Township Hospitals In The New Rural Cooperative Medical System Survival, Ecology And Control Logic,

At now, rural medical problem is one of the major agenda for China's " social construction", in order to prevent the problem of poverty caused by illness, as well as narrowing the gap between urban and rural health care gradually, demonstrating fairness and justice of society,central government promote to establishing new forms of the Rural Cooperative Medical System(RCMS)Township hospitals areas as primary health care institutions in rural, it is close with peasant in distance, and together with farmers in the same local culture,.Therefore, it is becoming the New RCMS of important participants and carrier.Meanwhile,it's also attach importance "unprecedented" by government.This study is jointly focusing on the situation of township hospitals after implementing the new RCMS, and discussing its' strategy of development.Papers found as follows:(l)The new RCMS rescued the township hospitals in mess. Before implementing the new RCMS, the most of township hospitals is on "semi-stagnation" state, after that, township hospitals taking a subversion change, its equipment and office environment improved well, patient began to gradually return to the hospital, hospital income increased great, medical professionals in terms of income, prestige, status, promotion opportunities are all happened positive changes. (2)The new RCMS is promoted township hospitals achieved integrating resources in external relations.In the "superior" level, it is pickd up relationship with superior government,and its also strengthened relationship with local County Health Department. In the "same " level, it's strengthened cooperation and linkages to county hospitals, "resuscitated" relationship to township government.In the "individual" level, it is improved service quality as impelled by clinics' competition. (3) As "actor" , township hospitals' "act" affect the original intention of the new RCMS partly,and come down on interst for itself.It creates the mode of "be in hospital of procedure" , induct the "flexible hospital " occur. Meanwhile, it is cooperating with peasants finished "accumulation mode" on reimbursement of medical costs. "Procedure"and "Accumulation" mode maked township hospitals "obtain" capital unrightly from the new RCMS. The "flexible hospital " guided peasants choose be in hospital more often, caused the waste of medical resources.