Study on the Implementation Dilemma and Path of Salary System Reform in Public Hospitals Based on the Smith Policy Implementation Process Model
- VernacularTitle:基于史密斯政策执行过程模型的公立医院薪酬制度改革执行困境与路径研究
- Author:
Dian ZHOU
1
;
Di TIAN
;
Xuezhen LIU
Author Information
1. 安徽医科大学第二附属医院 安徽 合肥 230601
- Publication Type:Journal Article
- Keywords:
Smith policy implementation process model;
public hospital;
salary system reform;
development path
- From:
Chinese Hospital Management
2025;45(6):6-10
- CountryChina
- Language:Chinese
-
Abstract:
The reform of salary system in public hospitals is a key link in deepening the reform of medical and health system,which is of great significance to improving the quality of medical services.With the help of Smith policy implementation process model,it constructs the theoretical framework of policy analysis,and analyzes the implementation dilemma of the salary system reform in public hospitals from four dimensions of idealized policy,implementing agency,target group and policy environment.There are the core problems of contradiction between policy and demand,administrative dominance and specialty deficiency,incentive imbalance and external environment restriction.Put forward the development path of public welfare oriented adjustment mechanism,establishing a collaborative supervision system,building a compound incentive model,and building a salary community.
