契约式社区卫生服务政策执行低效的组织分析  

Organizational Analysis on Inefficient Contract-Community Health Service Policy Implementation

作　　者：贾清萍[1] 肖伟 

机构地区：[1]南昌大学公共管理学院,南昌330031

出　　处：《中国卫生经济》2017年第7期71-74,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(71463037)

摘　　要：目的:分析契约式社区卫生服务政策执行低效率的原因及对策。方法:创新性地利用法国组织理论,基于组织中的权力与规则,利用理论思想构建了一个适应一般组织的行动者组织分析框架,并在此基础上结合契约卫生服务特点,新构建了契约式社区卫生服务组织分析图,从行动者、权力与规则三者关系分析政策执行效率低问题。结果与结论:应当围绕权力与规则,从合理划分行动者权力;优化组织结构,调整行动者利益关系;发挥规则作用,完善激励约束机制三个方面来提高契约卫生服务政策执行效率。Objective： To analyze the causes and countermeasures for the inefficiency of implementing the contract community health service policy： Methods： Based on the authority and regulation of organization, it innovatively used the French organization the- ory, buiht an analysis framework of organizational actors adapting to the general organization. On the above basis combined with the characteristics of contract health service, it constructed a new organizational structure of contract health service and analyzed the low efficiency of policy implementation from the three relations among the actors, the power and the rule. Results and Conclusion： It needed to focus on authority and rule to rationally division the authorities of actors, optimize the organizational structure, adjust the benefit relationship of actors; play the regulation role, implement the incentive and constraint mechanism to improve the execution efficiency of contract health service policy.

关 键 词：组织分析 行动者 政策执行 契约卫生服务 

分 类 号：R197.61[医药卫生—卫生事业管理]