Theory and Practice of Policy Change: Current Situation and Countermeasures of Village-level Health Human Resource Distribution in Field Research in H District of Beijing
10.12026/j.issn.1001-8565.2023.05.15
- VernacularTitle:政策变迁理论与实践视角下村级卫生人力资源配置现状及对策研究——以北京市H区为研究现场
- Author:
Yi DONG
1
;
Chen WANG
2
;
Wenjun CAO
3
Author Information
1. Office of Youth League Committee, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100070, China
2. Department of General Medicine, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100070, China
3. Capital Medical University, Beijing 100069, China
- Publication Type:Journal Article
- Keywords:
Policy Changes;
Policy Environment;
Allocation of Health Human Resources
- From:
Chinese Medical Ethics
2023;36(5):561-567
- CountryChina
- Language:Chinese
-
Abstract:
【Objective:】 To explore the current situation and problems of village-level health human resource allocation based on the theory of policy change, and to help rural revitalization and healthy rural construction from the perspective of "consolidating the basic level foundation as fundamental policy". 【Methods:】 a) Information census method. A round-the-box survey on the distribution of health human resources at village-level in 14 rural towns and villages in H district was conducted. b) In-depth interview method. Based on the principle of information saturation, three township and villages clinics and community stations were selected for field observation, and in-depth personal interviews were conducted with key insiders. 【Results:】 The health policy environment changed significantly with the spatiotemporal changes. "Hollow village" and "inverted village" coexisted. The change of registered population and permanent resident population accelerated, old village doctors and new village doctors continued on the same hand, village clinics and community station were in "double track" of management progress. With the change of internal and external environment of the above-mentioned policies, the allocation of health human resources at village level needs to be studied urgently. 【Discussion:】 Under the dual function of external and internal environment, the policy change is inevitable. The health human resource distribution at village-level should be integrated with the system in terms of policy. The career development mechanism is connected up and down. Team construction revolves around suitable and applicable for batch training.
