Analysis Of The Implementation Of Rural Medical Staff Construction Policy Of Qiandongnan Prefecture

Rural doctor is an important part of Chinese medical and health team,which is also the important content of construction of "three-level" medical and health service network at the grass-roots level,attend the important task of protect rural residents'health,and play an irreplaceable role.In 2011,the State Council issued The Guidance on Further Strengthening the Construction of Rural Doctors(State Office issued No.31(2011)),aims to improve the service level of rural doctor to provide a safe,effective,convenient and inexpensive basic medical and health service for rural resident.But with the implement of new medical and health system reform,the establishment of rural doctor team faces the new problems and difficulties.The team construction is also the weak link of rural medical and health service system,and it become the critical elements that need to be addressed of the current medical and health service area.Therefore,the State Council issued the Suggestions on Further Strengthening the Construction of Rural Doctors(State Office issued No.55(2015))in 2015.In order to adapt the increasing demand for medical and health services among rural residents,build the bottom of Rural Medical and Health Service Network actually,further strengthen the team construction of rural doctor.Miao-Dong Autonomous Prefecture of Qiandongnan put the team construction policy implement of rural doctor in an important position,strengthen the force of local team construction of rural doctor.In 2016,the Qiandongnan Prefecture issued the Suggestions on Strengthening Comprehensive Training of Medical and Health Personnel at Two Levels in Rural Areas in Qiandongnan Prefecture(Qiandongnan Government issued No.55(2016)),at the same time,it issued the Three-year Action Plan for Upgrading the Capacity of Primary Medical and Health Services in in Qiandongnan Prefecture(2016-2018)to further strengthen the medical and health personnel training of prefecture,improve the professional quality and service ability of rural doctor team actually,to achieve the target goal of "the minor disease does not leave the village,and the common disease does not leave the town,and can recover and returns to the village" of Qiandongnan Prefecture.In the process of policy implement,although we got some policy effectiveness,also exposed a number of problems.The team construction still is the short slab of the development of medical and health services of all the prefecture,which is the main bottleneck influence the medical and health reform and development of all the prefecture,and still has a wide gap with national and provincial averages.This article starts from the public policy perspective,uses the theories related to the implementation of public policy as the analysis frame,basics on the field visit and investigation to analysis the implementation process of rural doctor team construction policy roundly,finds the key problems and find specific ways.It divided into five parts The first part is introduction,means introduce the background and significant of research,literature research and review at home and abroad,the research content and method.The second part is the concept definition and basic theory,means the rural doctor definition and policy implementat.The basic theory is to expound the policy implementation theory,implement model and the related theory of health human resources.The third part is the specific analysis of the implementation of rural medical staff construction policy of Qiandongnan Prefecture.First,comb the policy text of country,provincial and state level,lay the foundations for later exploration of whether the Qiandongnan Prefecture can truly implement the policy content.Secondly,clear up the implement process and method of policy implement institute.Thirdly,basic on the policy implement theory to analysis the implement situation of Qiandongnan Prefecture,including the basic situation of rural doctor team,capacity improvement,working environment situation and so on.Finally,conclude the achievements and disadvantages of rural doctor team construction implement in Qiandongnan Prefecture The fourth part is analysis the prominent problems and reasons in the implementation of policies.The problems mainly including the policy content is not practical enough,the subject of policy implementation lacks initiative,the environment of policy implementation resource is poor.The restraining factor mainly analysis from the level of policy formulation,level of executive subject,level of executive object and level of executive environment.The fifth part is combine the fact of Qiandongnan Prefecture,aims at the exist problems of Qiandongnan Prefecture to propose a effective suggestions.