CI: 1.202-2.502) had a greater rate of TCM therapy use. Compared with patients whose self-rated health status was poor, those whose self-rated health status was normal (OR: 0.709, 95% CI: 0.504-0.996) had a lower rate of TCM therapy use. Compared with patients who obtained media information through more than three sources, those who obtained it only through television (OR: 0.624, 95% CI: 0.410-0.948) had a lower rate of TCM therapy use. Compared with patients who suffered from three or more chronic diseases simultaneously, those who suffered from hypertension (OR: 0.260, 95% CI: 0.134 ~ 0.507) alone, diabetes (OR: 0.359, 95% CI: 0.149 ~ 0.864) alone, musculoskeletal diseases (OR: 0.466, 95% CI: 0.237 ~ 0.917) alone, other types of chronic diseases (OR: 0.367, 95% CI: 0.191 ~ 0.706) alone, and two (OR: 0.394, 95% CI: 0.212 ~ 0.732) or three (OR: 0.375, 95% CI: 0.186 ~ 0.755) kinds of chronic diseases simultaneously had a lower rate of TCM therapy use. Many factors affect the use of TCM therapies in patients with chronic diseases. The government and relevant departments should understand the trend in the use of TCM therapies in chronic disease management, accurately identify the characteristics of the population that has chronic diseases, optimize publicity channels, enhance the accessibility and acceptance of TCM therapies in global chronic disease health management, and provide practical references for enriching the methods available for preventing and treating chronic diseases.

IntroductionCoronavirus disease 2019 occurred unexpectedly in late December 2019, it was difficult to immediately develop an effective vaccine or propose targeted medical interventions in the early stages of the outbreak. At this point, non-pharmaceutical interventions (NPIs) are essential components of the public health response to COVID-19. How to combine different NPIs in the early stages of an outbreak to control the spread of epidemics and ensure that the policy combination does not incur high socio-economic costs became the focus of this study.MethodsWe mainly used the fuzzy set qualitative comparative analysis to assess the impact of different combinations of NPIs on the effectiveness of control in the COVID-19 pandemic early stage, using open datasets containing case numbers, country populations and policy responses.ResultsWe showed that the configuration of high morbidity results includes one, which is the combination of non-strict face covering, social isolation and travel restrictions. The configuration of non-high morbidity results includes three, one is strict mask wearing measures, which alone constitute sufficient conditions for interpreting the results; the second is strict testing and contact tracing, social isolation; the third is strict testing and contact tracing, travel restriction. The results of the robustness test showed that the number, components and consistency of the configurations have not changed after changing the minimum case frequency, which proved that the analysis results are reliable.ConclusionIn the early stages of the epidemic, the causes of high morbidity are not symmetrical with the causes of non-high morbidity. Strict face covering is the most basic measure required to prevent and control epidemics, and the combination of non-strict face covering and containment is the most important factor leading to poor prevention and control, and the combination of strict containment and proactive pursuit is the way to achieve superior prevention and control, timely and proactive containment strategies have better prevention and control, and should mobilize the public to cooperate.

Background Since the full implementation of contracted family doctor services in 2016, we have achieved phased results. Further work needs to be paid equal attention to "quality" and "quantity", focusing on improving the residents' sense of service access and satisfaction, however, at present, the residents' evaluation of contracted family doctor services is not clear. Objective To investigate the contracted residents' evaluation for the continuity of family doctor contract, explore its influencing factors, and propose improvement strategies. Methods This study used a multi-stage stratified random sampling method to select 1 193 contracted residents from 9 community health service institutions and 9 township health centers in Heze City, Shandong Province in January 2021. A household survey was conducted on the included residents by using the continuity dimension of the Chinese version of the Primary Care Assessment Tools (PCAT) , which contains 15 items. We compared the PCAT-continuity dimension scores of contracted residents with different characteristics, and used multiple linear regression to analyze the factors influencing the PCAT-continuity dimension scores of contracted residents. Results A total of 1 098 valid questionnaires were collected, with a valid response rate of 92.04%. 541 (49.27%) of them were contracted to community health service institutions and 557 (50.73%) of them were contracted to township health centers. The average score of the PCAT-continuity dimension of the contracted residents was (3.38±0.51) . The item with the highest score was "Does your family doctor listen to you patiently", with a score of (3.64±0.59) . The item with the lowest score was "Would you be willing to change your family doctor if it was easy to do so", with a score of (2.98±0.92) . Multiple linear regression analysis showed that the type of contract organization, age, education, marital status, occupation, and chronic diseases were the factors that influence the PCAT-continuity dimension score of contracted residents (P<0.05) . Conclusion The contracted residents had an overall good evaluation on the continuity of contracted family doctor services, and the long and stable doctor-patient relationship had been established. Township health centers are better than community health service institutions. To further improve the contracted residents' evaluation of contracted family doctor services, we need to pay more attention to the type of contracting institution, the age, education level, marital status, occupation of contracted residents and their chronic diseases.

Objective:To evaluate the current situation of comprehensive medical and health services of primary medical institutions in a city under the policy of family doctor contracted service, and explore the influencing factors and put forward improvement strategies, for the reference to improve the medical and health service level of primary medical institutions.Methods:In January 2021, 18 primary medical institutions in 3 counties(cities, districts) of a city in Shandong province were selected by stratified sampling method, and 60-70 contracted residents were selected from each institution for questionnaire survey. The questionnaire covered two dimensions: service provision(19 items) and metion frequency of health problems(12 items). According to the principle of information saturation, qualitative interviews were conducted with 20 family doctors and 15 contracted residents to identify the current service needs and existing problems. Descriptive analysis was used for all data, and single factor analysis of variance and multiple linear regression analysis were used for influencing factors of comprehensive service scores of primary medical institutions.Results:1 098 contracted residents were included in this study, and the comprehensive service score was 3.15±0.42. The vaccination, maternal health care and health education scored higher with 3.80±0.54, 3.70±0.64, 3.78±0.57 respectively; The dermatology, mental health counseling and family sickbed scored lower, with 2.27±1.20, 2.97±1.01 and 1.92±1.18 respectively. Contracted institution, gender, age and marital status were the influencing factors of comprehensive service scores( P<0.05). Residents′ needs for family sickbeds, psychological counseling and fall prevention had not been met. Conclusions:The primary medical institutions of the city had provided better basic public health services, while unmet needs were demand for home sickbeds, psychological counseling and fall prevention. We should take effective measures to increase the service supply based on the needs of residents, and provide more comprehensive medical and health services for residents at primary medical institutions.

背景 基层医疗机构的连续性服务能够有效促进医疗资源合理利用，降低医疗费用，但当前对其研究仍有待加强 目的 评价家庭医生签约服务背景下某市基层医疗机构服务连续性现状，探讨影响因素并提出改进策略。方法 利用汉化版的基本医疗质量评估量表（Primary Care Assessment Tools, PCAT）的连续性维度，于2021年1月对某市9所社区卫生服务中心和9所乡镇卫生院的1193名签约居民进行入户调查，了解基层医疗机构的服务连续性。运用描述性统计、单因素方差分析及多元线性回归进行数据分析。结果 共回收有效问卷1098份，有效回收率为92%。该市基层医疗机构服务连续性得分为3.38分。签约机构、年龄、教育程度、婚姻状况、职业、是否确诊慢性病是基层医疗机构服务连续性得分的影响因素。结论 该市基层医疗机构服务连续性总体较好，但仍有提升空间，建议进一步强化基层医疗机构人才队伍建设、加强医患沟通、引导居民形成“基层首诊”观念、开发利用移动端预约和咨询平台、合理扩大家庭医生签约服务规模，以期为居民提供长期、连续、稳定的基本医疗服务。

目的 通过分析农村流入人口医疗卫生服务利用的现状,探究影响其医疗卫生服务利用的因素,为改进农村流动人口医疗卫生服务提出建议.方法 筛选2017年全国流动人口卫生计生动态监测调查数据中流入农村的流动人口39 578例,分析农村流入人口医疗卫生服务利用的现状,并利用多因素logistic回归分析影响农村流入人口医疗卫生服务利用的因素.结果 18 922例最近一年有患病或身体不适的流入农村人口中,10 705例曾就诊,就诊率为56.6％;首诊机构为本地社区卫生站和本地个体诊所的分别占24.5％和18.8％;听说过国家基本公共卫生服务项目(OR=1.127,95％CI:1.055～1.204)、已建立健康档案(OR=1.240,95％CI:1.148～1.340)、接受过健康教育(OR=1.224,95％CI:1.146～1.308)、有医保(OR=1.128,95％CI:1.003～1.268)的农村流入人口医疗卫生服务利用率高;而有工作的(OR=0.803,95％CI:0.733～0.880)、随家属迁移的(OR=0.851,95％CI:0.729～0.994)、自评健康状况健康(OR=0.514,95％CI:0.444～0.595)的农村流入人口卫生服务利用率较低.结论 流入农村人口医疗卫生服务利用情况较差;患病后首诊机构多为本地社区卫生站和本地个体诊所;流动原因、就业状况、自评健康状况、健康档案建立情况、健康教育接受情况、是否听说过国家基本公共卫生服务项目以及是否有医保均会影响农村流入人口利用医疗卫生服务.

目的 通过分析流动人口社会融合及基本公共卫生服务利用的现状,探究社会融合对基本公共卫生服务利用的影响,为改进流动人口基本公共卫生服务利用现状提出建议.方法 收集2017年全国流动人口卫生计生动态监测数据中流入时间≥6个月的99 494名流动人口的相关数据,对流动人口社会融合及基本公共卫生服务利用现状进行描述性分析,并使用分层logistic回归探究社会融合对基本公共卫生服务利用的影响.结果 在99494名流动人口中,有36837人已在流入地建立了健康档案,建档率为37.0％;75 540人在流入地接受过健康教育,健康教育接受率为75.9％;社会融合的四个维度中,家庭平均月收入(β=-0.108、-0.085,P＜0.001)、家庭平均月支出(β=-0.061、-0.126,P＜0.001)、是否有医保(β=0.349、0.294,P＜0.001)、是否在本地参加过工会等组织活动(β=0.956、0.489,P＜0.001)等变量会影响流动人口利用健康档案和健康教育服务.结论 流动人口的健康档案建立率较低,流动人口健康教育接受情况较好但仍需提升;流动人口的社会融合情况会影响其利用基本公共卫生服务.

Objective:To evaluate and analyze the patient experience of residents contracted with primary medical institutions, for providing a basis for improving quality of contracted family doctor services.Methods:Using the Chinese version of the primary care assessment tools(PCAT), a household survey was conducted on 1 400 contracted residents in 9 community health service centers and 9 township health centers in a city from May to June 2020, and their medical experience in primary medical institutions was statistically analyzed. At the same time, interviews were conducted with institutional managers and family doctors. Descriptive statistics and one-way ANOVA were used for data analysis.Results:1 333 valid questionnaires were collected, and the effective recovery rate was 95.2%.The total PCAT scoring was 25.17. Seven dimensions of first contact, continuous, coordination, comprehensiveness, patient and family centered, community-oriented and cultural competence scored in average 3.57, 3.68, 3.54, 3.40, 3.72, 3.67 and 3.59 respectively.372 people(47.1%) had not been referred by the contracted institution before going to the superior hospital or specialized hospital. There were significant differences in the scores of four core dimensions in different types of institutions, age, education level, occupation and income( P<0.001). Conclusions:Given the initial progress of contracted family doctor services in the city, there is still room for improvement. It is suggested to further improve the comprehensiveness, coordinationand accessibility of services, and promote the high-quality development of contracted family doctor services.

目的 了解老年人对医疗保健品的认知及购买使用情况,并分析其影响因素.方法 采用分层随机抽样的方法,使用自编问卷采用匿名形式进行现场调查.结果 老年人医疗保健品标志的正确识别率为48.6％,性别、年龄、学历、慢性病影响识别情况,多因素分析结果显示,男性的识别率是女性的1.79倍,慢性病患者是非慢性病者的2.804倍,学历越高医疗保健品标志的识别率越低;老年人医疗保健品的总体购买率为48.2％,购买行为受学历、慢性病、健康状况和医疗保健品标志认知情况的影响,其中,知道医疗保健品标志符号的购买率是不知道的4.763倍;老年人医疗保健品的功能选择偏向于保健、康复和止痛功能,医疗保健品使用后有效率为43.5％,无效率为56.5％,购买途径影响使用效果.结论 老年人对医疗保健品标志符号的识别率低,对医疗保健品的功效作用存在错误认知;老年慢性病患者是医疗保健品消费的重点人群;医疗保健品使用后无效率高于有效率.

BACKGROUND The COVID-19 outbreak has tremendously impacted the world. The number of confirmed cases has continued to increase, causing damage to society and the economy worldwide. The public pays close attention to information on the pandemic and learns about the disease through various media outlets. The dissemination of comprehensive and accurate COVID-19 information that the public needs helps to educate people so they can take preventive measures. OBJECTIVE This study aimed to examine the dissemination of COVID-19 information by analyzing the information released by the official WeChat account of the People’s Daily during the pandemic. The most-read COVID-19 information in China was summarized, and the factors that influence information dissemination were studied to understand the characteristics that affect its dissemination. Moreover, this was conducted in order to identify how to effectively disseminate COVID-19 information and to provide suggestions on how to manage public opinion and information governance during a pandemic. METHODS This was a retrospective study based on a WeChat official account. We collected all COVID-19–related information, starting with the first report about COVID-19 from the People’s Daily and ending with the last piece of information about lifting the first-level emergency response in 34 Chinese provinces. A descriptive analysis was then conducted on this information, as well as on Qingbo Big Data’s dissemination index. Multiple linear regression was utilized to study the factors that affected information dissemination based on various characteristics and the dissemination index. RESULTS From January 19 to May 2, 2020, the People’s Daily released 1984 pieces of information; 1621 were related to COVID-19, which mainly included headline news items, items with emotional content, and issues related to the pandemic’s development. By analyzing the dissemination index, seven information dissemination peaks were discerned. Among the three dimensions of COVID-19 information—media salience, content, and format—eight factors affected the spread of COVID-19 information. CONCLUSIONS Different types of pandemic-related information have varying dissemination power. To effectively disseminate information and prevent the spread of COVID-19, we should identify the factors that affect this dissemination. We should then disseminate the types of information the public is most concerned about, use information to educate people to improve their health literacy, and improve public opinion and information governance.

Objective:To analyze the grid management strategy of medical alliances in Rizhao city, Shandong province, and to provide references for improvement of this policy.Methods:In August 2020, semi-structured interviews were conducted with 31 managers of three medical alliances in Rizhao city, regarding the objectives, specific measures, problems and influencing factors of the grid layout of the medical alliances. The grounded theory was used to sort out the interview data, along with the Mazmanian-Sabatier model for further analysis.Results:The analysis resulted in 8 main categories and 19 sub-categories, including theoretical and technical support, target group characteristics, policy causality theory, current status of policy directives, inter-agency relations, socioeconomic conditions and technology, public attitudes, and media campaigns. On this basis, a theoretical framework for the implementation of the grid layout of medical alliance was formed based on the Mazmanian-Sabatier model.Conclusions:The socio-economic conditions and technologies for implementing the grid-based management of medical alliances in Rizhao city were relatively mature, enjoying strong public support and good social response. But on the other hand, there were still such problems as unclear policies, imperfect mechanisms for synergy of interests among different subjects, and incomplete supporting policies. In the future, it is expected to form a policy implementation synergy, introduce supporting policies and strengthen primary teams building, in order to ensure the orderly promotion and long-term implementation of the policy.

Background: In 2009, the Chinese government launched a new health care system reform. One of the important aims of the reform was to improve the capacity of primary health institutions. Village clinic doctors are part of the health service force rooted in rural China and the basis of the three-tiered health service system. The job satisfaction of village clinic doctors has an important impact on the stability and sustainable development of the three-tiered health service system. This study aimed to analyse the changes in village clinic doctors' job satisfaction after the implementation of the new health care system reform. Methods: All the data came from three surveys of village clinic doctors in Shandong Province conducted in 2012, 2015 and 2018. In 2012, an originally designed questionnaire was used to conduct a baseline survey of 405 village clinic doctors from 27 townships in 9 counties (the response rate was 92.9%). In 2015 and 2018, 519 and 223 village clinic doctors in the same counties were surveyed with the same questionnaire (the response rates were 94.3% and 92.9%, respectively). Descriptive analysis, χ2 test and ANOVA were used to analyse the level of and changes in village clinic doctors' job satisfaction. Results: The mean scores of village clinic doctors' total job satisfaction were 2.664 ± 1.069, 3.121 ± 0.931 and 2.676 ± 1.044 in 2012, 2015 and 2018, respectively, with a significant difference ( F = 28.732, P < 0.001). The mean scores of the medical practice environment and the job itself showed a continuous downward trend. The change trends of the mean scores for job reward, internal work environment and organizational management were consistent with the trend for total job satisfaction. Conclusion: After the implementation of the NHCSR, the job satisfaction of village clinic doctors showed a trend of first rising and then falling. To improve primary health care service capacity, the Chinese government has implemented a series of new reform policies. With their ongoing implementation, village clinic doctors' job satisfaction should be the subject of more systematic and detailed research.

Objective:To explore the current status of village doctors′ vulnerability in Shandong province in the context of ongoing healthcare reform.Methods:A cross-section study was conducted from October 2015 to November 2015 based on a self-designed questionnaire for village doctors. The questionnaire included 6 parts: fundamental state, disturbance from surroundings, disturbance from job, emotional support, instrumental support and self-ability of village doctors. Mean and standard deviation were adopted to describe the level of disturbance and support. Quadrant analysis was adopted to analyze village doctors′ vulnerability. The set pair analysis was adopted to calculate the vulnerability index and sample cluster analysis was adopted to classify village doctors based on the vulnerability index.Results:The total disturbance score was 3.39±0.46, and contribution from professional risk was the biggest(19.95%). The self-ability score was 3.33±0.40, and contribution from financial support was the smallest(4.09%). According to the set pair analysis, village doctors′ vulnerability total score was 0.49±0.06, ranging in a medium category. According to the sample cluster analysis, 27.2%(277/1 018)of the village doctors stayed at the upper category, as 30.3%(309/1 018) was defined as a medium category. According to the quadrant analysis, 35.5%(361/1 018)of the village doctors were found as in crisis vulnerability.Conclusions:In general, village doctors′ vulnerability stays in the medium category. They have to fight against high disturbance from surroundings, with more emotional support and less financial support expected.

<span id="ChDivSummary" name="ChDivSummary" class="abstract-text">目的:了解潍坊市老年人患病情况和慢性病健康素养现状,分析影响该地老年人慢性病健康素养影响因素。方法:采用调查问卷形式对潍坊地区老年人面访调查,对数据进行描述性分析、Pearson相关性分析、χ2检验和二元Logistic回归分析。结果:潍坊市老年人慢性病患病率为61.4%;慢性病健康素养具备率为40.26%,经济支持意愿具备率最高（72.28%）,信息获取能力具备率最低（40.59%）;不同户口、文化程度、自认为健康状况、居住情况、职业的老年人慢性病健康素养存在统计学意义。结论:潍坊市老年人慢性病患病率较高,慢性病健康素养较低,信息获取能力较差。文化水平低且独居的老年人为提升该地慢性病健康素养的重点人群。</span>

Objective:To investigate the cognition and willingness of nursing staff to Internet plus nursing service, and analyze the related factors that affect their participation in Internet plus nursing service.Methods:From April to May 2019, 150 nurses from three hospitals in Weifang were investigated by questionnaire and key person interview. Descriptive analysis and binary logistic regression analysis were used to analyze the intention of nursing staff to participate in Internet plus nursing service. The interview mode was used to analyze the appropriate mode of Internet plus nursing service from the perspective of nursing staff.Results:142 valid questionnaires were obtained, of which 137(96.5%)indicated willingness to provide Internet plus nursing services, and 135(95.1%) realized the necessity of the service. Education, marriage, nurses′judgment on the necessity of the service and their own subjective judgment of their competence were the factors affecting nurses′ participation in the Internet plus nursing service.Conclusions:Multiple factors affect the choice of nursing staff′s behavior in Internet plus nursing service.From the perspective of nursing staff, the Internet plus nursing service mode needs joint efforts from many aspects.

<span id="ChDivSummary" name="ChDivSummary" class="abstract-text">目的:分析评价家庭医生签约服务在政策执行过程中的障碍因素,为推进我国家庭医生签约服务政策的有效运行提供理论依据与决策参考。方法:运用文献分析、卫生统计年鉴、个人深入访谈等方式收集资料,基于霍恩—米特模型分析框架,探讨家庭医生签约服务政策执行中的障碍因素。结果:政策执行障碍因素包括政策标准制定较宽泛、目标可行性较低、政策资源不足（人才资源缺口大、财政资源投入与信息化技术应用不足、权威资源配套机制不健全）、执行方式单一、执行者之间、执行者与目标群体之间缺乏沟通与协调、执行机构间权责分工不明、执行人员的价值取向特性及系统环境复杂多变等问题,一定程度上偏离政策预期效果,使家庭医生签约服务的开展陷入困境。结论:家庭医生签约政策执行中涉及到的霍恩—米特模型的六个变量交互影响,各部门主体应在执行过程中处理好变量间的关系,及时修正、完善存在的问题,保证签约服务政策的长效实施与有序推进。</span>

Objective:To define the connotation of village doctors′ vulnerability.Methods:On the basis of document analysis, Delphic method was used to consult and argument the connotation of village doctors′ vulnerability from October 2015 to November 2015.Results:Twenty and 16 specialists were consulted in two rounds of the consulting. According to these consultations, the acceptance rate of the specialists for the seven consulting units increased from 74.29% to 93.16%.Conclusions:The vulnerability of village doctors was identified, as a status in which their self-ability and support against their exterior environment could not to cope with the disturbances they faced, while the vulnerability was co-determined by disturbance and response ability of village doctors.

Objective:To explore the formation mechanism of the weakening of village clinic′s medical service capacity in the context of new medical reform.Methods:Purposive sampling method was used to enroll 38 rural doctors and managers of rural health centers and health offices in the interview from October 2015 to November 2015. And grounded theory was adopted to analyze reasons and their mechanism of the weakening of village clinic′ s medical service capacity.Results:29 first-grade categories and 7 second-grade categories were worked out in text encoding. With the implementation of the ongoing healthcare reform, support from financial, policy and technology increased significantly, but due to the synthetic action of unexpected negative effects of the reform, superposition and accumulation of disturbance and ineffective support, village clinic′ s medical service capacity began to weaken.Conclusions:The weakened village clinic′ s medical service capacity is a result of the synthetic action of 3 reasons. The persistence of this status will intensify the vulnerability of rural health service system and be bad for the implementation of hierarchical medical policy and the strategy of rural vitalization. Measures should be taken to optimization the essential medicine system, establish a comprehensive assessment mechanism for basic medical service and basic public health service of village clinic, strength the strategic purchasing of medical insurance, improve the financial compensation mechanism, and complete training system of village doctors, aims to promoting sustainable development of village clinic.