政策网络视角下我国医疗保障制度改革部门协同研究  

A Collaborative Study of China's Medical Security System Reform from the Perspective of Policy Network

作　　者：郑其中 周绿林[1] 林枫[1] 何媛媛 程嫦娥 倪伟犇 陈志远 赵令卿 ZHENG Qi-zhong;ZHOU Lü-lin;LIN Feng;HE Yuan-yuan;CHENG Chang-e;NI Wei-men;CHEN Zhi-yuan;ZHAO Ling-qin(College of Management,Jiangsu University,Zhenjiang,Jiangsu 212013,China)

机构地区：[1]江苏大学管理学院,江苏镇江212013

出　　处：《中国卫生经济》2023年第4期11-15,共5页Chinese Health Economics

基　　金：国家自然科学基金项目(71974079);首都医科大学医疗保障研究院开放性课题项目(YB2020A01)。

摘　　要：目的:探讨当前制度改革参与部门协同所存在的问题,为未来基本医疗保障制度建设提供政策建议。方法:整理1985年以来与医疗保障制度改革有关政策文件,基于协同治理理论,利用政策网络研究法,对参与改革职能部门所在政策网络的网络密度、聚类系数、路径长度等指标进行分析,具象各部门关系结构,可视化呈现部门关系网络。结果:当前我国医保制度改革参与主体间的凝聚力有所下降,医疗保障制度改革的政策资源也被少部分主体职能部门控制,部分边缘职能部门缺乏话语权等。结论:参与职能部门应统一价值理念,打通沟通路径,明确责任分工,强化协同力度。Objective:To explore the problems existing in the coordination between the departments involved in the current system reform and provide policy suggestions for the construction of the future basic medical security system.Methods:The policy documents related to the medical security system reform since 1985 were sorted out.Based on the theory of collaborative governance,the policy network research method was used to analyze the network density,clustering coefficient,path length and other indicators of the policy network of the functional departments participating in the reform.The relationship structure of all departments was concretely represented and the relationship network of departments was visualized.Results:At present,the cohesion among the participants of the medical insurance system reform in China has declined,the policy resources of the medical security system reform are controlled by a few main functional departments,and some marginal functional departments lack the right to speak.Conclusion:The participating functional departments should unify their values,open up communication paths,clarify the division of responsibilities and strengthen synergies.

关 键 词：医疗保障制度改革 协同治理 部门协同 政策网络分析 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R190