摘要
从制度变迁的角度对尤溪县公立医院综合改革的动因与发生机制、主体与动力机制、目标与基本思路、路径与具体过程、成效和问题进行深入分析,认为尤溪县公立医院综合改革的制度变迁具有较好的普遍意义。建议不断优化宏观政策环境,为制度变迁创造条件;进一步完善制度变迁路径,确保制度变迁的可持续性;科学测算,精细管理,增强制度变迁的科学性。
From the perspectives of institutional change, the motivation and occurrence mechanism, stakeholders and their dynamic mechanism, goals and basic ideas, paths and specific processes, achievements and challenges faced by the comprehensive reform of public hospitals in Youxi county are analyzed in depth.The results show that the institutional change in the comprehensive reform of public hospitals in Youxi county has a relative good universal significance. This paper proposes the following recommendations:1) continuously optimize the macro policy environment to create better conditions for the institutional change;2) further improve the institutional change path to ensure the further sustainability of the institutional change;3)practice scientific calculation and fine management to enhance the accuracy and scientificity of the institutional change.
作者
代涛
王清波
郑英
胡佳
DAI Tao;WANG Qing-bo;ZHENG Ying;HU Jia(Center for Health Policy and Management, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China)
出处
《中国卫生政策研究》
CSCD
北大核心
2019年第5期18-24,共7页
Chinese Journal of Health Policy
基金
国家卫生健康委员会体制改革司委托项目
关键词
公立医院综合改革
路径分析
制度变迁
Public hospitals'
comprehensive reform
Pathway analysis
Institutional change
