CAJ | 학술논문

在阐述相关政策背景和利益相关者理论的基础上,确定了“住院医师规范化培训后到基层服务或工作”政策的主要利益相关者为在培住院医师、培训基地医院、卫生行政部门、基层医疗机构及其患者.通过对主要利益相关者进行深入分析,探讨政策对各方利益的影响,并提出提高政策实施可行性的策略.为保障政策目标的实现,建议解决好两个关键问题:一是做好顶层设计,建立并有效执行相关配套政策;二是改革住院医师人事身份,转变为“社会人”和“委派人”.
재천술상관정책배경화이익상관자이론적기출상,학정료“주원의사규범화배훈후도기층복무혹공작”정책적주요이익상관자위재배주원의사、배훈기지의원、위생행정부문、기층의료궤구급기환자.통과대주요이익상관자진행심입분석,탐토정책대각방이익적영향,병제출제고정책실시가행성적책략.위보장정책목표적실현,건의해결호량개관건문제:일시주호정층설계,건립병유효집행상관배투정책;이시개혁주원의사인사신빈,전변위“사회인”화“위파인”.
Policy background and stakeholder theory were elaborated.It could be concluded that the key stakeholders of the policy were residents,training hospitals,healthcare administrators,primary healthcare institutions and patients of such institutions.Through analysis of these stakeholders,effects on the interests of all parties were investigated and strategies to improve feasibility of the policy were put forward.Two key points were suggested for such policy goals.First,top-level policies should be designed and be effectively implemented.Second,conversion of the residents from permanent hospital employees to “contractors”or“ freelancers”.