乡村卫生组织在地化的调适——从定县实验到华西卫生实验  

The Adaptation of Rural Health Organizations to Local Conditions:From Dingxian Experiment to Huaxi Health Experiment

作　　者：葛珊 宣朝庆[1] Ge Shan;Xuan Chaoqing(School of Zhou Enlai Government,Nankai University)

机构地区：[1]南开大学周恩来政府管理学院

出　　处：《开放时代》2023年第2期109-125,M0006,共18页Open Times

摘　　要：乡村基层卫生组织是现代卫生资源向乡村社会下沉的重要载体,建设有效的基层组织也是实现乡村卫生现代化的瓶颈问题。本文以中华平民教育促进会的乡村基层卫生组织建设为研究对象,通过比较定县实验区和华西实验区现代卫生的在地化发展,探究乡村卫生制度、卫生服务、卫生人员等方面的在地化调适过程,发现乡村卫生组织在地化的实现需要在制度化卫生体系的框架中,合理发挥地方民众主体性的作用,实现外部卫生资源与内部组织成员的互嵌。要做到这一点,必须使组织制度与地方社会环境耦合,组织运作与地方社会资源对接,组织动员与地方社会结构互融,舍此之外,现代卫生在乡村的在地化可能很难成功。Rural grass-roots health organizations are an important vehicle of modern health resources in rural society. The construction of effective grass-roots health organizations is also the bottleneck problem that must be solved to realize the modernization of rural health. The object of this paper is to study the rural grass-roots health organizations under Chinese National Association of Mass Education. By comparing the local developments of modern health in the Dingxian Experimental Region and the Huaxi Experimental Region, the authors investigate the adjustment process of rural health system, health service, health personnel, etc. to locality, and find that the localization of rural health organizations needs to be placed within the framework of institutionalized health system while at the same time giving full play to the subjective role of local people to realize integration of external health resources with local members of the organizations. To achieve this, the organizational system must be in congruence with local social environment, organizational operation must be connected with local social resources, and organizational mobilization must be integrated with local social structure. Otherwise, localization of modern health in rural areas may be difficult to succeed.

关 键 词：乡村卫生 定县实验区 华西实验区 在地化 

分 类 号：R197.1[医药卫生—卫生事业管理]