Thể chế hóa mô hình hỗ trợ đa tầng trong quản trị nguồn lực y tế học đường tại các trường phổ thông theo định hướng chính quyền hai cấp

Tóm tắt

The transition to a two-level local government model in Vietnam necessitates a restructuring of coordination mechanisms in school health resource governance, particularly in response to the escalating prevalence of student mental health issues. This study employs policy analysis and system modeling to construct a framework for the institutionalization of the MultiTiered Systems of Support within school health resource governance at general schools. Findings indicate that the elimination of the intermediate District level facilitates the establishment of a horizontal coordination mechanism between schools and local health stations, operating under the direct supervision of the Ward/Commune People's Committee. The proposed model clearly delineates responsibilities: schools assume the preventive tier, while local health authorities manage intensive interventions at the targeted and intensive tiers, financed through a public service commissioning mechanism. This institutionalization framework reduces administrative latency, enhances the transparency of resource allocation, and ensures stakeholder accountability, thereby fostering a flexible, effective, and datadriven school social safety network.