文章摘要
罗益佳,周 典,徐 慧,黄欣黎,王 露.基于史密斯模型的远程医疗政策执行分析[J].南京医科大学学报(社会科学版),2020,(3):210~214
基于史密斯模型的远程医疗政策执行分析
Implementation of telemedicine practice policy: an analysis based on the Smith model
投稿时间:2019-07-13  
DOI:10.7655/NYDXBSS20200302
中文关键词: 政策执行  史密斯模型  远程医疗
英文关键词: policy implementation  Smith model  telemedicine
基金项目:安徽省科学技术厅安徽省中央引导地方科技发展专项资金“安徽省六安高质量医疗服务平台建设”(2018080802D0077)
作者单位
罗益佳 安徽医科大学卫生管理学院安徽 合肥 230032 
周 典 安徽医科大学卫生管理学院安徽 合肥 230032
安徽医科大学第一附属医院院长办公室安徽 合肥 230022 
徐 慧 安徽医科大学卫生管理学院安徽 合肥 230032 
黄欣黎 安徽医科大学卫生管理学院安徽 合肥 230032 
王 露 安徽医科大学卫生管理学院安徽 合肥 230032 
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中文摘要:
      新形势下远程医疗服务是提高基层卫生服务能力及落实分级诊疗制度的重要举措,是实现健康中国战略的重要抓手。研究基于远程医疗政策推行现状,以史密斯模型理论为框架,从政策本身、政策执行主体、目标群体及政策执行环境四个方面对远程医疗政策的执行情况进行分析。结果显示,政策法规不完善、行业规范与技术标准不健全、执行机构协调性不足、目标群体接受度较低等因素使得远程医疗政策的执行受到影响。建议政府、各级医疗机构和有关部门采取积极的协调措施,完善远程医疗政策,推动远程医疗的长效实施与可持续发展。
英文摘要:
      Promoting telemedicine under the new situation is an important measure to improve the capacity of primary health services and implement hierarchical diagnosis and treatment system. It is also an effective means to realize healthy China strategy. Based on the current status of telemedicine policy implementation, this study used the Smith model as a framework to analyze the implementation of telemedicine policy from four aspects: policy itself, policy implementation subject, and policy implementation object and policy execution environment. The results showed that the factors such as imperfect policies and regulations, inadequate industry norms and technical standards, insufficient coordination of implementing agencies, and low acceptance of the target group, have affected the implementation of telemedicine policies. It is recommended that the government, medical institutions at all levels and relevant departments should take active and coordinated measures to improve telemedicine policies and promote long?term implementation and sustainable development of telemedicine.
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