共识机制与社会政策议程设置的路径——以新型农村合作医疗政策为例

Bureaucracy,Petition and Negotiation Routes of Social Policy Agenda Setting in China——Learning from the New Rural Cooperative Medical System

政策议程设置是政府对政策议题依其重要性进行排序的过程。在政治精英中建立共识,是实现政策议程设置的关键。基于对新型农村合作医疗政策议程设置过程的观察,发现社会政策议程设置过程存在官僚、上书和协商三条路径。在谋求政策共识过程中,这三条路径呈接力模式。这三条路径及其接力模式,显示了中国决策体制的开放性和适应性。这一发现打开了议程设置的"黑箱",阐释了中国场域下政策之窗开启的路径和机制,丰富了金登提出的多源流框架。

Policy agenda setting refers to the government ranking process of policy issues according to their importance.Building consensus among the political elites is critical to reach agenda settings. Taking New Rural Cooperative Medical System as a case,the article identifies that there are three routes for social policy agenda setting: Bureaucracy Route,Petition Route and Negotiation Route. During the process of reaching consensus,the three routes show a relay pattern,which illustrates the openness and adaptiveness in Chinas decision making system.These findings shed light on the black box of agenda setting,and explore the routes and mechanism of opening a policy window in the Chinese context,which enriches Kindons multiple streams framework.