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村社视角下农村医疗卫生问题研究新进展——读《村社力量与农村基层卫生服务治理模式研究》的思考
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| 投稿时间： 2015-03-20 最后修改时间： 2015-04-25 摘要点击次数: 3628 全文下载次数: 1907 |
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| 引用本文：田孟, 孙敏.村社视角下农村医疗卫生问题研究新进展——读《村社力量与农村基层卫生服务治理模式研究》的思考[J].中国卫生政策研究,2015,8(5):54-61 |
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| 田孟1, 孙敏2 |
1. 华中科技大学中国乡村治理研究中心 湖北武汉 430074;
2. 华中师范大学历史文化学院 湖北武汉 430079 |
| 基金项目:教育部哲学社会科学研究重大课题攻关项目(14JZD030) |
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| | 摘要:当前我国农村医疗卫生服务的核心问题是农村医疗卫生资源如何得到更加有效利用,其本质上是一个治理问题.基于对历史和现实的考察,在既有的“政府—市场”二分框架之外,村社是可供考虑的第三种视角.在村社共同体内部,基于传统的乡土熟人社会资本和基层组织的体制性资源之上建立起来的人们之间的信任、网络与合作能力,将能够增加农民的组织化程度,降低国家卫生资源及市场与分散小农之间的对接成本.村社力量将能更好地发挥政府和市场作用,从而更加有助于解决农村医疗卫生资源的有效利用问题. | |
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关键词:村社 农村卫生 政府 市场 治理
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| Progress on the rural health issues from the village community perspective: A reflection on “Study of village power and rural health service management mode” |
| TIAN Meng1, SUN Min2 |
1. Center for Rural China Governance, Huazhong University of Science & Technology, Wuhan Hubei 430074, China;
2. School of History and Culture, Huazhong Normal University, Wuhan Hubei 430079, China |
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| | Abstract:The core problem of current rural health services is a governance problem, that is, how the basic rural health resources can be used more effectively. Based on the study of history and reality, this paper suggests that in the existing “government-market” framework, the village is the third perspective worthy of consideration. Inside the village community, the trust, network and cooperation between people which were based on the traditional rural acquaintances society capital and the institutional resources in the organizations at the primary level will be able to increase the degree of organization, thereby reducing the transaction costs between the government or the market and rural residents. The village power will be able to better take advantage of government and market mechanisms, and thus solve the problem of rural health resource utilization more effectively. | |
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