摘要
家庭联产承包责任制实行之后,农村的治理模式由人民公社时期的"政社合一"变为"乡政村治",乡镇政府成为农村最基层的政权,村委会成为群众性自治组织。农村治理模式的改变对村卫生室的发展状况造成了影响,在乡镇一级,乡镇政府的职能缺位、责权不对等使得其对村卫生室缺乏投入与管理,在村一级,村级的集体经济实力衰退使得村卫生室失去经济基础,村干部以经济发展为中心使其对村卫生室不够重视,村民利益半径缩小使其对村中公共事务关注度不高,村卫生室的个体举办性质使得村医服务热情下降,这些因素都对村卫生室的发展造成了一定影响。农村治理模式的改变,使得许多政策文件无法落到实处,因此,在出台政策时应该深入了解农村的实际情况。
After the implementation of the household contract responsibility system, governance model in rural areas has changed from people＇s commune, which is characterized by political and social unity, the township government turned to be village administration mode, in which township government is the lowest level basic government in government system and village committee is the mass selforganization. Changes in rural governance model has influences on the development of village clinics. At the township level, township government is not responsible for managing local village clinics because the absence functions of township government and the unequivalence of responsibilities and rights. At the village level, factors, including the recession of village collective economic, village cadres＇ economy-centered thinking, villagers＇ low degree of concern about public affairs and village doctors＇ diminished service enthusiasm, affect the development of village clinics. The changes in rural governance model makes it difficult to implement policies and regulations, so it is necessary to have an understanding of the actual situation in rural areas.
出处
《中国初级卫生保健》
2013年第11期25-27,共3页
Chinese Primary Health Care
基金
北京市哲学社会科学规划重大项目(11 ZDA 05)
北京市属高等学校教学创新人才--教学名师项目(PHR 201106207)
2012年卫生管理与教育学院研究生自主探索研究项目(wgx 201206)
关键词
乡政村治
村卫生室
发展状况
影响
School of Health Management and Education, Capital Medical University, Beijing, 100069
