Health Demand and Collaborative Governance:The Practical Logic of Hierarchical Diagnosis and Treatment System Construction——The Grounded Theoretical Analysis from the Perspective of Public Value
Establishing and improving the hierarchical diagnosis and treatment system in China is an important measure to continuously improve people's livelihood and promote the equality and accessibility of basic medical services.Based on field investigation and typical case data,this paper attempts to construct an explanatory framework for the practical logic of the hierarchical diagnosis and treatment system construction by using the grounded theory research method.It is found that the construction of hierarchical diagnosis and treatment sys-tem in China is based on"Health Demand"to achieve"Collaborative Governance",and the practical logic in-cludes two logic lines:Health Demand Logic and Collaborative Governance Logic.Specifically,the public ad-ministrators adopt a series of target management measures to establish the public value target of"safeguarding people's health";By improving the supporting environment,enhance the perception of the subject,rationalize the implementation factors,optimize the mechanism design,and provide the public order products that enable the integrated medical and health service system to achieve collaborative governance,that is,the hierarchical diagnosis and treatment system.This is essentially a process in which public managers create public value.From the perspective of public value,this paper not only reconstructs the practical logic of the hierarchical di-agnosis and treatment system construction,but also makes important theoretical and effective practical contri-butions,which is of great significance for promoting the modernization of the national governance system and governance capacity.
Hierarchical Diagnosis and TreatmentPublic ValueHealth DemandCollaborative Governance
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万方数据
