CAJ | 학술논문

“乡政村治”体制改变了乡村医生的收入模式,淡化了农村卫生室先前保有的公益性,降低了乡村医生的职业吸引力,软化了相关主体对乡村医生的严格考核,影响了乡村医生对执业地点的选择,这使得乡村医生后备人员补充乏力,提高医疗卫生技术的积极性明显不足,提供医疗卫生服务的内容出现不同程度上的限缩,分布呈现重叠、偏移与空白等诸多不正常样态,这均影响到农村居民获取基本医疗卫生服务的公平性和可及性,影响到农村和谐医患关系的构建.
“향정촌치”체제개변료향촌의생적수입모식,담화료농촌위생실선전보유적공익성,강저료향촌의생적직업흡인력,연화료상관주체대향촌의생적엄격고핵,영향료향촌의생대집업지점적선택,저사득향촌의생후비인원보충핍력,제고의료위생기술적적겁성명현불족,제공의료위생복무적내용출현불동정도상적한축,분포정현중첩、편이여공백등제다불정상양태,저균영향도농촌거민획취기본의료위생복무적공평성화가급성,영향도농촌화해의환관계적구건.
This practice of villagers' autonomy in township governance has transformed the income model of rural doctors,desalinated the nature of public welfare of village clinics,weakened the occupational attractions of rural doctors,softened the once strict assessment on rural doctors previously conducted by health authorities,and affected the selection of rural doctors in their place of practice.These setbacks discourage professionals in becoming rural doctors,and discourage their incentive to be competent.Outcomes of such a practice include shrinkage medical and health services provided in different degrees,poor distribution of rural doctors in overlapping,shifts or blank,all these affecting the equity and accessibility of the rural residents' access to basic medical and health services,and the construction of rural harmonious doctor-patient relationship.