[1]张晓云.我国公共卫生医师处方权政策执行的制约因素和实现路径 ——基于史密斯政策执行模型[J].卫生经济研究,2025,42(05):51-53,57.
　ZHANG Xiaoyun.Restrictive Factors and Implementation Path of the Policy Implementation of Prescription Right for Public Health Physicians in China ——Based on the Smith Policy Implementation Model[J].Journal Press of Health Economics Research,2025,42(05):51-53,57.
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我国公共卫生医师处方权政策执行的制约因素和实现路径
——基于史密斯政策执行模型
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年05期
页码:
51-53,57
栏目:
政策视野
出版日期:
2025-04-24

文章信息/Info

Title:
Restrictive Factors and Implementation Path of the Policy Implementation of Prescription Right for Public Health Physicians in China
——Based on the Smith Policy Implementation Model
作者:
张晓云1
1.苏州市吴中区疾病预防控制中心，江苏 苏州 215128
Author(s):
ZHANG Xiaoyun
Wuzhong District Center for Disease Control and Prevention, Suzhou Jiangsu 215128, China
关键词:
史密斯政策执行模型; 公共卫生医师; 处方权; 制约因素; 实现路径
Keywords:
Smith policy implementation model;  public health physicians;  prescription right;  restrictive factors;  implementation paths
分类号:
R197
文献标志码:
A
摘要:
目的：分析我国公共卫生医师处方权政策执行的制约因素，提出推进政策执行的路径。方法：基于史密斯政策执行模型，从理想化政策、政策执行主体、政策目标群体和政策执行环境四个方面分析公共卫生医师处方权政策的执行现状。结果：公共卫生医师处方权政策合法性欠缺、实施方案不明确、培训体系不完善，执行主体权责不明晰、胜任力不足，政策目标群体对公共卫生医师的认同度低，随着医防融合的深入推进及公共卫生服务需求的不断增长，亟需赋予公共卫生医师处方权。结论：强化公共卫生医师处方权政策的合法性与可行性，提升执行主体的政策执行力，提高目标群体的政策认同度，优化政策执行的社会环境，从而推进公共卫生医师处方权政策执行。
Abstract:
Objective To analyze the constraints of the policy implementation of prescription right for public health physicians in China, and to propose the path to promote the policy implementation. Methods Based on Smith policy implementation model, the implementation status of prescription right policy for public health physician was analyzed from the four aspects of idealization policy, policy implementation subjects, policy target groups, and policy implementation environment. Results There were problems with the prescription right policy for public health physicians, such as lack of legality, unclear implementation plans, incomplete training systems, unclear rights and responsibilities of the implementation subjects, insufficient competence, and low recognition of public health physicians among policy target groups. With the deepening of the integration of medical care and prevention and the continuous growth of the demand for public health services, there was an urgent need to give public health physicians the right to prescribe. Conclusion It is necessary to strengthen the legitimacy and feasibility of the prescription right policy for public health physicians, improve the policy implementation ability of the implementation subjects, improve the policy recognition of the target groups, and optimize the social environment of the policy implementation, so as to promote the policy implementation of prescription right for public health physicians.

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更新日期/Last Update: 2025-04-24