CAJ | 학술논문

对我国基本药物制度执行过程中存在的问题进行分析.主要运用政策执行的史密斯模型,对基本药物制度执行过程中理想化政策、政策执行机构、目标群体和政策环境四要素存在的问题以及四要素间的关系进行系统梳理与分析.基本药物制度方案本身的理想化程度较高,但政策目标设置不当,且由于政策四要素中存在多种问题,以及政策四要素间的“紧张”与“冲突”,导致基本药物制度在运行中出现了较多的问题.虽然目前基本药物制度在执行中出现了许多问题,但由于其正处于政策运行的初期阶段,不应轻易对政策进行过大变动,以免引起政策的不稳定.政府部门应综合分析基本药物政策四要素及其相互关系,采取有效措施对出现的问题及各要素间的“紧张”与“冲突”进行处理,才能保障基本药物制度的有效执行.
대아국기본약물제도집행과정중존재적문제진행분석.주요운용정책집행적사밀사모형,대기본약물제도집행과정중이상화정책、정책집행궤구、목표군체화정책배경사요소존재적문제이급사요소간적관계진행계통소리여분석.기본약물제도방안본신적이상화정도교고,단정책목표설치불당,차유우정책사요소중존재다충문제,이급정책사요소간적“긴장”여“충돌”,도치기본약물제도재운행중출현료교다적문제.수연목전기본약물제도재집행중출현료허다문제,단유우기정처우정책운행적초기계단,불응경역대정책진행과대변동,이면인기정책적불은정.정부부문응종합분석기본약물정책사요소급기상호관계,채취유효조시대출현적문제급각요소간적“긴장”여“충돌”진행처리,재능보장기본약물제도적유효집행.
To study performance problems found in China's essential medicine system.The SmithModel of system implementation was called into play in a systematic collation and analysis for the ideal policies,system implementation agencies,target groups and policy environment in its performance,along with relationships among the four factors.The system is found with a number of loopholes as the system itself is highly idealized,its system objectives set inappropriately,problems found with the four factors,and "tension" and "conflicts" among these factors.Given these problems found in its performance,it is inappropriate to make drastic changes to avoid instability of the system at its early stage.Government departments in question are advised to comprehensively analyze the four factors and their relationships then taking effective measures to deal with them and the "tension","conflict" among them.This can ensure effectively implementation of the essential medicine system.