整体性治理视域下多层次医疗保障体系的概念厘定、发展困境及路径选择
The conceptual definition,development dilemma,and path selection of a multi-level healthcare security system under the perspective of holistic governance
龚曦 1王红波2
作者信息
- 1. 中国人民大学公共管理学院 北京 100872;中国人民大学健康保障研究中心 北京 100872
- 2. 山西医科大学管理学院 山西晋中 030600
- 折叠
摘要
多层次医疗保障体系内涵不清晰及治理碎片化使医疗保障高质量发展受到挑战.文章以整体性治理理论对多层次医疗保障体系概念内涵进行厘定,从制度的本质属性及直接功能角度区分了托底层、基本层和补充层,并对各层次及其所含子制度间的关系做了阐释.进而从整体性治理视域检视了当下实践,发现碎片化管理思维主导、子制度功能定位不清、政策协同性不足、参与主体单一、平等协商机制缺乏等困境制约着多层次医疗保障体系的整体效能,需要从整体性治理视角采取系统性、针对性改革予以完善.
Abstract
The unclear connotation and fragmented governance of the multi-tiered medical security system pose challenges to its high-quality development.This article redefines the concept and connotation of the multi-tiered medical security system using holistic governance theory.It distinguishes the bottom layer,basic layer,and supplementary layer from the perspective of the essential attributes and direct functions of each system.Furthermore,from the perspective of holistic governance,the article analyzes the current reform practice and finds that fragmented management thinking,unclear positioning of sub-system functions,insufficient policy coordination,single participation subject,and lack of equal negotiation mechanisms are constraints on the overall effectiveness of the multi-tiered medical security system.Therefore,it is necessary to adopt systematic and targeted reform measures from the perspective of holistic governance to improve the system.
关键词
整体性治理/多层次医疗保障/碎片化/政策协同Key words
Holistic governance/Multi-level healthcare security system/Fragmented/Policy coordination引用本文复制引用
基金项目
中国人民大学中央高校建设世界一流大学(学科)特色发展引导专项()
国家社会科学基金(22BRK037)
出版年
2024
NETL
NSTL
万方数据