ISSN 1008-2204
CN 11-3979/C
韩国元, 冷雪忠. 新医改十年:中国医疗卫生信息化多元政策主体协同治理研究[J]. 北京航空航天大学学报社会科学版. DOI: 10.13766/j.bhsk.1008-2204.2023.0048
引用本文: 韩国元, 冷雪忠. 新医改十年:中国医疗卫生信息化多元政策主体协同治理研究[J]. 北京航空航天大学学报社会科学版. DOI: 10.13766/j.bhsk.1008-2204.2023.0048
Han Guoyuan, Leng Xuezhong. Ten Years of New Medical Reform: Research on the Collaborative Governance of Multiple Policy Subjects of Healthcare Informatization in China[J]. Journal of Beijing University of Aeronautics and Astronautics Social Sciences Edition. DOI: 10.13766/j.bhsk.1008-2204.2023.0048
Citation: Han Guoyuan, Leng Xuezhong. Ten Years of New Medical Reform: Research on the Collaborative Governance of Multiple Policy Subjects of Healthcare Informatization in China[J]. Journal of Beijing University of Aeronautics and Astronautics Social Sciences Edition. DOI: 10.13766/j.bhsk.1008-2204.2023.0048

新医改十年:中国医疗卫生信息化多元政策主体协同治理研究

Ten Years of New Medical Reform: Research on the Collaborative Governance of Multiple Policy Subjects of Healthcare Informatization in China

  • 摘要: 医疗卫生信息化建设是中国新一轮医疗卫生体制改革的建设重点,更是实现中国医疗卫生治理现代化的技术基础,但医疗卫生信息化建设内容系统、复杂,需要多部门高效合作、协同治理。基于新医改十年以来国家层面颁布的医疗卫生信息化政策文本,利用社会网络分析方法测度政策制定主体合作网络节点属性,构建政策主体合作“广度—深度”的二维矩阵,分析医疗卫生信息化建设中不同政策主体协同治理的角色演变规律。研究表明,医疗卫生信息化建设的政策主体日益多元,主体间协作关系日益复杂,但发挥核心作用的机构有限,政策协作网络中心化特征显著;国家卫健委、国家中医药管理局、国家发改委-财政部、科技部、工信部、民政部、国家市场监管局、教育部之间逐渐形成紧密合作闭环;政策主体角色变迁路径以渐进式演进为主,突进式演进的直接动力主要源于上级政府关键政策文本的颁布。政策导向的学习与交流机制,是构建基于信任的府际关系、促进政策主体协同和实现医疗卫生治理现代化的重要前提。

     

    Abstract: The construction of healthcare informatization is the focus of the new round of medical and health system reform in China, and it is also the technical basis to realize the modernization of medical and health governance in China. However, the content of healthcare informatization construction is complex, which requires efficient cooperation and collaborative governance of multiple departments. Based on related documents issued at the national level since the new healthcare reform years ago, social network analysis method was used to measure the node attributes of the cooperation network of policy subjects, and draw a two-dimensional matrix diagram of the "breadth depth" of the cooperation among policy subjects, and analyze the role evolution law of the main body of healthcare informatization policy in the collaborative network. The research shows that the policy subjects of medical and health information construction are becoming more and more diverse, and the cooperation relationship between subjects is becoming more and more complex, but the institutions that play the core role are limited, and the centralization of policy cooperation network is remarkable. A closed loop of close cooperation has gradually formed between the National Health Commission of the People’s Republic of China, the National Administration of Traditional Chinese Medicine, the National Development and Reform Commission, the Ministry of Finance of the People’s Republic of China, the Ministry of Science and Technology the People’s Republic of China, the Ministry of Industry and Information Technology of the People’s Republic of China, the Ministry of Civil Affairs of the People’s Republic of China, the State Administration for Market Regulation and the Ministry of Education of the People’s Republic of China. The change path of the role of the policy subject is mainly gradual evolution, and the direct driving force of the sudden evolution mainly comes from the promulgation of the key policy texts of the superior government. Policy oriented learning and communication mechanism is an important prerequisite for building trust based intergovernmental relations, promoting the coordination of policy subjects and realizing the modernization of medical and health governance.

     

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