摘要
“紧密型县域医共体”是我国医改中的重要内容,是推动优质医疗资源下沉,方便基层群众就医的重要举措。当前我国已有800多个试点城市,研究首创这一模式的安徽省天长市对推动“紧密型县域医共体”的建设有重要意义。本文以政策创新扩散为模型,对天长市的“紧密型县域医共体”政策进行分析,从政策创新、政策扩散以及推动该项政策扩散的因素构建文章主体。总结出天长市医改政策的创新扩散与政策企业家、政策本身以及府际关系都有着密不可分的关系,三者共同作用强力推动了“天长样本”的创新与扩散。
"Close County Medical Communities"is an important part of China medical reform,and it is an important measure to promote the sinking of high-quality medical resources and facilitate the grassroots people's medical treatment.At present,there are more than 800 pilot cities in China.The study of Tianchang City,Anhui Province,which pioneered this model,is of great significance to promote the construction of a"Close County Medical Communities".This paper uses policy innovation diffusion as a model to analyze Tianchang City's"Close County Medical Communities"policy,and constructs the main body of the article from policy innovation,policy diffusion and factors that promote the policy diffusion.It is concluded that the innovation diffusion of the medical reform policy in Tianchang City has an inseparable relationship with the policy entrepreneurs,the policy itself and intergovernmental relations,and the combined effect of the three strongly promotes the innovation and diffusion of the"Tianchang sample".
作者
吴炜灵
梁显泉
Weiling Wu;Xianquan Liang(Medical College of Guizhou University,Guiyang,Guizhou,550025,China)
基金
贵阳市科技计划项目支持资助(筑科合同[2021]-6-1号)。
关键词
紧密型县域医共体
政策创新扩散
医药卫生体制改革
Close County Medical Communities
Policy Innovation Diffusion
Medical and Health System Reform
