The Difficulties Encountered By The Policy Of "One Village,One Clinic" In The Countryside

On April 6,2009, to develop rural health service system was put forward in "Reforming the medical and health system deeply" by the CPC Central Committee and the State Council, which aimed to improve the rural basic health network including the county hospitals, and township hospitals and the village clinics. In China, the rural clinic has its incomparable superiority and irreplaceability in the medical and health system. As the basic respects, his agency lays at the end of the three-level health net. In addition, the rural clinic is responsible for primary prevention and health care. The agency shoulder the rural health care, prevention, maternal and child health, family planning functions, and is responsible for monitoring infectious diseases and endemic diseases, which is conducive to the majority of farmers get access to basic health care.Combined with the content of the current policy, this paper analyzes the "One Village One Clinic" policy, explain the inner mechanism on the base of Xigou. By describing and analyzing the policy sinking, the policy running, and the policy evaluation, some clues can be discovered:during the practice process of the "One Village One Clinic" policy, the behavior of the policy-related subjects is built on the basis of maximizing their own interests and the difficulties that the policy encounters are the results of many factors. The implementation body’s anomic behavior hinders the process of policy; the policy identity deletion of the target population has an influence on the consequence of the policy’s implementation; the poor communication and feedback channels lead to the implementation deviation. The operation logic of the "One Village, One Clinic" policy and the difficulties as well as the obstacles that the policy encounter also show out the law of the universal and characteristics existing in the practice of public policy process.