地方政府处理社会矛盾的“分级应对”机制研究——以S省M市医疗纠纷为例  

Research on the “Graded Response ” Mechanism of Local Government in Handling Social Contradictions——A Case Study of Medical Disputes in M City

作　　者：陈家建[1] 张琼文 Jiajian Chen;Qiongwen Zhang

机构地区：[1]中山大学社会学与人类学学院 [2]西南财经大学社会发展研究院

出　　处：《公共行政评论》2019年第3期85-103,191-192,共21页Journal of Public Administration

摘　　要：在行政资源有限,并且政府与社会之间信息不对称的情况下,地方政府难以高效、全面地处理各类问题,需要建立一套信息分级的识别与应对机制。论文以S省M市政府在处理医疗纠纷中的运作机制为关注对象,揭示了相关部门通过事件分类与影响评估两个维度,区分出简单、复杂与重大不同级别的医疗纠纷。总体而言,医疗纠纷应对中,既要“看事”,也要“看人”,是一套综合的评判体系。在此基础上,S省M市政府采用了操作主体不同、处理方式不同的应对机制。这套机制让政府可以集中行政资源解决棘手问题,而让其他次要问题简单处理。但是,这套机制弱化了制度效力,产生了“两极化”的治理效应,催生了各类讨价还价行为,出现制度化难题。In the case of limited administrative resources and information asymmetry between government and society,it is difficult for local governments to deal with all kinds of problems efficiently and comprehensively;an information classification and response mechanism needs to be established.Taking the operation of a local government in dealing with medical disputes as a case study,this paper reveals that a local health bureau can distinguish simple,complex,and major medical disputes at different levels through two dimensions of event classification and impact assessment.Generally speaking,in dealing with medical disputes,local governments should not only“survey things”,but also“survey people”,in a comprehensive evaluation system.On this basis,local governments have adopted different coping mechanisms with different operators and different ways of management.This mechanism allows the government to concentrate administrative resources on solving difficult problems,while allowing minor issues to be dealt with simply.However,this mechanism weakens the effectiveness of the system,produces a“polarized”governance effect,prompts various bargaining behaviors,and contributes to the problem of institutionalization.

关 键 词：医疗纠纷 分级应对 地方治理 两极化效应 

分 类 号：D63[政治法律—政治学]