乡村治理转型与村级卫生人力资源配置变迁.pdfVIP

《中国卫生经济》第35卷第2期(总第396期) 2016年2月 口卫生资篝配置 乡村治理转型与村级卫生人力资源配置变迁* 田孟① 摘 要 目的:摞究乡村治理体制与村级卫生人力资源配置之间的关系。方法:历史比较法和文献分析法。结果:新中国 成立以来我国的乡村治理经历了从人民公社体制向乡政村治体制的转型，村级卫生人力资源配置经历了从赤脚医 生到乡村医生的变迁;在这个过程中，乡村治理体制转型深割影晌了村级卫生人力资露配置的变迁-一农村的经济基础 及其组织方式和乡镇藏府所处的财政体制及条块关系制度环境的变迁对村级卫生人力资源配置及其变迁产生了巨大的影响。结 论:村级卫生人力资源配置与乡村治理体稠密切相关，当前村级卫生人力资il配置面临的固填及其解决之道需要引入乡村治理 角。 关键词 村级; 卫生人力资源配置;乡村治理;乡政村治;经济基础;组织模式 中图分类号 R1-9j F207 文献标志码 A 文章编号 1 ∞3-0743(2016)02-0045-06 DOI 10.7创4/CH旦0160214 The Transition of Rural Governance Transition and County-Ievel Healtb Human Resource AllocationfflAN MengllChi. nese Health Economics ,2016,35(2):45-50 Abstract Objedive: To explore the relationship between rural govemance mechanism and village- level health human resource al- location. Meth创s: Historical comparative method and literature research method. Results: Since the establishment of People s Repub- lic of China, the rural govemance of .China experienced the transition from unlicensed d∞tor to rural doctor ; in this process, the transition of rural govemance significantIy influenced the transition of village-Ievel health human resource allocation: rural econom- ic base. organil .ation mode, county-leveJ govemment financial mechanism and the environment transition of sJice relation system had great impact on village.….Ievel health human resource allocation and its transition. Conclusion: village-level health human resource alJo- cation was closely related with rural govemance mechanism. The difficulties and solution of the current village-level health human re- source on health needed to introduce the perspective of rural govemance. Key words village-Ievel; health human resource allocation: rural govemance; contryside politics and village govems economic base; organ