Why universities terminated organized vaccination? An analysis using the Smith model of poli-cy implementation process
10.3969/j.issn.1674-2982.2017.10.007
- VernacularTitle:高校为什么停止统一接种?——基于史密斯政策执行过程理论
- Author:
Li WANG
1
,
2
;
安徽医科大学卫生管理学院 安徽合肥 230032
;
jiang Xiao HU
;
xin Xiao XU
;
dong Xiang PENG
;
Qiong WU
Author Information
1. 北京师范大学社会发展与公共政策学院 北京 100875
2. 安徽医科大学卫生管理学院 安徽合肥 230032
- Keywords:
Policy implementation;
Vaccination;
College students;
Sixian county vaccine incident
- From:
Chinese Journal of Health Policy
2017;10(10):35-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Using the Smith Model of policy implementation, the paper analyses how an adverse e-vent,the"Si-xian County Vaccine Incident",caused the termination of organized vaccination in universities L city. Methods:Case study, in-depth interviews among 15 key insiders, and 5 focus-group interviews among college students. All interviews transcribed,coded and analyzed. Results:There are no clear policy targets nor specific im-plementation standards for college students' vaccination. The target group (college students) holds a low level of awareness of vaccination. Implementation departments are sensitive to any risks due to the prevalent stability-oriented social environment,and have limited space for action when facing emergencies. Conclusion:In the stability-oriented social environment,the Si-xian County Vaccine Incident amplified the risks and limited the space of vaccination poli-cy implementation. In the absence of policy goals for college student vaccination,it was safer to terminate organized vaccination programs,which had a negative impact on university vaccination. The government should lay out specific policy goals for vaccination,and broaden the possible implementation space,as well as establish mechanisms for at-tenuating the risks of vaccination.
