Study on the implementation difficulties and countermeasures of the hierarchical medical system based on the Meter-horn model
10.3760/j.issn.1000-6672.2019.06.002
- VernacularTitle:基于米特-霍恩模型的分级诊疗制度执行困境研究
- Author:
Yan HAN
1
;
Wenqiang YIN
;
Anqi WANG
;
Lingyu LI
;
Cheng CHENG
;
Zhongming CHEN
;
Zhiqiang FENG
;
Changhai TANG
;
Lili ZHU
;
Rizhen WANG
Author Information
1. 潍坊医学院公共卫生与管理学院 健康相关重大社会风险预警协同创新中心 "健康山东"重大社会风险预测与治理协同创新中心
- Keywords:
Health services administration;
Hierarchical medical system;
Meter-horn model;
Policy implementation
- From:
Chinese Journal of Hospital Administration
2019;35(6):441-446
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the dilemmas of our hierarchical medical system, in order to seek a viable path for effective implementation.Methods Based on the Meter-horn model, six related factors were used, including policy standards and goals, policy resources, implementation methods, characteristics of the actuator, value orientation of the executive and the system environment, to analyze the dilemmas of the implementation of hierarchical medical system.Results This policy had not achieved the expected effect in the implementation process, which deviated from the original intention of policy designers to some extent. There exist the following setbacks for the roadblocks. For example, policy standard was ambiguous, the policy resources were insufficient, the execution method was not proper, the implementation mechanism was"criticized" , the implementation personnel value orientation was biased and the complex system environment.Conclusions All the factors involved in the implementation of the hierarchical medical policy affect each other.In this consideration, medical institutions at all levels and the relevant departments should coordinate and deal with the relationship between these six related factors, and timely take effective measures to amend and improve the policy, so as to ensure the orderly progress and long-term implementation of the hierarchical medical system.
