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基于政策源流理论的广西地中海贫血防治计划政策过程分析
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| 投稿时间： 2015-05-07 最后修改时间： 2015-06-02 摘要点击次数: 3052 全文下载次数: 1907 |
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| 引用本文：黄媛, 李娜, 陈荔丽,等.基于政策源流理论的广西地中海贫血防治计划政策过程分析[J].中国卫生政策研究,2015,8(7):49-54 |
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| 黄媛1, 李娜1, 陈荔丽2, 欧安红3, 陈英耀1 |
1. 复旦大学公共卫生学院 卫生部卫生技术评估重点实验室 上海 200032;
2. 广西壮族自治区卫生计生委 广西南宁 530021;
3. 广西壮族自治区地中海贫血防治办公室 广西南宁 530021 |
| 基金项目:广西地中海贫血综合防治计划的政策评估 |
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| | 摘要:地中海贫血是我国南方一些省份高发的遗传性疾病,严重影响了我国出生人口素质。本文依据John Kingdon的“政策源流”模型,对广西地中海贫血防治计划的形成过程进行分析,探讨该防治计划形成过程中的问题流、政策流和政治流,阐述三流汇聚及“政策之窗”开启的过程。广西地中海贫血防治计划的制定源于对妇幼健康问题的深刻了解,并由政策制定者调研构建方案体系。在国家深化医药卫生体制改革的政治环境下,广西的地中海贫血作为地方性的重大公共卫生问题得到了政策决策者的关注,在一定的政治时机下,三方源流形成合力推动了政策的出台。广西地中海贫血防治计划的出台遵循“政策源流”理论的基本原理和过程,为我国新医改背景下的公共卫生政策分析提供了理论和实践依据。 | |
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关键词:政策源流理论 政策之窗 地中海贫血防治 政策形成
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| The policy process analysis of thalassemia prevention strategy based on policy stream theory in Guangxi |
| HUANG Yuan1, LI Na1, CHEN Li-li2, OU An-hong3, CHEN Ying-yao1 |
1. School of Public Health, Fudan University, Key Lab of Health Technology Assessment, Ministry of Health, Shanghai 200032, China;
2. The Health and Family Planning Commission, Nanning Guangxi 530021, China;
3. Executive Office of the Thalassemia Prevention, Nanning Guangxi 530021, China |
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| | Abstract:Thalassemia is a genetic disease with a high-incidence rate which has influenced the health conditions of newborns in south China. In this paper, we analyze the policy process of thalassemia prevention strategy in Guangxi based on John Kingdon's policy stream theory, discussing the problem, policy and political flows of the strategy and analyzing how does the policy window open. We found that the thalassemia prevention policy was based on the deep understanding of the women and children's health conditions, and the policy entrepreneur had made a program for alleviating to and eradicating the problem. In the condition of deepening health system reform, the thalassemia prevention policy in Guangxi had attracted the attention of policy makers. At a right political time for policy-making, the three above mentioned flows came in bond pushing the policy window open. As long as the thalassemia prevention policy process is analyzed based on the policy stream theory, it could be a good theoretical and practical example for other public health policy analysis in China. | |
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