[1]程 林,王 丹,陈 纯,等.疾控机构改革政策执行的制约因素与优化策略 ——基于史密斯政策执行模型[J].卫生经济研究,2026,43(08):17-20,24.
　CHENG Lin,WANG Dan,CHEN Chun,et al.Research on Constraints and Promotion Strategies in the Implementation of CDC Institutional Reform Policies ——Based on the Smith Policy Implementation Model[J].Journal Press of Health Economics Research,2026,43(08):17-20,24.
点击复制

疾控机构改革政策执行的制约因素与优化策略
——基于史密斯政策执行模型

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年08期
页码:
17-20,24
栏目:
聚焦医改
出版日期:
2026-07-30

文章信息/Info

Title:
Research on Constraints and Promotion Strategies in the Implementation of CDC Institutional Reform Policies
——Based on the Smith Policy Implementation Model
作者:
程 林1; 王 丹2; 陈 纯1; 陈韵聪1; 周 颖1; 马 钰1
1.广州市疾病预防控制中心（广州市卫生监督所），广东 广州 510440
2.广州医科大学附属肿瘤医院，广东 广州 510095
Author(s):
CHENG Lin;  WANG Dan;  CHEN Chun;  CHEN Yuncong;  ZHOU Ying;  MA Yu
Guangzhou Center for Disease Control and Prevention(Guangzhou Health Supervision Institute), Guangzhou Guangdong 510440, China
关键词:
史密斯模型; 政策执行; 疾控机构改革
Keywords:
Smith Model;  policy implementation;  disease control institution reform
分类号:
R19
文献标志码:
A
摘要:
目的：探究疾控机构改革政策执行的制约因素，提出优化策略。方法：基于史密斯政策执行模型，从理想化政策、执行机构、目标群体、政策环境四个维度分析疾控机构改革政策的执行情况。结果：疾控机构改革政策，在国家层面缺乏系统性政策供给，地方层面政策执行呈现碎片化；政策执行上，疾控机构的政策执行能力参差不齐，执行动力有待强化；目标群体上，人员配备总量不足，配置均衡性有待优化，综合素质有待提升；政策环境上，协同联动机制缺失，“数智疾控”建设步伐不一。多种因素共同影响疾控机构改革政策的有效执行。结论：应进一步加强顶层设计，提升政策执行力，引导目标群体积极参与改革实践，营造良好的政策执行生态，助推疾控机构改革政策落地见效。
Abstract:
Objective To explore the constraints in the implementation of disease control institution reform policies and propose optimization strategies. Methods Based on the Smith Policy Implementation Model, the implementation of disease control institution reform policies was analyzed from four dimensions: idealized policies, implementing agencies, target groups, and policy environment. Results At the national level, there was lack of systematic policy supply; at the local level, policy implementation present fragmentation. The policy implementation capacity of disease control institutions varied, and their implementation motivation need be strengthen. In terms of target groups, there was insufficient staffing, imbalanced allocation, and a need to improve comprehensive competence. Regarding the policy environment, coordinated linkage mechanisms were absent, and the pace of "digital-intelligent disease control" construction was uneven. Multiple factors collectively affected the effective implementation of disease control institution reform policies. Conclusion It is necessary to further strengthen top-level design, enhance policy implementation capacity, guide target groups to actively participate in reform practices, and foster a favorable policy implementation ecosystem to promote the effective implementation of disease control institution reform policies.

参考文献/References:

[1] Smith T B. The policy implementation process[J]. Policy Science,1973, 4(02): 197-209.
[2] 李敬，张维纯，方鹏骞.深化疾病预防控制管理体系改革：在挑战与机遇中寻求科学发展的对策[J].中国卫生事业管理，2025，42（07）：836-840.
[3] 常诗琳，王静雷，刘拓，等.2010—2020年中国不同地区疾病预防控制中心人力资源变化趋势分析[J].中华预防医学杂志，2024，58（05）：636-641.
[4] 王鑫峰，欧阳伟，王延赏.我国卫生监督机构人力资源配置现状及空间分布研究[J].中国卫生政策研究，2022，15（02）：46-53.
[5] 范军，金宇雅，高围溦.基于集聚度的我国疾病预防控制中心人力资源配置公平性分析[J].预防医学，2025，37（01）：86-91.
[6] 廖小会，王蕾，王士然，等.贵州省医防融合现状与优化路径研究[J].卫生经济研究，2025，42（06）：9-12.
[7] 苏雪梅，王崴，赵自雄，等.数智化疾控建设现状、应用与挑战[J].医学信息学杂志，2025，46（05）：1-6，12.
[8] 赵嘉，赵自雄，傅罡，等.2023—2024年省统筹区域传染病监测预警与应急指挥信息平台核心指标实现情况分析[J].医学信息学杂志，2025，46（05）：7-12.

相似文献/References:

[1]冷佳君,何得桂.深度贫困地区健康扶贫政策执行偏差的机理分析——基于陕西省镇巴县的调查[J].卫生经济研究,2019,(09):13.
　LENG Jia-jun,HE De-gui.Mechanism Analysis of Implementation Deviation of Health Poverty Alleviation Policy in Deep Poverty Areas——Based on the investigation of Zhenba County，Shaanxi Province[J].Journal Press of Health Economics Research,2019,(08):13.
[2]李 萍,汤少梁.后疫情时代药品集中带量采购政策制约因素与执行路径——基于史密斯政策执行模型[J].卫生经济研究,2021,38(4):32.
　LI Ping,TANG Shao-liang.The Restrictive Factors and Implementation Path of Drug Centralized Quantity Purchase Policy in the Post-epidemic Era——Based on Smith Policy Implementation Model[J].Journal Press of Health Economics Research,2021,38(08):32.
[3]杨水光,马 可.家庭医生签约服务政策执行的阻滞因素与优化路径[J].卫生经济研究,2022,39(3):56.
　YANG Shui-guang,MA Ke.Barriers and Optimized Paths to Implementation of Family Doctor Contracting Service Policy[J].Journal Press of Health Economics Research,2022,39(08):56.
[4]吴瑶瑶,吴素雄,陈 勇.全科医生培养政策的执行困境与路径完善——基于霍恩-米特模型[J].卫生经济研究,2022,39(5):78.
　WU Yao-yao,WU Su-xiong,CHEN Yong.Implementation Dilemma and Path Improvement of General Practitioner Training Policy——Based on Horn-Meter Model[J].Journal Press of Health Economics Research,2022,39(08):78.
[5]杨 叶,张 娟,陈皓阳,等.我国互联网医疗政策执行困境及优化策略 ——基于政策网络理论[J].卫生经济研究,2022,39(8):14.
　YANG Ye,ZHANG Juan,CHEN Haoyang,et al.Implementation Dilemma and Optimization Strategy of Internet Medical Policy in China ——Based on Policy Network Theory[J].Journal Press of Health Economics Research,2022,39(08):14.
[6]时生辉,郑秋莹.基于霍恩-米特模型的医养结合政策执行影响因素分析[J].卫生经济研究,2023,40(8):13.
　SHI Shenghui,ZHENG Qiuying.Analysis of the Influencing Factors of the Implementation of Integrated Medical Care and Elderly Services Policies based on Horn-Meter Model[J].Journal Press of Health Economics Research,2023,40(08):13.
[7]孙 瑜,祁 丽,吴 爽.京津冀医疗协同发展的制约因素及政策优化——基于米特-霍恩政策执行模型[J].卫生经济研究,2024,41(02):47.
　SUN Yu,QI Li,WU Shuang.Constraint Factors and Policy Optimization of Medical Collaborative Development in Beijing-Tianjin-Hebei Region ——Based on the Mitt-Horn Policy Implementation Model[J].Journal Press of Health Economics Research,2024,41(08):47.
[8]张晓云.医疗机构疾控监督员政策执行情况研究 ——基于史密斯政策执行模型[J].卫生经济研究,2024,41(05):81.
　ZHANG Xiaoyun.Study on the Implementation of Disease Control Supervisor Policy in Medical Institutions 2.浙江大学公卫学院社会医学系，医学部卫生政策学研究中心， 浙江 杭州 310058 ——Based on Smith's Policy Implementation Process Model[J].Journal Press of Health Economics Research,2024,41(08):81.
[9]陈星宇,胡琳琳.我国乳腺癌筛查政策执行困境及优化策略 ——基于政策网络理论[J].卫生经济研究,2024,41(09):1.
　CHEN Xingyu,HU Linlin.Challenges and Optimization Strategies in the Implementation of Breast Cancer Screening Policy in China ——Based on the Perspective of Policy Network Theory[J].Journal Press of Health Economics Research,2024,41(08):1.
[10]王高玲,王灿威.“互联网+医疗健康”背景下 社区数字化慢病管理的实施困境研究[J].卫生经济研究,2024,41(09):21.
　WANG Gaoling,WANG Canwei.Study on the Implementation Dilemma of Community Digital Chronic Disease Management under the Background of "Internet + Healthcare"[J].Journal Press of Health Economics Research,2024,41(08):21.
[11]陈皓阳,葛鹏楠,刘易昕,等.我国智慧康养政策执行困境及服务推进策略——基于史密斯模型[J].卫生经济研究,2020,(12):40.
　CHEN Hao-yang,GE Peng-nan,LIU Yi-xin,et al.The Implementation Predicament and Service Promotion Strategy of Intelligent and Health Care Policy in China—— Based on Smith Model[J].Journal Press of Health Economics Research,2020,(08):40.
[12]葛鹏楠,赵 雨,韩彩欣.互联网医疗政策的执行问题和对策——基于史密斯模型的分析[J].卫生经济研究,2021,38(1):17.
　GE Peng-nan,ZHAO Yu,HAN Cai-xin.Problems and Countermeasures on the Implementation of Internet Medical Policy——An Analysis Based on Smith Model[J].Journal Press of Health Economics Research,2021,38(08):17.
[13]张礼亮,马骋宇,张婧怡,等.我国全民参保政策执行的制约因素和治理策略研究 ——基于史密斯政策执行模型[J].卫生经济研究,2024,41(03):19.
　ZHANG Liliang,MA Chengyu,ZHANG Jingyi,et al.Study on the Constraints and Governance Strategies of the Implementation of Universal Insurance Policy in China ——Based on the Smith Policy Implementation Model[J].Journal Press of Health Economics Research,2024,41(08):19.
[14]赵冀校,于红伟,马 爽,等.基于史密斯模型的中医DRG改革执行影响因素研究[J].卫生经济研究,2025,42(05):54.
　ZHAO Jixiao,YU Hongwei,MA Shuang,et al.Study on the Influencing Factors for the Implementation of DRG Reform in Traditional Chinese Medicine based on Smith Model[J].Journal Press of Health Economics Research,2025,42(08):54.

更新日期/Last Update: 2026-07-30