上海市卫生健康领域“放管服”改革过程评估研究

Evaluation and research on reform process of“decentralization,management and service”in health field of Shanghai

[目的]了解和分析上海市卫生健康领域"放管服"改革试点工作总体进展情况,总结卫生健康领域"放管服"的上海经验与模式。[方法]从政策评估的理论入手,通过现场调研、问卷调查、文件资料梳理等多种方法,以4个具体行政审批事项为切入点,评估上海市卫生健康领域"放管服"改革的进展、经验。[结果]上海市依托"一网通办"技术平台,通过优化业务流程、精简办理材料、加大"证照分离"试点推广力度、完善事中事后监管机制等措施,提高行政审批服务效能。2018-2019年,事项审批平均时间由10天缩减至2~3天,审批材料平均份数由4份缩减为3份,现场平均跑动次数由2次缩减为1次,其中部分审批事项出现了"0"跑动次数(全程网办)。但同时,在人力资源、跨部门沟通等方面还存在一定的不足。[结论]上海市卫生健康领域"放管服"改革形成了较为完备的政策体系,行政服务效能显著提高。未来在信息资源共享、部门协调、人力资源保障、事中事后监管等方面的政策措施还需要进一步完善。

Objective To understand and analyze overall progress of pilot work of the reform of“decentralization,management and service”in health field of Shanghai,and sum up the experience.Methods The research started from the theory of policy evaluation,and evaluated the progress and experience of“decentralization,management and service”in health field through multiple methods such as on-site investigation,questionnaire survey,document and data review and so on,took four specific administrative examination and approval items in health affairs as entry point.Results Relied on technology platform of“One Internet Service”,Shanghai improved efficiency of administrative examination and approval services by optimizing business processes,streamlining application materials,expanding the pilot promotion of“separation of licenses and licenses”,and improving the supervision mechanism during and after the event.During 2018-2019,the average time for item approval was reduced from 10 days to 2~3 days,the average number of approval materials was reduced from 4 to 3,and the average number of on-site runs was reduced from 2 to 1 which appeared“0”number of runs in some approval items(entire network operation).But at the same time,there were still some deficiencies in human resources and trans-department communication.Conclusions The reform of“decentralization,management and service”in health field of Shanghai has formed relatively complete policy system,and the efficiency of administrative services has been significantly improved.In the future,policy measures in terms of information resource sharing,departmental coordination,human resources guarantee,and operational and post-operational oversight need to be further improved.