| 引用本文：峗怡.卫生资源优先次序分配的政府治理研究——国际研究述评及对我国的启示[J].中国卫生政策研究,2014,7(11):24-29 |
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| 卫生资源优先次序分配的政府治理研究——国际研究述评及对我国的启示 |
| 投稿时间：2014-09-23 修订日期：2014-10-13 PDF全文浏览 HTML全文浏览 |
| 峗怡 |
| 西南政法大学政治与公共事务管理学院 重庆 401120 |
| 摘要:卫生资源优先次序分配作为政府有效治理的重要领域,在我国仍缺乏类似层面的综合思考。西方在该领域的研究趋势已从单纯的经济学思考走向了政治经济学、制度约束、卫生筹资的全面分析,并在更宏大的组织和政治情境中,考量政府的治理范围、手段,建构操作性强的优先次序分配框架。在卫生决策实践中,找寻跨学科工具的最佳组合考验着决策者的治理水平。本文梳理政治学、卫生经济学、哲学、法学、循证医学等不同学科对卫生资源优先次序分配的思考。最后明确政府卫生资源治理的层次、治理策略建议,强调卫生决策从“作为结构的治理”走向“作为过程的治理”的发展规律因应我国所面临的挑战。 |
| 关键词:卫生资源 分配 优先次序分配 治理 |
| 基金项目:国家社科基金青年项目(13CZX082) |
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| Governance on priority setting of health resource allocation: International research review and its implication for China |
| WEI Yi |
| School of Politics and Public Affairs Administration, Southwest University of Political Science and Law, Chongqing 401120, China |
| Abstract:Priority setting of health resource allocation depends on effective and comprehensive government-based stewardship, the national research of which lacks comprehensive considerations. The paper articulates the trend of western research from solo economic analysis to a combined comprehension of political economies, systemic constraints and health financing, to consider the scope, strategy and enforced framework for government rationing within a larger organizational and political context. In the health decision-making practice, the best formula for interdisciplinary tools is a test of stewardship capacity. A multi-disciplinary approach from the perspectives of politics, health economies, philosophy, law and evidence-based medicine must be adopted for the priority setting of health resource allocation. Finally, a clear stewardship phased objective is proposed as well as strategies, with emphasis on health decisions from “stewardship as structure” to “stewardship as a process” with challenges that lie ahead. |
| Key words:Health resource Allocation Prioritization Governance |
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