Author(s)

Yanhui Kong ¹, Defa Cai ¹

Affiliation(s)

¹ School of Public Finance and Administration, Harbin University of Commerce, Harbin, China

Corresponding Author

Defa Cai

ABSTRACT

Based on Smith's policy implementation process model, it is found that China's county medical community policy faces the real dilemma of ambiguous policy objectives and contents, imperfect related laws and regulations; policy supervision  is lacked of by the grassroots government and poor collaboration among departments; insufficient cognitive ability of the support target group and low motivation of healthcare workers to go down to the grassroots level; ambiguous division of interests in healthcare insurance payment, and weak promotion and publicity efforts in the society. In view of this, improving policy content and laws and regulations, optimizing organizational policy implementation mechanisms, enhancing the cognitive ability of target groups, and improving the policy implementation environment are conducive to promoting the effective implementation of county medical community policies.

KEYWORDS

County Medical Community; Policy implementation; Smith Model

CITE THIS PAPER

Yanhui Kong, Defa Cai, The Realistic Dilemma and Optimization Strategies of Policy Implementation in County Medical Communities—Analysis Based on Smith's Policy Implementation Process Model. Social Security and Administration Management (2024) Vol. 5: 41-45. DOI: http://dx.doi.org/10.23977/socsam.2024.050307.

REFERENCES

[1] Liu Li, Zhang Kejun. Realistic Demand, Practical Exploration and Countermeasures of Constructing County Medical Community in the Context of Healthy China[J]. Rural Economy, 2024, (02):90-102.
[2] Thomas B. Smith. The policy implementation process [J].Policy Sciences,1973,4(2):197-209.
[3] Lv Pengpeng; Yang Feng; Luo Guangqiang; Bai Hui; Liu Yongxing; Yang Jing. Progress of research on hot issues of county medical community construction in China[J]. China Hospital, 2022, 26(12):2-4.
[4] Dai Yue, Shang Zhao, Xue Dongyu et al. Problem analysis and countermeasure research on government supervision of close-knit county medical communities[J]. Journal of Nanjing Medical University (Social Science Edition), 2022, 22(01): 20-24. 
[5] Gu Jiawei, Zhang Xiang, Zhang Zuyi et al. Research on the construction problems and development strategy of county medical community under the transformation of new and old kinetic energy[J]. China Hospital Management, 2020, 40(01):34-37.

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