Drawing on the Mazmanian Sabatier comprehensive model of policy implementation,this study conducted a systematic analysis of the pilot implementation of the disease control supervisor system in medical institutions in...Drawing on the Mazmanian Sabatier comprehensive model of policy implementation,this study conducted a systematic analysis of the pilot implementation of the disease control supervisor system in medical institutions in Shenzhen.By assessing three key dimensions—namely,the manageability of policy issues,regulatory capacity,and the external environment—the study found that the system has significantly improved the capacity of medical institutions in public health prevention and control,and enhanced their responsiveness to public health emergencies.However,several challenges continue to impede policy effectiveness,including unclear job responsibilities,insufficient professional staffing,and limited cross-sectoral collaboration efficiency.In response,the study proposes a set of measures to further promote the integration of medical and preventive services and offer a practical model for modernizing national public health governance.These measures include clarifying roles and responsibilities,establishing a tiered training system,strengthening multisectoral collaborative governance,and enhancing the support of information platforms.展开更多
The accelerating population aging in China,coupled with significant shifts in disease spectrum,has led to growing challenges including expanding healthcare demands,rising medical costs,and increasing social burdens of...The accelerating population aging in China,coupled with significant shifts in disease spectrum,has led to growing challenges including expanding healthcare demands,rising medical costs,and increasing social burdens of elderly care.Although China formally introduced the integrated medical-elderly care policy through the Several Opinions on Promoting the Development of the Health Service Industry(2013),substantial gaps persist between policy implementation outcomes and original objectives.Guided by Smith's policy implementation process model,this study examines four analytical dimensions:policy framework,executing agencies,target populations,and environmental factors.The analysis reveals four key constraints:(1)discrepancies between idealized policy design and complex intergovernmental relations,(2)ambiguous division of responsibilities coupled with inadequate professional workforce,(3)persistent traditional family values conflicting with diversified healthcare needs,and(4)insufficient legal oversight alongside misaligned medical service philosophies.To address these challenges,the study proposes policy recommendations including improving the legal framework for integrated care systems,fostering tripartite collaboration among hospitals,communities,and elderly care institutions,refining medical-elderly care insurance payment mechanisms,and advancing intelligent information infrastructure development.展开更多
文摘Drawing on the Mazmanian Sabatier comprehensive model of policy implementation,this study conducted a systematic analysis of the pilot implementation of the disease control supervisor system in medical institutions in Shenzhen.By assessing three key dimensions—namely,the manageability of policy issues,regulatory capacity,and the external environment—the study found that the system has significantly improved the capacity of medical institutions in public health prevention and control,and enhanced their responsiveness to public health emergencies.However,several challenges continue to impede policy effectiveness,including unclear job responsibilities,insufficient professional staffing,and limited cross-sectoral collaboration efficiency.In response,the study proposes a set of measures to further promote the integration of medical and preventive services and offer a practical model for modernizing national public health governance.These measures include clarifying roles and responsibilities,establishing a tiered training system,strengthening multisectoral collaborative governance,and enhancing the support of information platforms.
文摘The accelerating population aging in China,coupled with significant shifts in disease spectrum,has led to growing challenges including expanding healthcare demands,rising medical costs,and increasing social burdens of elderly care.Although China formally introduced the integrated medical-elderly care policy through the Several Opinions on Promoting the Development of the Health Service Industry(2013),substantial gaps persist between policy implementation outcomes and original objectives.Guided by Smith's policy implementation process model,this study examines four analytical dimensions:policy framework,executing agencies,target populations,and environmental factors.The analysis reveals four key constraints:(1)discrepancies between idealized policy design and complex intergovernmental relations,(2)ambiguous division of responsibilities coupled with inadequate professional workforce,(3)persistent traditional family values conflicting with diversified healthcare needs,and(4)insufficient legal oversight alongside misaligned medical service philosophies.To address these challenges,the study proposes policy recommendations including improving the legal framework for integrated care systems,fostering tripartite collaboration among hospitals,communities,and elderly care institutions,refining medical-elderly care insurance payment mechanisms,and advancing intelligent information infrastructure development.
