摘要
卫生健康政策的制定与执行对全面实施健康中国战略具有重要的意义。其中,政府部门之间的统筹与协调尤为重要。论文在全面梳理1986—2017年中国卫生健康领域五年规划政策文本的基础上,运用社会网络分析的方法,量化分析了34个政策主体在不同历史时期所形成的政策网络,包括整体关系网络的结构特征以及各政策主体在网络中地位的变化。研究结果表明,卫生健康政策网络主体越来越多,关联也越来越密切。随着时间的推移,虽然国家卫生健康委员会始终处于核心地位,但是,多中心的网络关系逐渐形成。国家教育部、财政部和民政部等政策主体在不同历史时期呈现重要的作用。同时,卫生健康政策网络结构向“扁平化”的趋势演变,不同主体间的关系趋于平等,权力趋于分散。论文为全面了解和分析我国卫生健康政策网络中政府部门和单位之间的关系提供了新的视角,也为进一步研究我国卫生健康政策网络的功能和绩效提供了基础。
Healthcare policy formulation and implementation of are important for the Healthy China Strategy.And,planning and coordination between government departments are particularly critical.Based on a comprehensive review of the policy texts of China s five-year healthcare plansfor the period 1986-2017,this study used social network analysis(SNA)to quantitatively analyze the policy networks formed by 34 policymakers,and the overall relationship between them,throughout the study period.This paper describes the structural characteristics of the networks and the changes in the status of each policymaker in those networks.Over time,the healthcare policy network expanded toinclude more and more policymakers and their relationshipsbecame closer.While the National Health Commission(NHC)remained at the center,a multi-center network relationships gradually formed.Policymakers such as the Ministry of Education,the Ministry of Finance,and the Ministry of Civil Affairs also played a role in different historical periods.At the same time,the structure of the healthcare policy network“flattened”out.Relationships between dissimilar policymakers tended to be equal and power tended to be dispersed.This study provides a comprehensive description and analysis of the relationship between policymakers in,and the function and performance of,China s healthcare policy network.
作者
熊尧
徐程
习勇生
Yao Xiong;Judy Xu;Yongsheng Xi
出处
《公共行政评论》
CSSCI
北大核心
2019年第6期143-165,202,共24页
Journal of Public Administration
基金
国家自然科学基金面上项目“复杂系统下二型糖尿病防治与管理的动态经济学评价研究”(71473202)
关键词
五年规划
社会网络分析
卫生健康
政策网络
Five-Year Plan
Social Network Analysis
Health Care
Policy Network