Governance policy flexibility and implementation under the game of investment competition of impoverished counties,health planning
10.3969/j.issn.1674-2982.2017.11.012
- VernacularTitle:贫困县卫生规划增量博弈下的政策变通与政策执行
- Author:
Yi WEI
1
Author Information
1. 西南政法大学政治与公共管理学院 重庆 401120
- Keywords:
Health planning;
Investment competition game;
Governance;
Policy flexibility
- From:
Chinese Journal of Health Policy
2017;10(11):72-76
- CountryChina
- Language:Chinese
-
Abstract:
With the new medical reform, healthy China 2030 plan and the 13th Five-Year poverty reduction with the implementation of health assistance project,the poor counties will continue to benefit.But,in the long run, the sustainable development of the rural health system will eventually change to blood formation"hematopoiesis"rath-er than blood transfusion,which requires structural change from health planning to governance of the normal mecha -nism.With the central government fund focus on higher level of health delivery system and promote private health in -vestment in rural health,the health planning process of poverty county in 13th Five-Year is full of game,choice and adaptation.According to the study of 4 poorest counties in western area.The health planning in poor counties prefers the incremental planning of project investment, which is embodied in the incremental speculation and conservative management of resources planning.Poor counties need to balance the public interests and the sector interests, the vertical administrative control structure and introducing more private resource also lead to the poor counties,transfor-mation of health planning and promoting development.