从多源流理论视角看以药养医政策的终结

Research on the Termination of Drug Supported Medical Policy from the Perspective of Multiple Streams Theory

为更好地理解以药养医政策的终结,运用多源流理论进行分析并得出结论如下:以药养医政策的终结是在问题、政策方案和政治形势有机结合的情况下,在政府、专家学者与人大代表等政策企业家的积极推动下实现的。以药养医政策的终结必然会引起相关利益群体的阻挠,为消减以药养医政策终结的阻力,应彻底废止以药养医。在取消以药养医的顶层设计完成后,还需要做好财政转移支付体制改革和医生绩效激励机制优化工作。

Using the multiple streams theory to better understand the termination of drug supported medical policy and to draw a conclusion that the drug supported medical policy finally came true with the active promotion of policy entrepreneurs, such as government, experts and scholars under the organic combination of problems, policy plans and political situation. The termination of drug supported medical policy would inevitably lead to the obstruction of relevant interest groups. To eliminate the resistance of the termination of drug supported medical policy, it needed to completely abolish drug supported medical policy. After the completion of the top-level design, the reform of financial system and the optimization of doctor＇s performance incentive mechanism must be done well.