元治理理论视角下的三明医改经验

Experience of Sanming medical reform from the perspective of meta governance theory

三明医改是我国医改领域的典型案例之一,其改革经验已经进入推广阶段,明确三明医改模式中的普适方面具有必要性。本文以元治理理论审视三明医改,认为在我国卫生领域利益主体多元且复杂、政府部门间缺少协商的背景下,由党委、政府担任元治理主体,坚持政府治理机制在宏观决策层面发挥主导作用,并在政府内部建立起跨部门治理机制,是三明改革得以启动并不断持续深入的重要原因,这也恰是三明医改模式的极具推广价值的政策经验。

Sanming medical reform is one of the typical cases of medical reforms in China.Sanming's reform experience has entered the stage of promotion,which is clear and deems necessary to clarify the universal aspects of its medical reform model.Based on the meta governance theory,this study examined Sanming medical reform,and holds that under the background of multiple and complex stakeholders in the health field in China and the lack of mutual consultation among government departments,Sanming's Party committee and government should act as the main body of meta-governance,adhere to the governance mechanism to play a leading role in macro decision-making level,and established inter-departmental governance mechanism within the government.These are the most important reasons for Sanming's reform to start and continue to deepen,which also constitute the policy experience of Sanming medical reform model with great promotion value.