[1]陈皓阳,杨 叶,莫雯茜,等.我国住院医师规范化培训政策执行情况分析——基于爱德华政策执行模型[J].卫生经济研究,2021,38(11):13-17.
　CHEN Hao-yang,YANG Ye,MO Wen-qian,et al.Analysis on the Implementation of Standardized Training Policy for Resident Physicians in China——Based on The Edward Policy Implementation Model[J].Journal Press of Health Economics Research,2021,38(11):13-17.
点击复制

我国住院医师规范化培训政策执行情况分析
——基于爱德华政策执行模型
分享到：

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年11期
页码:
13-17
栏目:
方法学应用
出版日期:
2021-10-29

文章信息/Info

Title:
Analysis on the Implementation of Standardized Training Policy for Resident Physicians in China
——Based on The Edward Policy Implementation Model
作者:
陈皓阳1; 杨 叶1; 莫雯茜1; 董慧慧2; 陈志全3; 张新平1; 4
1.河北医科大学医教协同与医学教育研究中心，河北 石家庄050000
2.国家卫生健康委卫生发展研究中心，北京 100044
3.华北理工大学附属医院，河北 唐山063000
4.河北省人民医院，河北 石家庄050000
Author(s):
CHEN Hao-yang;  YANG Ye;  MO Wen-qian;  DONG Hui-hui;  CHEN Zhi-quan;  ZHANG Xin-ping
Hebei Medical University, Shijiazhuang Hebei 050000, China
关键词:
住院医师规范化培训; 政策效果; 爱德华政策执行模型
Keywords:
standardized training for resident physicians;  policy effect;  Edward policy implementation models
分类号:
R197
文献标志码:
A
摘要:
基于爱德华政策执行模型，从交流与沟通、资源、执行者偏好、官僚组织结构四个方面对住院医师规范化培训政策进行综合分析，发现其政策标准不完善且与已有政策存在冲突、财政投入不足且师资力量水平不齐、带教老师教育意识不足、部门联动衔接机制不完善等问题。建议采取完善政策执行标准、加强师资队伍建设、提升带教意识、建立部门联动机制等措施，进一步完善住院医师规范化培训政策。
Abstract:
Based on the Edward policy implementation model, this paper comprehensively analyzes the standardized training policy for resident physicians from four aspects: communication and communication, resources, executor preference and bureaucratic structure. It is found that its policy standards are not perfect and conflict with existing policies, the financial investment is insufficient and the level of teachers is not uniform, the education awareness of teachers is lacking, and the linkage mechanism of departments is not perfect. It is suggested that measures should be taken to improve the policy implementation standards, strengthen the construction of teaching staff, enhance teaching awareness and establish a departmental linkage mechanism to further improve the standardized training policy for resident physicians.

参考文献/References:

[1] George C.Edwards.Implementing Public Policy[M].Washington，D.C：Congressional Quarterly Press,1980:143.
[2] 苏康.青年健康政策的演进及执行路径研究——基于爱德华政策执行模型的视角[J].中国青年研究，2018（10）：26-32，65.
[3] 张婷，陈彦锦，张梦娇，等.基于史密斯模型视角下对住院医师规范化培训政策执行分析[J].卫生软科学，2017，31（11）：34-37.
[4] 霍海燕，师青伟.变量演化及现实困境：公共政策制定的有效性[J].河南社会科学,2021,29(2):86-93.
[5] 戚德峰.住院医师规范化培训的现状分析与对策探讨[J].广州医科大学学报，2017，45（4）：77-79.
[6] 常舒雅，姚华，秦洁，等.新疆18家住院医师规范化培训基地建设现状与对策分析[J].中华医学教育杂志，2016，36（1）：127-133.
[7] 四川省财政厅、省卫生计生委、省中医药管理局.中央提前下达 2017 年补助四川省住院医师规范化培训和助理全科医生培训资金管理方案[EB/OL].[2017-07-11].http://zyyspx.scyx.org.cn:8088/WebSite/News/NewsDetail.aspx?strUrlEncrypt=db5269f3 baf7b6c1|10098535054571025198971025598549949.
[8] 北京市财政局，北京市卫生局，北京市中医管理局.北京市住院医师规范化培训经费管理办法[EB/OL].[2013-04-26].http://bjzyy.wsglw.net/OtherInfo/NewsShow.aspx?news_id=8e23160b7c5 4-4de1-b4cb-a65e00adfaed.
[9] 刘璐婵.流动人口跨省异地就医困局的缘起、政策分析与制度破解[J].四川轻化工大学学报（社会科学版），2020，35（5）：31-47.
[10] 北京市卫生局.关于推进北京市住院医师规范化培训制度建设的意见[EB/OL].http://www.beijing.gov.cn/zhengce/zhengcefag ui/201905/t20190522_57553.html.
[11] 赵允伍，王珩，陈旭林，等.我国住院医师规范化培训问题分析与对策探讨[J].卫生经济研究，2019，36（3）：12-14.
[12] 曾卫龙，马绍壮，余中光，等.我国住院医师规范化培训制度满意度、组织支持感对职业承诺的影响：基于住院医师规范化培训带教教师的调查[J].中国医院，2018（16）：33-36.
[13] 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，2020，37（12）：40-44.
[14] 吴荣海，陈昉，吴伟旋，等.广东省住院医师规范化培训经费支出调查研究[J].卫生经济研究，2019，36（3）：15-17，21.

相似文献/References:

[1]赵允伍,王 珩,陈旭林,等.我国住院医师规范化培训问题分析与对策探讨[J].卫生经济研究,2019,(03):12.
　ZHAO Yun-wu,WANG Heng,CHEN Xu-lin,et al.Analysis on the Problems of Standardized Training of Residents in China and Countermeasures[J].Journal Press of Health Economics Research,2019,(11):12.
[2]范阳东,朱艳玲,张 青,等.广东省住院医师规范化培训学员满意度调查[J].卫生经济研究,2019,(03):18.
　FAN Yang-dong,ZHU Yan-ling,ZHANG Qing,et al.Satisfaction Survey of Resident Standardized Training Students in Guangdong Province[J].Journal Press of Health Economics Research,2019,(11):18.
[3]陈皓阳,穆 林,莫雯茜,等.我国住院医师规范化培训现状的系统评价[J].卫生经济研究,2022,39(1):73.
　CHEN Hao-yang,MU Lin,MO Wen-qian,et al.Systematic Evaluation of the Current Situation of Standardized Training of Residents in China[J].Journal Press of Health Economics Research,2022,39(11):73.
[4]黄成凤,申丽君,杨燕绥.价值导向型医保付费政策效果探讨——基于柳州市中医优势病种的实证分析[J].卫生经济研究,2022,39(5):37.
　HUANG Cheng-feng,SHEN Li-jun,YANG Yan-sui.Discussion on the Effect of Value-Oriented Medical Insurance Payment Policy ——Based on Empirical Analysis in Liuzhou[J].Journal Press of Health Economics Research,2022,39(11):37.
[5]吴丹妮,夏周燕,朱滨海.住院医师规范化培训质量评价体系构建研究[J].卫生经济研究,2025,42(05):58.
　WU Danni,XIA Zhouyan,ZHU Binhai.Study on the Construction of Quality Evaluation Index System for Standardized Training of Resident Physicians[J].Journal Press of Health Economics Research,2025,42(11):58.
[6]夏周燕,吴丹妮,朱滨海.住院医师规范化培训质量保障体系模型构建研究 ——基于扎根理论和SPO模型[J].卫生经济研究,2025,42(05):62.
　XIA Zhouyan,WU Danni,ZHU Binhai.Study on the Construction of Quality Assurance System for Standardized Residency Training ——Based on Grounded Theory and SPO Model[J].Journal Press of Health Economics Research,2025,42(11):62.

更新日期/Last Update: 2021-10-29