摘要
运用爱德华政策执行模型对浙江省公共政策健康影响评价进行分析,总结其在政策执行标准、政策资源、政策执行者意向和管理组织结构4个方面的实践情况和存在问题,为促进全国健康影响评价试点工作提供参考。分析结果显示,浙江省初步构建了公共政策健康影响评价机制,取得了阶段性成效,但仍存在一些问题,包括政策内容与执行策略的不完善,领导决策和顶层设计的不足,政策执行主体在态度、理解程度和执行偏好方面的差异,以及跨部门协作中各部门权责体系的不明确。为进一步推动公共政策健康影响评价工作的顺利开展,浙江省应积极推动顶层设计强化政策保障,整合优化政策资源,逐步建立健全多元整体协同的健康治理机制,以跨部门协作为健康共建路径,促进公共政策健康影响评价工作的高质量发展。
The policy implementation model of G.C.Edwards was used to analyze the public policy health impact assessment in Zhejiang province,and summarize its practice and existing problems in four aspects of policy implementation standards,policy resources,policy executors′intention and management organization structure,so as to provide reference for promoting the national health impact assessment pilot work.The analysis results showed that Zhejiang province has initially established the public policy health impact assessment mechanism and achieved phased results,but there were still some problems,including the imperfection of policy content and implementation strategy,the inadequacy of leadership decision-making and top-level design,the difference in attitude,understanding and implementation preference of policy implementation subjects,and the ambiguity of the authority and responsibility system of each department in cooperation.In order to further promote the smooth development of public policy health impact assessment,Zhejiang province should actively promote the top-level design to strengthen policy support,integrate and optimize policy resources,gradually establish and improve the health governance mechanism of multiple and overall coordination,and promote the high-quality development of public policy health impact assessment by taking cross departmental cooperation as the path of health co-construction.
作者
管帅
杨海龄
徐烟云
冯颖超
施敏
丁岚
徐波
孙运舟
张萌
Guan Shuai;Yang Hailing;Xu Yanyun;Feng Yingchao;Shi Min;Ding Lan;Xu Bo;Sun Yunzhou;Zhang Meng(Department of Health Management and Policy&Coordinated Development Research Center on Health Governance and Public Policy,School of Public Health,Hangzhou Normal University,Hangzhou 311121,China;Zhejiang Health Monitoring and Evaluation Center,Hangzhou 310009,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2022年第6期416-420,共5页
Chinese Journal of Hospital Administration
关键词
公共政策
健康影响评价
健康
爱德华模型
政策分析
Public policy
Health impact assessment
Health
Policy model of G.C.Edwards
Policy analysis
作者简介
通信作者:张萌,Email:zhangmeng@hznu.edu.cn。