医疗服务价格改革政策快速终结的启示——基于政策行动者视角的案例研究

Quick termination and implications of medical service price reform policy in Chongqing city:A case study of health policy with perspective of policy actors

地方政策创新是我国公共行政领域的鲜明特征。国内既有研究多关注地方政策创新经验总结和政策出台,相对忽视地方政策创新终结。本文运用公共政策过程的理论和概念分析案例—重庆市医疗服务价格政策创新快速终结的原因。研究发现,政策制定过程中相对封闭的政策网络、政策执行过程中部分政策目标群体的抗争性策略、公众议程与媒体议程的互激等是政策创新迅速终结的主要原因。本研究有助于理解地方政策创新"昙花一现"这类非常态政策终结的逻辑机理,为提升我国卫生决策与改革的质量提供参考。

Local policy innovation is a distinct feature in the arena of public administration in China. Previous researches concerned with local policy innovation experience and policy introduction,but they pay little attention to the failure of policy innovations and their termination. This paper uses the theory and concept of public policy process to analyze the reasons for the quick termination process and its mechanism taking healthcare policy as a case study in Chongqing city. It concludes that relative policy strategy is closed in decision-making. The strategy of some special policy target groups as well as the mutual agitation between public and media agenda are the main reasons for the rapid end of policy innovation. This study is helpful to understand the factors and logic mechanism of the quick termination of local policy innovation as a special type of public policy change which is termed as ＂short-lived＂and make more scientific healthcare policy decision making and reform in China.