全科医生培养政策的执行困境与路径完善——基于霍恩-米特模型

Implementation Dilemma and Path Improvement of General Practitioner Training Policy——Based on Horn-Meter Model

基于霍恩-米特模型,对我国全科医生培养政策的执行困境开展研究。研究表明,政策目标和标准、政策资源、执行机构、执行者价值取向、社会环境等因素制约着全科医生培养政策的有效执行。为此,政策执行应坚持问题、目标、价值导向;基于互联网信息技术,协同各执行主体开展横向、纵向和平台式资源整合,促进资源共享、上下联动和合作正效应;加强意识形态观念培养,提升全科医生的职业认同和社会认同。

Based on the Hom-Meter model,the dilemma of the implementation of general practitioner training policy in China was studied.Results showed that the effective implementation of general practitioner training policy was restricted by policy objectives and standards,policy resources,implementing agencies,value orientation of practitioners,social environment and other factors.Therefore,policy implementation should adhere to the problem,target and value orientation.Based on Internet information technology,it is necessary to cooperate with each implementation body to carry out horizontal,vertical and desktop resource integration,so as to promote resource sharing,up-down linkage and positive effect of cooperation.It is suggested to strengthen the cultivation of ideology and enhance the professional and social identity of general practitioners.