Construction of Rural Grass-roots Water Conservancy Service System in the Context of Institutional Changes

At present,it is urgent to solve problems of reforming and improving grass-roots water conservancy management mode in rural areas and improving rural water conservancy public service ability. Through analyzing institutional changes of grass-roots water conservancy management in rural areas,this paper discussed current situations and outstanding problems in grass-roots water conservancy services in rural areas of Kunming City. On the basis of current situations and problems,it came up with policy recommendations from reform of management institutions,reform of personnel system,construction of human resources,development of rural water use cooperation organizations,and improvement of fund input mechanism,to build rural grass-roots water conservancy service system.

政府购买卫生服务的国内外改革经验评析

国内外实践表明,政府购买卫生服务需要一定的资源、管理和技术条件,而且需要配套改革措施。在我国各地经济社会发展不平衡的情况下,可在条件允许的地方进行"购买服务的试点",但对于市场发育较差的领域和地区,更适合直接提供而不是购买。

基层医疗卫生服务体系改革用户满意度评价研究——以东营市为例

新医改以来,基层医疗卫生体系实行了众多改革措施,基层群众对新医改效果满意度评价是医改成效评价的重要指标。针对基层医疗卫生服务的用户满意度进行研究,构建了基层医疗卫生服务用户满意度评价指标体系,使用模糊综合评价理论,建立用户满意度综合评价模型。以山东省东营市具有基层就医经历的群众为调查对象,通过问卷调查,统计各指标用户满意度数据,通过用户满意度综合评价模型计算东营市基层医疗卫生服务体系用户满意度评价结果。在此基础上分析基层医疗卫生体系改革取得的成果和存在的问题,并针对存在的问题提出相应的对策与建议。