Study of government responsibility on village clinics construction / 中华医院管理杂志

As the " bottom" of the rural three-level medical and health network, the village clinic is the closest medical and health institution to the villagers. Through field research on H District of Beijing, the author found that the government implemented the management responsibility of village clinics by issuing health policies to carry out the standardization construction, strengthened the practice management of village doctors, and stabilized the income source of rural doctors, so that village doctors could better assume the functions of village level public health and prevention and treatment of common diseases. However, the unclear ownership relationship of village clinics and the labor relationship of village doctors, the differences in hardware configuration and the convergence of post responsibilities under different management systems affected the government′s implementation of the management responsibility of village clinics. Therefore, it could be necessary to pay attention to the change of policy environment, timely reform and mechanism integration of village clinics, and establish a career development mechanism connecting counties and villages. The bottleneck in the construction of village clinics will be broken, and the goal of " quality medical and health services nearby" for rural residents will be realized.

Del Manicomio a la Comunidad: el proceso de reforma de la Colonia Nacional "Dr. Manuel A. Montes de Oca" / From the asylums to the community: the reform process of National Colony Dr. Manuel A. Montes de Oca

Desde el año 2004 se desarrolla en la Colonia Nacional "Dr. Manuel A. Montes de Oca" una profunda transformación del modelo de atención asilar caracterizado por la masificación, la inexistencia de altas y la ausencia de programas de rehabilitación y reinserción social. Durante este periodo se ha implementado un plan que contempla diversos programas y proyectos orientados a la restitución de los derechos de las personas con discapacidad mental institucionalizadas y a la promoción de oportunidades para la inclusión social.

Since 2004, a profound transformation of the asylum care model, characterized by overcrowding, lack of discharge and absence of rehabilitation programs, and social reinsertion, has been developed at National Colony "Dr. Manuel A. Montes de Oca". During this period, a plan that contemplates several programs and projects aimed at restoring the rights of institutionalized people with mental disabilities and promoting opportunities for social inclusion has been implemented.