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Village doctor as street-level bureaucrat and the impact on health care services in rural ChinaZhao, Nan, 趙楠 January 2014 (has links)
The changes in the health care system have been remarkable over the past decades, along with the rapid economic development of China. The overall living standard of rural residents has generally improved; however, health expenses still make up a large part of their annual expenditure. During the new reform period, the importance of the village doctor has been emphasized by many scholars, and yet there are few studies conducted from the perspective of interactions between health administration, village doctor and rural resident to discover the invisible factors that influence the delivery of the health care service. Thus, this study aims to explore the street-level bureaucracy within the rural health care sector and its impact on rural residents.
Guided by the Street-level Bureaucracy Theory and its application in public agency research, this study explores street-level bureaucracy in the grassroots health care sector in terms of health care regulation and provision before and after the recent series of health care reforms, and evaluates its impact on rural residents by analyzing health equity in terms of health care access, and the actual working and living conditions of the village doctor were identified. Apart from the official statistical data from document analysis and internet resources, the voices and advice of village doctors and rural residents in Jiangsu Province were also obtained from in-depth interviews, which provided the qualitative information for this study.
There are four findings. First, as a typical street-level bureaucrat in the grassroots sector, the working condition of the village doctor has become more stable and their discretionary control has been enhanced greatly after the reforms, due to the implementation of specific rules and regulations and the changes in payment methods; Second, despite the fact that many regulations have been put into effect, compared to the supervision of the health administration, the payment method plays a significant role in the promotion of service equity; Third, village doctors regard their social reputation as important as their income, for they live in a small community network. Although the role of village doctor has been emphasized in the new reform, improvements in health equity are still not obvious and have had limited effect; Fourth, the function of the village doctor is not fully utilized, even though the coverage of current health insurance in rural areas has been tremendously expanded in the past decade.
Accordingly, policy implications regarding the understanding of the work and social environment of village doctors in rural areas, especially on the future exploration of their function related to further reforms, are identified in the final chapter. Additionally, the theoretical and practical significances of this study have also been presented. / published_or_final_version / Social Work and Social Administration / Master / Master of Philosophy
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Perceptions of continuing education by rural nurses :Harrington, Ruby Fay. Unknown Date (has links)
Thesis (MEd(Human Resource Studies))--University of South Australia, 1997
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Birthing business in the bush : it's time to listen /Kildea, Sue. January 2005 (has links)
Thesis (Ph. D.)--University of Technology, Sydney, 2005. / Includes bibliographical references (p. 301-316).
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Palliative care for an ageing population a rural based model? or, "For whom the bell tolls" /Ryan, Kerry. January 2007 (has links)
Thesis (Ph. D.)--Victoria University (Melbourne, Vic.), 2007. / Includes bibliographical references.
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Frontier residents' perception of health care accessSmith, Raymond Joshua. January 2008 (has links) (PDF)
Thesis (M Nursing)--Montana State University--Bozeman, 2008. / Typescript. Chairperson, Graduate Committee: M. Jean Shreffler-Grant Includes bibliographical references (leaves 62-68).
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A study of health care utilization among chronically ill rural older adults /Allgood-Scott, Jill R. January 1998 (has links)
Thesis (Ph. D.)--University of Missouri--Columbia, 1998. / "May 1998." Typescript. Vita. Includes bibliographical references (leaves 67-70). Also available on the Internet.
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Is EHR the cure? an examination of the implementation of an electronic health record in rural Alberta /Trueman, Janice L. January 2009 (has links)
Thesis (M.A.)--University of Alberta, 2009. / Title from PDF file main screen (viewed on Mar. 18, 2010). A thesis submitted to the Faculty of Graduate Studies and Research in partial fulfillment of the requirements for the degree of Master of Arts, [Department of] Humanities Computing, University of Alberta. Includes bibliographical references.
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Community resource use by rural women with arthritis a research report submitted ... for the degree of Master of Science ... /Smith, Laureen Hoffman. January 1991 (has links)
Thesis (M.S.)--University of Michigan, 1991.
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Acceptance of computer-based telemedicine in three rural Missouri counties /Harris, Kimberly D. January 1999 (has links)
Thesis (Ph. D.)--University of Missouri-Columbia, 1999. / Typescript. Vita. Includes bibliographical references (leaves 163-169). Also available on the Internet.
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Acceptance of computer-based telemedicine in three rural Missouri countiesHarris, Kimberly D. January 1999 (has links)
Thesis (Ph. D.)--University of Missouri-Columbia, 1999. / Typescript. Vita. Includes bibliographical references (leaves 163-169). Also available on the Internet.
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