寮曠敤鏈枃锛鐢板瓱.鍐滄潙鍖荤枟鍗敓鏀跨瓥钀藉疄鐨勫洶澧冦佸師鍥犱笌瀵圭瓥鈥斺斾互F鍘挎柊鍐滃悎鏀跨瓥鍜屽熀鏈叕鍏卞崼鐢熸斂绛栦负渚媅J].涓浗鍗敓鏀跨瓥鐮旂┒,2017,10(4):65-70  

鍐滄潙鍖荤枟鍗敓鏀跨瓥钀藉疄鐨勫洶澧冦佸師鍥犱笌瀵圭瓥鈥斺斾互F鍘挎柊鍐滃悎鏀跨瓥鍜屽熀鏈叕鍏卞崼鐢熸斂绛栦负渚  
鎶曠鏃堕棿锛2016-11-17  淇鏃ユ湡锛2017-01-15  PDF鍏ㄦ枃娴忚  HTML鍏ㄦ枃娴忚  
鐢板瓱  
鍗庝腑绉戞妧澶у涓浗涔℃潙娌荤悊鐮旂┒涓績 婀栧寳姝︽眽 430074  
鎽樿:鍥藉鐨勫啘鏉戝尰鐤楀崼鐢熸斂绛栧湪鏉戠骇瀛樺湪闅捐惤瀹炵殑鐜拌薄銆備粠鍘跨骇鍗敓琛屾斂涓荤閮ㄩ棬鍜屼埂闀囧崼鐢熼櫌鐨勮搴︽潵鐪嬶紝鏄敱浜庢潙鍖荤兢浣撴櫘閬嶇己涔忓鎺ュ浗瀹跺悇椤瑰啘鏉戝尰鐤楀崼鐢熸斂绛栫殑鍩烘湰鏉′欢鍜屽熀纭鑳藉姏鎵鑷淬備絾浠庢潙鍖荤殑瑙掑害鏉ョ湅锛屽垯鏄洜涓轰埂闀囧崼鐢熼櫌鍦ㄤ汉璐㈢墿鍖箯鐨勫按灏澧冧笅锛屽悜娌℃湁浣撳埗韬唤鐨勬潙鍗敓瀹ゅ拰鏉戝尰杞珌鍗辨満鍜岄闄╂墍鑷淬傚疄闄呬笂锛屽尰鐤楀崼鐢熸斂绛栭毦浠ュ湪鏉戠骇钀藉湴锛屼富瑕佸師鍥犲湪浜庝埂鏉戜袱绾у尰鐤楀崼鐢熸満鏋勪箣闂寸殑鍏崇郴娌℃湁琚悊椤猴紝鍏蜂綋琛ㄧ幇涓烘潙鍗敓瀹ょ浉瀵逛簬涔￠晣鍗敓闄㈢殑寮卞娍鍦颁綅銆傜悊椤轰埂鏉戜袱绾у尰鐤楀崼鐢熸満鏋勫叧绯荤殑鍏抽敭鍦ㄤ簬鍔犲己鏉戝崼鐢熷鐨勮兘鍔涘缓璁俱傝浠庡姞寮烘潙鍖讳汉鎵嶅缓璁炬柟闈㈢牬棰橈紝鍚屾椂瑕佺牬闄ら拡瀵规潙鍖荤殑鏌愪簺鎬濈淮鍜屾斂绛栨柟闈㈢殑璁よ瘑璇尯锛屽姞寮哄鍩哄眰涓荤閮ㄩ棬鐨勯棶璐ｏ紝鎵撻氫埂鏉戜袱绾у尰鐤楀崼鐢熸満鏋勪箣闂寸殑鍏宠仈銆  
鍏抽敭璇:鍐滄潙鍦板尯  鍗敓鏀跨瓥  鏀跨瓥鎵ц  涔￠晣鍗敓闄  
鍩洪噾椤圭洰:鏁欒偛閮ㄥ摬瀛︾ぞ浼氱瀛︾爺绌堕噸澶ц棰樻敾鍏抽」鐩紙14JZD030锛  

Why some rural health policies are difficult to be implemented in F counties: A case study of New Rural Cooperative Medical System and the Basic Public Health Policy  
TIAN Meng  
Research Center of China Rural Governance of Huazhong University of Science and Technology, Wuhan Hubei 430074, China  
Abstract:Rural health policies are difficult to be implemented at the village level in China. From the perspective of health administrative departments and township health centers, this is due to the lack of the basic conditions of rural health policy and the basic ability of the rural health policy. But from the point of view of village doctors, this is because of the lack of personnel, funding and other embarrassing situations, especially due to crisis and risks are taken to the village clinics and village doctors by the township health centers. In fact, the main reason why the health policy is difficult to land at the village level is that the relationship between the township health centers and village clinics have not been rationalized, as can be specifically seen in weak position of village clinics compared with township health centers. The key to rationalize the relationship between the township health centers and village clinics is to strengthen the development capacity of village doctors, at the same time to get rid of the misunderstanding for village doctors in some of the thinking and policy and strengthen the accountability of primary authorities, and finally open up the relationship between the township health centers and village clinics.  
Key words:Rural areas  Health policy  Policy implementation  Township health center  
鎽樿鐐瑰嚮娆℃暟: 963    鍏ㄦ枃涓嬭浇娆℃暟: 5  


 
 
 
 
   

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