ABSTRACT
【Objective:】 To explore the current situation and problems of village-level health human resource allocation based on the theory of policy change, and to help rural revitalization and healthy rural construction from the perspective of "consolidating the basic level foundation as fundamental policy". 【Methods:】 a) Information census method. A round-the-box survey on the distribution of health human resources at village-level in 14 rural towns and villages in H district was conducted. b) In-depth interview method. Based on the principle of information saturation, three township and villages clinics and community stations were selected for field observation, and in-depth personal interviews were conducted with key insiders. 【Results:】 The health policy environment changed significantly with the spatiotemporal changes. "Hollow village" and "inverted village" coexisted. The change of registered population and permanent resident population accelerated, old village doctors and new village doctors continued on the same hand, village clinics and community station were in "double track" of management progress. With the change of internal and external environment of the above-mentioned policies, the allocation of health human resources at village level needs to be studied urgently. 【Discussion:】 Under the dual function of external and internal environment, the policy change is inevitable. The health human resource distribution at village-level should be integrated with the system in terms of policy. The career development mechanism is connected up and down. Team construction revolves around suitable and applicable for batch training.
ABSTRACT
Objective Summarize main problems identified in the budget execution of medical research projects,analyze main causes for proposing improvement countermeasures in daily practice.Methods Based on the auditing work of scientific research expenditure,administrative policies,as well as existed studies,this study conducted analysis and discussions from the perspective of research administrators.Results In this study,budget execution problems are classified into four categories.During recent years,updates and changes in the policy of research funding played important role in solving or relieving some problems in budget execution.However,some factors related to the problems still existed,thus,we put forward some suggestions on the management of scientific research funds from four aspects:multi-department collaboration,promoting the construction of scientific research funds management platform,budget execution training and implementing the financial assistant system.Conclusions The management of scientific research funds is a cooperative activity involving the administrative department of research projects,undertaking units,research groups etc.The unit which undertakes scientific research should coordinate many other departments to strengthen the supervision and management,improve the efficiency of the use of scientific research funds.