摘要
慢性病基层治理网络包括外部治理、属地管理、自我管理三个层级,多元主体有各自的权利、责任和诉求,三个层级及其联动分别有不同的治理目标。围绕治理目标的达成,可以调度使用不同的治理工具,形成有效的治理路径。在外部治理层面,加强部门协同和赋能基层;在属地管理层面,注重塑造价值,聚合资源和借力思维;在自我管理层面,实现外力引导得当和调动内生动力;在三者联动上,强调做大阵地和做强枢纽,最终实现善治。
The grassroots governance network of chronic diseases includes three levels:external governance,territorial management,and self-management.The multiple subjects have their own rights,responsibilities and demands.The three levels and their linkages have different governance objectives.Around the achievement of governance objectives,different governance tools can be dispatched and used to form an effective governance path.It is necessary to strengthen the coordination of departments and empower the grass-roots level at the external governance level,focus on shaping value,aggregating resources and borrowing resources at the territorial management level,and realize the proper guidance of external forces and mobilize internal power at the self-management level.In the linkage of the three,emphasis should be placed on expanding the battlefield and strengthening the hub,ultimately achieving good governance.
作者
宋大平
张玉鹏
崔雅茹
程念
虞晓晴
葛通
SONG Daping;ZHANG Yupeng;CUI Yaru;CHENG Nian;YU Xiaoqing;GE Tong(National Health Development Research Center,Beijing 100044,China;不详)
基金
中国卫生经济学会科研课题“心脑血管疾病的基层治理研究”(2209457)。
关键词
慢性病
基层治理
治理工具
chronic diseases
grassroots governance
governance tools
作者简介
通讯作者:宋大平,E-mail:songdaping@126.com;宋大平(1981—),女,博士,研究员,研究方向:卫生立法、健康治理。