摘要
随着城镇化和乡村振兴的深入推进,我国乡村医疗卫生体系建设从注重机构全覆盖逐渐转向更加注重服务全覆盖,力求适应乡村特点、优质高效.云南省Y县M镇通过合理选点三方共建、人员派驻和居民需求衔接,有效构建"中心村卫生室".基于乡村医疗卫生服务共生视角,从共生单元目标一致性、共生关系的互利互惠、共生环境的活跃性分析"中心村卫生室"模式共生逻辑,并对其长效发展的管理机制提出建议.
Abstract
With the deepening of urbanization and rural revitalization,China's rural medical and health system has gradually shifted from focusing on full coverage of institutions to paying more attention to full coverage of services,striving to adapt to the characteristics of the countryside and to be of high quality and efficiency.The town of M in Y county,Yunnan province,has suc-cessfully implemented the"central village clinic"model by means of strategic site selection,collaborative efforts among three par-ties,and the integration of staffing and community health demands.Adopting a symbiotic perspective on rural healthcare services,this study examines the symbiotic logic underpinning the"central village clinic"model,considering the alignment of objectives a-mong symbiotic units,the mutual benefits and reciprocity within symbiotic relationships,and the vitality of the symbiotic environ-ment.Furthermore,this study offers recommendations for a sustainable management mechanism to support the long-term develop-ment of this model.
基金项目
教育部人文社会科学基金面上资助项目(21YJA630017)