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
10.3969/j.issn.1674-2982.2017.04.011
- VernacularTitle:农村医疗卫生政策落实的困境、原因与对策——以F县新农合政策和基本公共卫生政策为例
- Author:
Meng TIAN
- Keywords:
Rural areas;
Health policy;
Policy implementation;
Township health center
- From:
Chinese Journal of Health Policy
2017;10(4):65-70
- CountryChina
- Language:Chinese
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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.
