Research on the disembedding dilemma of rural doctors and the re-embedding mechanism under the framework of the merged county medical alliance
10.3969/j.issn.1674-2982.2024.12.002
- VernacularTitle:乡村医生的脱嵌困境与紧密型医共体框架下的再嵌入机制研究
- Author:
Zhao-han CUI
1
;
Ye WANG
;
Hong-juan SHEN
;
Ya-jie MA
;
Ji-xian WU
;
Rui-hong ZHANG
;
Hui-tao WANG
Author Information
1. 南京医科大学医政学院 江苏南京 211166;南京医科大学数智技术与健康治理实验室 江苏南京 211166
- Publication Type:Journal Article
- Keywords:
Rural doctors;
Merged county medical alliance ( MCMA);
Disembedding;
Re-embedding
- From:
Chinese Journal of Health Policy
2024;17(12):7-13
- CountryChina
- Language:Chinese
-
Abstract:
Against the backdrop of the comprehensive advancement of the Healthy China Strategy and the Rural Revitalization Strategy,the stability and healthy development of the rural medical workforce have become increasingly significant.China's rural doctors are facing the dilemma of"disembedding"and the construction of the merged county medical alliance ( MCMA ) offers an opportunity to address this issue.Based on the theory of embeddedness,this paper deconstructs the structural disembedding,relational disembedding,and cognitive disembedding faced by rural doctors,and provides a theoretical analysis of the mechanisms through which MCMA can solve the disembedding dilemma of rural doctors.Furthermore,the case of Tang County Hospital Group is used to illustrate this.The conclusion can be drawn that MCMA can achieve the structural re-embedding,relational re-embedding,and cognitive re-embedding of rural doctors through organizational integration mechanisms,interest coordination mechanisms,and multifaceted activation mechanisms.The combination of administrative and economic means under organizational integration is the foundation for promoting the re-embedding of rural doctors.The re-embedding of rural doctors requires the synergy of internal and external changes within the MCMA.Multifaceted activation mechanisms are the endogenous driving force for the re-embedding of rural doctors.There is a progressive and coupled relationship between the structural,relational,and cognitive re-embedding of rural doctors.
