The conceptual definition,development dilemma,and path selection of a multi-level healthcare security system under the perspective of holistic governance
10.3969/j.issn.1674-2982.2024.02.001
- VernacularTitle:整体性治理视域下多层次医疗保障体系的概念厘定、发展困境及路径选择
- Author:
Xi GONG
1
,
2
;
Hong-Bo WANG
Author Information
1. 中国人民大学公共管理学院 北京 100872
2. 中国人民大学健康保障研究中心 北京 100872
- Keywords:
Holistic governance;
Multi-level healthcare security system;
Fragmented;
Policy coordination
- From:
Chinese Journal of Health Policy
2024;17(2):1-8
- CountryChina
- Language:Chinese
-
Abstract:
The unclear connotation and fragmented governance of the multi-tiered medical security system pose challenges to its high-quality development.This article redefines the concept and connotation of the multi-tiered medical security system using holistic governance theory.It distinguishes the bottom layer,basic layer,and supplementary layer from the perspective of the essential attributes and direct functions of each system.Furthermore,from the perspective of holistic governance,the article analyzes the current reform practice and finds that fragmented management thinking,unclear positioning of sub-system functions,insufficient policy coordination,single participation subject,and lack of equal negotiation mechanisms are constraints on the overall effectiveness of the multi-tiered medical security system.Therefore,it is necessary to adopt systematic and targeted reform measures from the perspective of holistic governance to improve the system.
