基层政府创新及扩散研究——以整合城乡居民基本医疗保险为例  

Innovation and diffusion in grassroots government:An example of integration of basic medical insurance policies for urban and rural residents

作　　者：杜倩 仇雨临[1] DU Qian;QIU Yu-lin(School of Labor and Human Resources,Renmin University of China,Beijing 100872,China;School of Public Health and Administration,Ningxia Medical University,Yinchuan Ningxia 750004,China)

机构地区：[1]中国人民大学劳动人事学院,北京100872 [2]宁夏医科大学公共卫生与管理学院,宁夏银川750004

出　　处：《中国卫生政策研究》2020年第12期1-7,共7页Chinese Journal of Health Policy

摘　　要：全面深化改革要求基层探索原创性和差异性的改革。本文从政策创新发起的政府层级出发,分析各省城乡居民基本医疗保险一体化的进程,发现省内的政策扩散可以分为自上而下扩散和自下而上扩散两种模式。文章构建了制度结构、外部环境和创新实施三个维度的研究框架,以2007—2016年13个自发整合城乡居民基本医疗保险的省份为例,通过模糊集定性比较分析方法对两种政策扩散模式的路径进行了分析。研究总结了不同地区的政策扩散模式及其各自的路径特点,为不同层次的政府创新提供了建议。The comprehensive deepening of reform requires the grassroots to explore the original and differentiated reforms.This article analyzes the process of integration of Urban and Rural Residents'Basic Medical Insurance in various provinces of China.It was found that the policy diffusion within the provinces can be divided into two modes:top-down diffusion and the bottom-up diffusion.A three-dimensional research framework was constructed involving the institutional structure,external environment and innovation implementation,respectively.Taking as examples the 13 provinces that spontaneously integrated basic medical insurance for urban and rural residents during the period from 2007 to 2016,the path of the two policy diffusion models was analyzed using the method of fuzzy set qualitative comparative analysis.This paper summarizes the policy diffusion modes and their respective path characteristics in different regions,and provides suggestions for government innovation at all levels.

关 键 词：基层政府创新 政策扩散 城乡居民基本医疗保险制度 

分 类 号：R197[医药卫生—卫生事业管理]