协同治理视角下疾病应急救助制度的改革与创新——以浙江省义乌市为例  

Reform and Innovation of Emergency Medical Assistance System from the Perspective of Collaborative Governance——A Case Study of Yiwu,Zhejiang

作　　者：李显文 张文斌 Li Xianwen;Zhang Wenbin(School of Nursing,Hangzhou Medical College,Hangzhou,Zhejiang 310053;Yiwu Central Hospital,Yiwu,Zhejiang 322000)

机构地区：[1]杭州医学院护理学院,浙江杭州310053 [2]义乌市中心医院,浙江义乌322000

出　　处：《嘉兴学院学报》2023年第4期65-71,共7页Journal of Jiaxing University

基　　金：浙江省软科学研究计划项目(2021C35065)。

摘　　要：分析浙江省义乌市开展疾病应急救助以来患者资料后发现,疾病应急救助制度在改革后取得了明显成效,救助基金支出规模得到明显控制,大量需要救治但无力支付的男性青壮年劳动力得到救助,救助对象识别更精准,医务人员对改革措施的了解和满意程度较高,政府部门间协作更紧密。但也存在部门间衔接不到位,少数长期滞留在医院的非急性期患者送返安置困难等棘手问题。基于协同治理理论,应从价值协同、机制协同和平台协同三个方面进一步完善疾病应急救助体系。By analyzing the patient data since the implementation of the emergency medical assistance system in Yiwu,Zhejiang,it is found that the system has achieved significant results after the reform,the scale of the assistance fund expenditure is significantly controlled,a large number of male young and middle-aged patients have been assisted,the identification of assistance targets is more accurate,the medical staff have a higher understanding of and satisfaction with the reform measures,and the cooperation between government departments is closer.However,there are still some problems that plague medical institutions,such as the inadequate connection mechanism between departments and the difficulties in resettling a few long-term hospitalized non-acute patients.Based on the theory of collaborative governance,policy recommendations in the three aspects of value synergy,mechanism synergy and platform synergy are put forward to further improve the emergency medical assistance system.

关 键 词：疾病应急救助制度 无助病人 协同治理 浙江 

分 类 号：R199.2[医药卫生—卫生事业管理]