集体共识与上下互动:理解复杂问题情境下地方政策创新成功的重要面向——以三明市药品流通“两票制”改革为例

Collective Consensus and Interactions Between Upper and Lower Levels: The Important Dimensions for Understanding the Success of Local Policy Innovation in Complex Problem Contexts--Case Study of "Two Invoice System" Reform of Drug Circulation in Sanming

论文从政策共同体视角构建了“集体共识与上下互动”的分析框架,以三明市药品流通“两票制”改革为例,讨论地方政府政策创新成功的内在逻辑。研究发现,在复杂问题情境下,地方领导人采用授权的策略,利用具备专业性知识的行政官员组成政策共同体以解决特定的政策问题。在充分授权的行政场域中,政策共同体通过对复杂问题的识别,建立起集体共识,采用上下互动的行动策略,对模糊性政策采取清晰回应的方式制定改革方案,并在此过程中,积极对外进行政策倡导和成果展示,吸引上级政府政策注意力,最终实现政策合法化。论文对自下而上的地方创新成功的行动策略进行了补充性的研究,就中国情境下,地方政府如何推动创新实现进行了本土化的探索。

Based on the existing research, through the reform case of the "two invoice system" of drug circulation in Sanming City, this paper discussed the internal logic of the success of local government policy innovation by constructing a research framework of collective consensus and "interactions between upper and lower levels" from the perspective of the policy community.Moreover, it is found that in complex problem situations, local leaders adopt the strategy of delegation and use administrative bureaucrats with professional knowledge to form policy communities to solve specific policy problems. In the fully authorized administrative field,the policy community, based on the basis of collective consensus, through the identification of complex issues formulate reform plans with a clear response to the ambiguous policies of the central government, and attracts the policy attention of the higher-level government through the "interactions between upper and lower levels" model, so as to achieve innovation success. This paper makes a supplementary study on the successful action strategies of bottom-up local innovation, that is, it is carried out the local exploration on how local governments promote innovation in the Chinese context.