Study of government responsibility on village clinics construction
10.3760/cma.j.cn111325-20221009-00848
- VernacularTitle:村卫生室建设中的政府责任研究
- Author:
Yi DONG
1
;
Chen WANG
;
Wenjun CAO
Author Information
1. 首都医科大学附属北京天坛医院团委办公室，北京 100070
- Keywords:
Village clinic construction;
Government responsibility;
Policy circumstances;
Institutional transformation;
Upper and lower connection
- From:
Chinese Journal of Hospital Administration
2023;39(3):230-233
- CountryChina
- Language:Chinese
-
Abstract:
As the " bottom" of the rural three-level medical and health network, the village clinic is the closest medical and health institution to the villagers. Through field research on H District of Beijing, the author found that the government implemented the management responsibility of village clinics by issuing health policies to carry out the standardization construction, strengthened the practice management of village doctors, and stabilized the income source of rural doctors, so that village doctors could better assume the functions of village level public health and prevention and treatment of common diseases. However, the unclear ownership relationship of village clinics and the labor relationship of village doctors, the differences in hardware configuration and the convergence of post responsibilities under different management systems affected the government′s implementation of the management responsibility of village clinics. Therefore, it could be necessary to pay attention to the change of policy environment, timely reform and mechanism integration of village clinics, and establish a career development mechanism connecting counties and villages. The bottleneck in the construction of village clinics will be broken, and the goal of " quality medical and health services nearby" for rural residents will be realized.
