我国基层医疗卫生服务能力提升政策系统分析——基于新木桶理论  

Systematic Analysis of the Policies for Improving Primary Health Care Service Capacity in China——Based on the New Barrel Theory

作　　者：马希望 邢怡青 张亮[1,2] MA Xiwang;XING Yiqing;ZHANG Liang(School of Political Science and Public Administration,Wuhan University,Wuhan Hubei 430072,China;不详)

机构地区：[1]武汉大学政治与公共管理学院,湖北武汉430072 [2]武汉大学健康治理研究中心,湖北武汉430072

出　　处：《卫生经济研究》2024年第9期44-47,共4页

基　　金：国家自然科学基金资助重点项目“健康中国背景下基层卫生服务能力提升研究:理论与机制”(71734003)。

摘　　要：目的:分析我国基层医疗卫生服务能力提升政策的内涵与特征,为政策制定与优化提供参考。方法:基于新木桶理论,构建“政策长板-政策短板-政策缝隙-政策缺底”四维分析框架,分析政策执行差距。结果:基层医疗卫生服务能力提升政策重复投入与投入不足现象并存,部分政策缺乏精准性,部门之间协同不够,对均等化和医防融合的关注度不高。结论:基层医疗卫生服务能力提升政策仍有改善空间,应基于适长、补短、弥缝以及固底的系统观,优化政策设计,促进基层医疗卫生机构实现高质量发展。Objective To analyze the connotation and characteristics of the policies for improving the capacity of primary healthcare services in China,and to provide useful references for the formulation and optimization of the policies Methods Based on the new barrel theory,a four-dimensional framework of"policy long board-policy short board-policy gap-policy lack of bottom"was constructed,and the gaps in policy implementation were analyzed.Results Duplication of inputs and insufficient inputs coexisted in the policies for improving the capacity of primary health care services,and some policies neglected precision,lacked coordination among departments,and paid insufficient attention to equalization and integration of health care and prevention.Conclusion There is still room for improvement in the policies for improving the capacity of primary healthcare services.It is necessary to optimize the policy design based on the systemic view of adapting to the long term,making up for the short term,bridging the gaps,and fixing the bottom line,so as to promote primary health care institutions to achieve high-quality development.

关 键 词：基层医疗卫生服务能力 政策设计 新木桶理论 

分 类 号：R197[医药卫生—卫生事业管理]