【作者】 孙启贵； 王庆莲；

【Author】 Sun Qigui;Wang Qinglian;the School of Public Affairs, University of Science and Technology of China;

【机构】 中国科学技术大学公共事务学院；

【摘要】 自2009年新医改启动以来,电子健康始终是中国医疗改革工作的重要支撑,需要一种良好的治理模式。本文基于公共治理理论,阐明政府、市场与社会部门在电子健康过程中各自的角色定位,并以上海市闸北区电子健康发展为例,探讨运作过程中各参与主体的基本作用、各主体之间的互动关系。理论分析与案例研究表明电子健康的发展应搭建以沟通协商平台为基础的多元协同机制,即应充分发挥政府、市场与社会的多元协同作用,构建多中心的公共卫生服务合作供给模式,形成政府引导机制、私营部门竞争机制与社会自治机制相协同的电子健康服务体系。更多还原

【Abstract】 Since new health-care reform was initiated in 2009, e-health has been the important pillar of medical reform in China. There is no doubt that the development of e-health needs a good governance model with the development of Information And Communications Technology. Based on the theory of public governance, this paper expounds the roles of government, market and social departments respectively in e-health. Then, it takes the e-health development of Zhabei District in Shanghai as a typical example and explores the basic functions of different participants and the interaction relationships. Meanwhile, it analyzes the weakness in the process of governance. Theoretical analysis and case study show that e-health should build multiple and collaborative mechanism which is based on the communication and consultation platform. With this effort, it will shape a multi-center supply mode of public health service under the three dimensional framework, which could formulate public health service system with competitive mechanism of private sector, autonomy mechanism of society and the co-participation of government.更多还原