乡村医疗卫生服务共生视角下的云南省Y县M镇“中心村卫生室”模式探讨

Study on the Model of"Central Village Clinic"in M Town,Y County,Yunnan Province from the Perspective of Rural Medical and Health Service Symbiosis

随着城镇化和乡村振兴的深入推进,我国乡村医疗卫生体系建设从注重机构全覆盖逐渐转向更加注重服务全覆盖,力求适应乡村特点、优质高效。云南省Y县M镇通过合理选点三方共建、人员派驻和居民需求衔接,有效构建“中心村卫生室”。基于乡村医疗卫生服务共生视角,从共生单元目标一致性、共生关系的互利互惠、共生环境的活跃性分析“中心村卫生室”模式共生逻辑,并对其长效发展的管理机制提出建议。

With the deepening of urbanization and rural revitalization,China's rural medical and health system has gradually shifted from focusing on full coverage of institutions to paying more attention to full coverage of services,striving to adapt to the characteristics of the countryside and to be of high quality and efficiency.The town of M in Y county,Yunnan province,has successfully implemented the"central village clinic"model by means of strategic site selection,collaborative efforts among three parties,and the integration of staffing and community health demands.Adopting a symbiotic perspective on rural healthcare services,this study examines the symbiotic logic underpinning the"central village clinic"model,considering the alignment of objectives among symbiotic units,the mutual benefits and reciprocity within symbiotic relationships,and the vitality of the symbiotic environment.Furthermore,this study offers recommendations for a sustainable management mechanism to support the long-term development of this model.