Rural Society, Adverse Selection and Sustainability of Country Doctors to Practice Medicine Intensively at Village ClinicsReportar como inadecuado




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Village clinic in rural areas can serve as a -gatekeeper- role to play an important foundation; it is now undergoing reconstruction after three stages of the establishment, development and decline. In order to improve medical hardware facilities and facilitate the carrying out of new rural cooperative medical service, policy of village clinic integration is being or to be pursued all over the country, that is to gather the country doctors practicing medicine in villages and establish village clinics; however, according to investigation, the integrated village clinics in underdeveloped regions face with three major problems: Low current government subvention, competition with illegal private clinics i.e. the clinics run by the original country doctors who do not work in the village clinics and the equalitarianism of the internal income distribution; all these problems may lead to the adverse selection of many country doctors who have different calibers, and the high-caliber doctors may quit. Which will make the policy of -one village, one Village clinic integration- be failure. In this paper, take competitive factors, the local community trust, adverse selection model to of the phenomenon according to the investigation into a theoretical explanation, and that the Government should give up the -one village one- model, shifted from number control to the standard control.

KEYWORDS

Rural Society; Adverse selection; Village clinic integration; Village clinic

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Autor: Kai Hu, Xiaoqing Gan

Fuente: http://www.scirp.org/



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