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我国家庭医生签约服务政策的创新扩散研究

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文章通过分析家庭医生概念的引入-各试点取得成效-中央层面政策设计-全国各地实行这一政策创新扩散过程,发现各利益团体间的博弈、政策落实过程的限制及政策相关环境等多种复杂因素使得家庭医生签约服务政策未能得到进一步落实.为促进该政策的落实,提高基层医疗卫生服务质量,进而保障人群健康,提出对政府政策设计、服务供给方以及需求方等三方面进行优化的想法和建议.
Innovation diffusion of policies for contracted family doctor services in China
By analyzing the diffusion process,including introduction of the concept of family doctor,the effectiveness of various pilot programs,the top-level policy design,and the nationwide policy implementation,this paper found that a variety of factors,such as the contest between various interest groups,the restrictions of the pol-icy implementation process and the policy-related environment,prevented the further implementation of policies for contracted family doctor services.The suggestions on optimizing government policy design,service providers and demand sides are put forward to promote the implementation of policies,improve the quality of primary health serv-ices,and safeguard the health of the population,.

Family doctorContracted family doctor servicesPolicy innovationPolicy diffusionHealth policy

刘雯、葛兵

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贵州大学医学院,贵州贵阳 550025

贵阳市第四人民医院,贵州贵阳 550002

家庭医生 家庭医生签约服务 政策创新 政策扩散 卫生政策

2024

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子:0.744
ISSN:1005-5916
年,卷(期):2024.44(2)
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