摘要: |
随着我国医疗卫生事业的快速发展和居民健康需求的不断提升,现行的公立医院编制配置标准已经不适应当前医院发展的需要,亟需创新编制管理方式以适应当前我国卫生事业快速发展的需要。江苏省在国家推进事业单位分类改革、深化公立医院改革的政策指引下,率先出台了编制管理创新的文件,在全省公立医院开始推进编制备案制。本文从政策制定的多源流理论视角,以政策制定过程的三大源流(问题源流、政策源流和政治源流)为切入点,系统梳理和分析江苏省公立医院编制制度改革政策的制定和演变过程,并浅析多源流理论对分析我国政策制定过程的适配性和局限性。 |
关键词: 公立医院 编制 改革 多源流理论 |
DOI: |
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Analysis of Policy Making Process of the Public Hospitals’ Establishment Reform in Jiangsu Province: Based on Multiple-streams Theory |
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Abstract: |
With the rapid development of China’s medical and health services and increasing demand of health of the residents, the existing standards of establishment allocation of public hospital has not adapted to the current needs of the hospital. It’s the very time to innovate establishment management method to respond to the increasing demand of China’s health sector. China has promoted restructuring of different categories of public institution and deepened reform for the public hospital. Under the guidance of policy, Jiangsu Province was the first to release the policy to innovate the establishment management mode and to promote the system of establishment record in public hospitals. Based on the multiple-streams theory, the policy making process of public hospitals’ establishment system reform in Jiangsu Province was combined from three aspects, including problem stream, policy stream and political stream. The adaptation and limitations of the multiple-streams theory for China’s policy making process are analyzed. |
Key words: public hospital, establishment,reform,multiple-streams theory |