政策网络治理视域下新加坡托底性医疗保障:制度框架与经验启示  

The bottom line of healthcare security in Singapore from the perspective of policy network governance:Institutional framework and experience enlightenment

作　　者：胡宏伟 王红波 HU Hong-wei;WANG Hong-bo(School of Public Administration and Policy,Renmin University of China,Beijing 100872,China;Health Security Research Center,Renmin University of China,Beijing 100872,China)

机构地区：[1]中国人民大学公共管理学院,北京100872 [2]中国人民大学健康保障研究中心,北京100872

出　　处：《中国卫生政策研究》2023年第2期36-43,共8页Chinese Journal of Health Policy

基　　金：国家社会科学基金项目(22BRK045)。

摘　　要：从政策网络治理视角对新加坡托底性医疗保障政策展开研究,梳理新加坡一般医疗服务托底保障和长期护理服务托底保障的制度框架,并运用政策网络治理理论从治理主体、治理工具、治理结构和治理机制四个方面进行评析,归纳了新加坡经验对夯实我国托底性医疗保障政策的启示。我国托底性医疗保障政策应选择肯定政府主导作用的治理理论,培育市场组织和社会组织等多元治理主体,运用多样化政策工具提升托底性医疗保障治理效能,并构建高效的托底性医疗保障对话协商机制。From the perspective of policy network governance,this paper studies the bottom line of healthcare security policy of Singapore,combing the institutional framework of bottom lines of healthcare security in terms of general service and long-term service.Enlightenment of Singapore s experience is summarized up after a four-fold assessment,namely subject of governance,tool of governance,structure of governance and mechanism of governance under the perspective of policy network governance,to consolidate China s underpinning healthcare security policy.It is suggested that the governance theory that affirms the leading role of the government should be selected,diverse governance subjects such as market organizations and social organizations should be cultivated,efficiency of governance is to be enhanced though application of multiple policy tools and an highly efficient dialogue and negotiation mechanism of fundamental healthcare security should be built.

关 键 词：政策网络治理 新加坡 托底性医疗保障 

分 类 号：R197[医药卫生—卫生事业管理]