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The Political and Social Sustainability of China’s Rural Health Service Provision

Author: HeJingWei
Tutor: ChenZhenMing
School: Xiamen University
Course: Administration
Keywords: Yushe County Empirical research Sustainability CMS Supply of public services
CLC: R197.1
Type: Master's thesis
Year: 2007
Downloads: 168
Quote: 0
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Abstract


Domestic supply of public services most of the studies launched from a technical level, concern is whether the public service delivery mechanisms to achieve the efficient promotion and customer satisfaction, but it is sustainable, but little research. In a sense, the core public services not only provide high quality and efficient products and services, the more it is the sustainability of the existing institutional framework to deliver these products and services, in the past a lot of public service delivery mechanisms First, the failure of the system may be attributed to its original purpose in question, but in their mechanism is not sustainable. Therefore, the transition of China's supply of public services, its sustainability issues should be given adequate attention. First, the supply of the sustainability of the public service to make a defined scope of the study is then positioned in China's medical and health policy, and the new rural cooperative medical example empirical research. Identify the impact of the NCMS sustainability four main factors, namely economic factors, political factors, social factors and technical factors, and the empirical studies focus on political factors and social factors on . In order to obtain empirical data, the authors in mid-March 2007 in Shanxi Yushe County conducted a field survey, the use of questionnaires, unstructured interviews, literature research, etc., to obtain first-hand data, the text of the main part of the analysis that In this part of the data base expanded. ? The political factors, the authors mainly analyzed Mobilization policy model, macroeconomic policy environment, the county government's political will and governance structure for the new rural cooperative medical sustainable impact; social factors, the authors analyzed the social capital, farmers' trust and recognition of the new rural cooperative medical degree affect the sustainability of the new rural cooperative medical care on an important role. After a normative and empirical analysis, the authors believe that the new rural cooperative gained enormous political support central government macroeconomic policy environment is more favorable for its politically sustainable create the conditions. However, the new rural cooperative sustainable and not just depend on whether these aspects. County government's political will can be strengthened governance structure can be optimized to promote social capital could increase the value of cooperative medical care can regain the trust of farmers, farmers' awareness of the cooperative medical care can steadily improve, These are the effects NCMS in the political and social aspects of sustainability an important factor. Finally, the author puts forward a number of policy recommendations, including efforts to coordinate intergovernmental relations, strengthen the county government's political will; optimize cooperative medical governance structure, enrich supervision counterweight; attention to the important role of social capital in efforts to preserve it appreciation; change their work style, rebuild trust in farmers 'cooperative medical care; changing mission focused, targeted to increase farmers' awareness of IICA.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Health care system
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