What is New in the "New Rural Co-operative Medical System"? An Assessment in One Kazak County of the Xinjiang Uyghur Autonomous Region.
What is New in the "New Rural Co-operative Medical System"? An Assessment in One Kazak County of the Xinjiang Uyghur Autonomous Region.
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DOI：
10.1017/s0305741009991068
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发表时间：
2010-03-16
期刊：
影响因子：
2.5
通讯作者：
Weigelin-Schwiedrzik, Susanne
中科院分区：
文献类型：
--
作者：
Klotzbuecher, Sascha;Laessig, Peter;Qin Jiangmei;Weigelin-Schwiedrzik, Susanne
2002年，中国领导层宣布了国家福利政策的变化：到2010年，县级自愿医疗计划，即“新型农村合作医疗制度”，应覆盖所有县。本文论述了这一制度的主要特点，并根据我们自2006年以来在新疆维吾尔自治区哈萨克族某县进行的实地考察，对地方方案的引入进行了分析，认为地方方案的快速进展以及地方管理者在考虑结构和程序调整方面表现出的灵活性，不是中央指令的结果，而是地方主动行动的结果。从乡镇政府向省级和中央国家机关职能部门的重新集权只是当前乡村治理的一个方面。对卫生保健接受者的需求作出当地嵌入的反应的补充形式，对于调整卫生保健的管理和出院至关重要。这些新的治理模式不同于对当地人民利益的等级控制和制度化代表。
In 2002, the Chinese leadership announced a change in national welfare policy: Voluntary medical schemes at county level, called the “New Rural Co-operative Medical System” should cover all counties by 2010. This article addresses the main characteristics of this system, analyses the introduction of local schemes based on our own field studies in one Kazak county of the Xinjiang Uyghur Autonomous Region since 2006, and argues that the fast progressing of the local scheme and the flexibility shown by local administrators in considering structural and procedural adjustments are not the result of central directives but of local initiatives. Recentralization from the township governments to functional departments in the provincial and the central state administration is only one aspect of current rural governance. Complementary forms of locally embedded responsiveness to the needs of health care recipients are crucial in restructuring the administration and discharge of health care. These new modes of governance are different from the hierarchical control and institutionalized representation of interests of the local population.