多源流理论视域下家庭医生签约服务政策制定过程分析

Analysis of policy making process of family physicians contracted service from the perspective of multiple streams theory

家庭医生签约服务是促进分级诊疗、实现健康中国战略的重要手段.随着全国家庭医生签约服务政策的不断推出,提高认识、有效推进、落实到位,十分重要.作者从公共政策视角分析家庭医生签约服务政策的发展,运用多源流理论框架分析政策提出的推动因素,探究问题源流、政策源流和政治源流在政策推出过程中发挥的作用,以助于提高政策执行者对家庭医生签约服务政策产生过程的认知,保证政策的可持续性推进.

The family physicians contracted service is an important means to promote hierarchical diagnosis and treatment and realize healthy Chinese strategy.With the continuous introduction of family physicians contracted service policy, it is very important to raise awareness, effectively promote and put into place.This study analyzed the family physicians contracted service policy from the perspective of public policy, and used the multiple streams theory framework to analyze the driving factors of the policy proposed.In addition, it explored the influence of problem stream, policy stream, and political stream on the policy launch process.These efforts can help improvement the policy awareness in the process, and help ensure sustainable progress of the policy.