摘要
随着医疗卫生事业迅速发展,原有的医师定点执业方式已难以适应广大人民群众对医疗卫生服务资源的新需求,我国亟待制定出新的医师多点执业政策应对新形势。笔者采用多源流理论模型,解释医师多点执业的政策过程,对政策过程中的问题源流、政策源流、政治源流分别进行梳理,对政策之窗开启及三个源流的耦合进行分析,指出三条源流未能汇合、政策之窗并未开启是政策推行受阻的主要原因,并浅析多源流理论在我国政策过程中的适用性与局限性。
With the rapid development of medical health undertaking,the original fixed-point practice has failed to meet people＇s newdemands for service resources of medical health. It is urgent that China makes newpolicy of multi-site practice to deal with the newsituation. With the mode of multiple streams,the authors explain the policy process of multiple-site practice,comb the problem stream,policy stream and political stream,and analyze policy windowand the coupling of the three streams. And then they point out that the main reasons for the blocked policy practice are the streams coupling failure and the closed policy window,and analyze the applicability and limitation of the multiple-streams theory in policy practice.
出处
《现代医院管理》
2016年第1期17-20,共4页
Modern Hospital Management
关键词
多源流理论
医师多点执业
政策过程
multiple-streams theory
multiple-site practice
policy process
作者简介
通信作者：徐碧滢（1987-），女，学士，研究实习员；研究方向：医院管理、医院改革。
