健康发展与政策研究2025，Vol.28Issue(6)：709-714,6.DOI:10.12458/HDPR.202411025
基于米特-霍恩政策执行模型的医疗保障协议管理限制因素与优化策略研究
Research on the constraints and optimization strategies of healthcare security agreement management based on the Meter-Horn policy implementation model
摘要
Abstract
Objective This study attempts to analyze the constraints on the policy implementation of China's healthcare security agreement management,and to provide reference suggestions for enhancing the policy effect of healthcare security agreement management.Method Based on the Meter-Horn policy implementation model,the constraints on policy implementation of healthcare security agreement management were analyzed from six dimensions:policy standards and objectives,policy resources,inter-organizational communication and enforcement activities,characteristics of implementing agencies,system environment,and disposition of implementers.Result Constraints on the implementation of the healthcare security agreement management policies include:policy violations by the policy target group,the limited capacity of resource absorption and integration at the primary level,the underdeveloped communication and implementation procedures,the lack of internal motivation within implementing agencies,the insufficient strength of policy regulation,and the deviation in implementers'compliance intentions.Conclusion To enhance the effectiveness of policy implementation in healthcare security agreement management,it is recommended to refine policy implementation standards,optimize the allocation of policy resources at the primary level,improve communication and implementation mechanisms,clarify the organizational structure of policy execution,establish a normalized supervision mechanism,and create a favorable policy environment to promote precise alignment and advance the high-quality development of the healthcare security system.关键词
医疗保障协议管理/米特-霍恩模型/政策执行Key words
healthcare security agreement management/Meter-Horn model/policy implementation分类
医药卫生引用本文复制引用
张秋,陈嘉仪,郑柏枫,韩玺..基于米特-霍恩政策执行模型的医疗保障协议管理限制因素与优化策略研究[J].健康发展与政策研究,2025,28(6):709-714,6.基金项目
2022年度国家自然科学基金面上项目(72274040) （72274040）
