| 摘要: |
| 目的：分析契约式社区卫生服务政策执行低效率的原因及对策。方法：创新性地利用法国组织理论，基于组织中的权力与规则，利用理论思想构建了一个适应一般组织的行动者组织分析框架，并在此基础上结合契约卫生服务特点，新构建了契约式社区卫生服务组织分析图，从行动者、权力与规则三者关系分析政策执行效率低问题。结论:应当围绕权力与规则，从合理划分行动者权力；优化组织结构，调整行动者利益关系；发挥规则作用，完善激励约束机制三个方面来提高契约卫生服务政策执行效率。 |
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| JOrganizational Analysis of Inefficient Community Health Service Policy Implementation |
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| Abstract: |
| Objective:To analyze the causes and countermeasures of the implementation inefficiency of the contract community health service policy.Methods:Innovatively using the French organization theory and based on the power and rules of the organization to build an analysis framework of organizational actors adapting to the general organization.On the basis of this and combined with the characteristics of contract health service,we construct a new organizational structure of contract health service and analyze the low efficiency of policy implementation from the three relations among the actors, the power and the rule. Result: we should focus on power and rule to improve the efficiency of the contract health service policy implementation from three aspects: dividing the power of actors reasonably, optimizing the organizational structure, adjusting the interests of actors relations and playing the role of rule to perfect incentive mechanism. |
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