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基于利益相关者理论的农村县乡两级医疗服务整合作用机制分析
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| 投稿时间： 2015-02-10 最后修改时间： 2015-03-01 摘要点击次数: 2586 全文下载次数: 1533 |
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| 引用本文：谢添, 杨坚, 冯达,等.基于利益相关者理论的农村县乡两级医疗服务整合作用机制分析[J].中国卫生政策研究,2015,8(4):53-59 |
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| 谢添1,2, 杨坚1,2, 冯达1,2, 张亮1,2 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030;
2. 湖北省人文社科重点研究基地农村健康服务研究中心 湖北武汉 430030 |
| 基金项目:国家自然科学基金(71273009);美国中华医学基金会项目(11-069) |
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| | 摘要:目的:分析利益相关者的利益诉求对农村县乡两级医疗服务纵向整合的影响机制。方法:通过对黔江、黄陂、扬中三地区的利益相关者访谈资料进行词频分析, 确定各地区利益相关者的利益诉求;通过利益诉求调查问卷了解各地区利益相关者对各类诉求的重视程度和利益得失情况;借鉴综合评价和博弈论的理论方法分析各地区利益相关者的诉求得益情况对其行为反应的影响。结果:各地区的整合政策均在不同程度上反映了利益相关者的利益诉求;利益诉求效益评分越高的地区, 其利益相关者对整合政策的行为配合意愿越强。结论:农村医疗服务整合的改革政策应综合考虑各利益相关者的利益诉求;利益相关者的利益诉求满足情况越好, 其配合整合改革的动力越强, 从而可在一定程度上影响当地整合改革的实施效果。 | |
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关键词:利益相关者 诉求效益 农村地区 医疗服务 纵向整合
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| Mechanism analysis on integration of health care services at county and township level: From the perspective of stakeholder theory |
| XIE Tian1,2, YANG Jian1,2, FENG Da1,2, ZHANG Liang1,2 |
1. School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei 430030, China;
2. Center for Health Service Research in Rural Areas, Key Research Institute of Humanities & Social Sciences at Universities in Hubei Province, Wuhan Hubei 430030, China |
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| | Abstract:Objective: To analyze the mechanism on integration of health care services at the county and township level from the perspective of stakeholder theory. Methods: The stakeholder interest demand was determined by word frequency analysis of interview data from stakeholders in the three regions of Qianjiang, Huangpi, and Zhenjiang; the degree of attention and gains and losses of stakeholders towards various demands was investigated from the three regions through interest demand questionnaires; the impact of demand benefits on behavioral responses has been evaluated through comprehensive evaluation theory and game theory. Results: Regional integration policies reflect the interest demands of stakeholders in varying degrees; the higher were the scores of demand benefits in interest demands questionnaires, the stronger was the willingness of stakeholders to coordinate integration policies. Conclusion: The policies of integration of health care services in rural China should consider all stakeholder interest demands; the better the interest demands of the stakeholders are satisfied, the stronger their motivation for integration reform will be, which may affect the implementation effects of local integration reforms to some extent. | |
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