慢性病政策执行影响因素系统分析  

Systematic Analysis of Influencing Factors of Chronic Disease Policy Execution

作　　者：贾娜新 张金秋 吴欣[1] JIA Naxin;ZHANG Jinqiu;WU Xin(School of Management,Beijing University of Chinese Medicine,Beijing 102400,China)

机构地区：[1]北京中医药大学管理学院,北京102400

出　　处：《医学与哲学》2024年第11期34-38,共5页Medicine and Philosophy

基　　金：2023年北京中医药大学科研基金项目(2023-HXF273-010)。

摘　　要：运用米特−霍恩模型构建慢性病政策执行影响因素分析模型,从宏观、中观、微观三个层面对慢性病政策执行影响因素进行系统分析,为促进慢性病政策有效落实提供参考。宏观层面,慢性病政策目标逐渐明确且政策标准不断细化,国家整体资源投入多元化但均显不足,慢性病政策执行的区域公平性有待提升;中观层面,执行机构存在沟通不畅、慢性病资金使用效率较低、各利益主体间的权责划分不明确等问题;微观层面,慢性病管理人员存在数量不足、专业能力较弱、工作动力不足等问题。慢性病政策的实施已有成效,但还需各方持续协同努力。The analysis model of factors affecting the implementation of chronic disease policy was constructed by using Mitter-Horn model,and the factors affecting the implementation of chronic disease policy were systematically analyzed from the macro,meso and micro levels,aiming to provide reference for promoting the effective implementation of chronic disease policy.At the macro level,the policy objectives of chronic disease are gradually clarified,and the policy standards are continuously refined.However,overall national resource allocation is diverse but insufficient,and the regional equity in the implementation of chronic disease policy needs to be improved.At the meso level,there are problems such as poor communication among executing agencies,low efficiency in the use of chronic disease funds,and unclear division of powers and responsibilities among stakeholders.At the micro level,there are problems such as insufficient number of chronic disease management personnel,weak professional capabilities,and insufficient working motivation.While there have been some achievements in the implementation of chronic disease policies,continuous coordinated efforts from all parties are still needed.

关 键 词：慢性病政策 政策执行 米特−霍恩模型 

分 类 号：R-05[医药卫生]