Township and Village Health Services Integration Management(TVHSIM) is an essential form of China's two-tiered health service integration plan at the township and village level. Its main purpose, also one of the ta...Township and Village Health Services Integration Management(TVHSIM) is an essential form of China's two-tiered health service integration plan at the township and village level. Its main purpose, also one of the target goals in China's new healthcare reform, is to gradually integrate rural health services and appropriately allocate rural health resources. This study aims to assess the village doctors' satisfaction with the TVHSIM and provide scientific base to further improve TVHSIM. A cross-sectional study was carried out in which 162 village doctors from Qinghai, Inner Mongolia and Xinjiang in western China were interviewed. Descriptive analysis, independent t-test, one-way ANOVA, Spearman rank correlation and multiple linear regression were used to analyze the difference and relevance between village doctors' personal characteristics and their satisfaction with TVHSIM and six subscales. Village doctors with different years of practice, social insurance status and essential medical knowledge level showed statistically significant differences in their satisfaction levels(all P〈0.05). Age(P〈0.05) and years of practice(P〈0.01) were negatively correlated with Drug and Medical Device Management and Financing Management. Essential medical knowledge level(P〈0.05) was negatively correlated with Operations Management as well. However, social insurance status(P〈0.05) was positively correlated with Human Resources Management and Drug and Medical Device management. Gender, age and years of practice respectively had significant influence on village doctors' satisfaction with TVHSIM(P〈0.01). In conclusion, in order to further promote TVHSIM policy in rural China, a well-rounded social insurance model for village doctors is urgently needed. In addition, the development of TVHSIM is regionally imbalanced. Efficient and effective measures aiming at rationalizing gender and age structure and enhancing essential medical training should be carefully considered.展开更多
To date, few observations have been made about the performance improvement that resulted from the property right transformation of the collective-owned township and village enterprises (TVE) in the middle of 1990s. ...To date, few observations have been made about the performance improvement that resulted from the property right transformation of the collective-owned township and village enterprises (TVE) in the middle of 1990s. Using data collected from a questionnaire survey on the privatized TVE and their employees, the present paper provides some empirical evidence about this topic, and the analysis' suggests that property right transformation has had a positive impact on sample enterprises 'performance, including business improvement, employment expansion, incremental investment and contributions to government revenues'. The present study concludes that, from a transient viewpoint, the property right transformation has not distorted local governments' intentions to establish TVE in earlier years.展开更多
Under the support of National Natural Science Foundation of China including international cooperative research project, key project and other project, professor Chen Xikang from Academy of Mathematics and Systems Scie...Under the support of National Natural Science Foundation of China including international cooperative research project, key project and other project, professor Chen Xikang from Academy of Mathematics and Systems Science under the Chinese Academy of Sciences, together with his colleagues, put forward in-put-occupancy-output technique and then used it in national grain output prediction approach. The main achievements are as follows:展开更多
基金supported by the National Natural Science Foundation of China(No.71273097)
文摘Township and Village Health Services Integration Management(TVHSIM) is an essential form of China's two-tiered health service integration plan at the township and village level. Its main purpose, also one of the target goals in China's new healthcare reform, is to gradually integrate rural health services and appropriately allocate rural health resources. This study aims to assess the village doctors' satisfaction with the TVHSIM and provide scientific base to further improve TVHSIM. A cross-sectional study was carried out in which 162 village doctors from Qinghai, Inner Mongolia and Xinjiang in western China were interviewed. Descriptive analysis, independent t-test, one-way ANOVA, Spearman rank correlation and multiple linear regression were used to analyze the difference and relevance between village doctors' personal characteristics and their satisfaction with TVHSIM and six subscales. Village doctors with different years of practice, social insurance status and essential medical knowledge level showed statistically significant differences in their satisfaction levels(all P〈0.05). Age(P〈0.05) and years of practice(P〈0.01) were negatively correlated with Drug and Medical Device Management and Financing Management. Essential medical knowledge level(P〈0.05) was negatively correlated with Operations Management as well. However, social insurance status(P〈0.05) was positively correlated with Human Resources Management and Drug and Medical Device management. Gender, age and years of practice respectively had significant influence on village doctors' satisfaction with TVHSIM(P〈0.01). In conclusion, in order to further promote TVHSIM policy in rural China, a well-rounded social insurance model for village doctors is urgently needed. In addition, the development of TVHSIM is regionally imbalanced. Efficient and effective measures aiming at rationalizing gender and age structure and enhancing essential medical training should be carefully considered.
文摘To date, few observations have been made about the performance improvement that resulted from the property right transformation of the collective-owned township and village enterprises (TVE) in the middle of 1990s. Using data collected from a questionnaire survey on the privatized TVE and their employees, the present paper provides some empirical evidence about this topic, and the analysis' suggests that property right transformation has had a positive impact on sample enterprises 'performance, including business improvement, employment expansion, incremental investment and contributions to government revenues'. The present study concludes that, from a transient viewpoint, the property right transformation has not distorted local governments' intentions to establish TVE in earlier years.
文摘Under the support of National Natural Science Foundation of China including international cooperative research project, key project and other project, professor Chen Xikang from Academy of Mathematics and Systems Science under the Chinese Academy of Sciences, together with his colleagues, put forward in-put-occupancy-output technique and then used it in national grain output prediction approach. The main achievements are as follows: