我国现阶段公立医院高质量发展政策网络分析与优化策略  

Analysis and optimization strategies of the policy network of high-quality development of public hospitals in China at this stage

作　　者：张静[1] 夏萍 丁然屹 李启渊 龚文进[1] ZHANG Jing;XIA Ping;DING Ranyi;LI Qiyuan;GONG Wenjin(School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,P.R.China;School of Public Health,Guangdong Pharmaceutical University,Guangzhou,Guangdong 510006,P.R.China;School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan,Shandong 250012,P.R.China)

机构地区：[1]广州中医药大学公共卫生与管理学院,广州510006 [2]广东药科大学公共卫生学院,广州510006 [3]山东大学齐鲁医学院公共卫生学院,济南250012

出　　处：《华西医学》2023年第12期1890-1893,共4页West China Medical Journal

基　　金：国家自然科学基金面上项目(72074057);广东省哲学社会科学规划项目(GD23XGL085)。

摘　　要：公立医院高质量发展政策的实施面临着多元的环境和复杂的行动主体执行协同问题,网络结构从封闭抵抗型向开放竞争型政策转变。我国现阶段公立医院高质量发展政策有待完善政策体系,细化顶层设计;增强网络主体执行力,创新共同治理机制;优化政策工具结构,提高网络韧性和灵活性;落实绩效考评机制,强化监督等。该文基于政策网络理论,深入分析了我国当前公立医院高质量发展政策文本,以期为政策发展提供建议。As the implementation of the high-quality development policy of public hospitals is faced with the problems of diversified environment and the coordination of execution of complex actors,the network structure has changed from the closed resistance type to the open competition type.At present,China’s high-quality development policy of public hospitals needs to improve the policy system and refine the top-level design;strengthen the executive power of network entities and innovate the joint governance mechanism;optimize the structure of policy tools to improve the resilience and flexibility of the network;implement the performance evaluation mechanism and strengthen supervision.This article is based on policy network theory and provides an in-depth analysis of the current high-quality development policy texts for public hospitals in China,with the aim of providing suggestions for policy development.

关 键 词：公立医院高质量发展 政策网络 政策分析 

分 类 号：R197.3[医药卫生—卫生事业管理]