Problems about performance of the essential medicine system based on the Smith-Model

VernacularTitle:基于史密斯模型的基本药物制度执行中的问题研究
Author: Zhongming CHEN ; Wenqiang YIN ; Jifei ZHENG ; Haiyi JIA ; Xuedan CUI ; Shiliang HU ; Jinwei HU
Publication Type:Journal Article
Keywords: Smith-Model; Essential medicine system; Policy implementation
From: Chinese Journal of Hospital Administration 2015;31(1):25-28
CountryChina
Language:Chinese
Abstract: To study performance problems found in China's essential medicine system.The SmithModel of system implementation was called into play in a systematic collation and analysis for the ideal policies,system implementation agencies,target groups and policy environment in its performance,along with relationships among the four factors.The system is found with a number of loopholes as the system itself is highly idealized,its system objectives set inappropriately,problems found with the four factors,and tension and conflicts among these factors.Given these problems found in its performance,it is inappropriate to make drastic changes to avoid instability of the system at its early stage.Government departments in question are advised to comprehensively analyze the four factors and their relationships then taking effective measures to deal with them and the tension,conflict among them.This can ensure effectively implementation of the essential medicine system.