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Execution dilemma and optimization strategies for the “township recruitment and village utilization” policy in Nanning based on a two-dimensional analysis of “policy tools-policy objectives”
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Wu-you ZHANG1, Zu-kang GONG2, Yan-long WU3, Hui-fang CHEN1, Zi-jian TANG1, Ping-hua ZHU1
Modern Preventive Medicine | 2026, 53(8) : 1428 - 1433
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Modern Preventive Medicine | 2026, 53(8): 1428-1433
• Health Policy and Management •
Execution dilemma and optimization strategies for the “township recruitment and village utilization” policy in Nanning based on a two-dimensional analysis of “policy tools-policy objectives”
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Wu-you ZHANG1, Zu-kang GONG2, Yan-long WU3, Hui-fang CHEN1, Zi-jian TANG1, Ping-hua ZHU1
Affiliations
  • Guangxi Medical University, Nanning, Guangxi 530021, China
Published: 2026-04-25 doi: 10.20043/j.cnki.MPM.202512109
Outline
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Objective

To evaluate the “Township Recruitment and Village Utilization” policy in Nanning, examining its effects, challenges, and the role of policy instrument allocation.

Methods

We constructed a “policy instruments–policy goals” framework to analyze 21 policy documents (policy dimension). Findings were triangulated with a survey of 2 689 village doctors and in-depth interviews with 35 (empirical dimension).

Results

A structural imbalance was found: environmental instruments (46.2%) focused predominantly on standardized management (57.1%), while demand-side instruments were underutilized (21.8%). Only 31.0% of village doctors were satisfied with their compensation, and 21.0% with career prospects. Frequent issues included drug shortages, promotion difficulties, and delayed performance payments.

Conclusion

The policy-empirical analysis reveals a systemic dilemma of “excessive management versus deficient incentives” due to imbalanced policy tools. Optimizing the policy mix, establishing a dynamic drug supply system, and improving career pathways are recommended.

Village doctors  /  Township Recruitment and Village Utilization  /  Policy instruments  /  Policy goals  /  Implementation effectiveness
张无忧, 龚祖康, 吴彦龙, 陈会方, 汤子健, 朱平华. 基于“政策-实证”双维互证的南宁市“乡聘村用”政策执行困境与优化策略研究. 现代预防医学, 2026 , 53 (8) : 1428 -1433 . DOI: 10.20043/j.cnki.MPM.202512109
Wu-you ZHANG, Zu-kang GONG, Yan-long WU, Hui-fang CHEN, Zi-jian TANG, Ping-hua ZHU. Execution dilemma and optimization strategies for the “township recruitment and village utilization” policy in Nanning based on a two-dimensional analysis of “policy tools-policy objectives”[J]. Modern Preventive Medicine, 2026 , 53 (8) : 1428 -1433 . DOI: 10.20043/j.cnki.MPM.202512109
Appendix
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Year 2026 volume 53 Issue 8
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Article Info
doi: 10.20043/j.cnki.MPM.202512109
  • Receive Date：2025-12-06
  • Online Date：2026-11-02
  • Published：2026-04-25
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History
  • Received：2025-12-06
Funding
Affiliations
    Guangxi Medical University, Nanning, Guangxi 530021, China
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表12种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
Number of
species		 占总种数比例
Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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