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China's remote medical insurance policy included 5 different types of network subjects(policy community,intergovernmental network,producer network,professional network and issue network).The separate interests among competing stakeholders were the main obstacles to the implementation of remote medical insurance policy.The problems mainly reflected as sector interest disputed in policy community;the fragmentation of intergovernmental network;misallocation of the power and responsibilities between policy community and intergovernmental network;interest alliances and conflicts between intergovernmental network and producer network;the weak voice and insufficient action of issue network.Therefore,countermeasures were put forward to implement the remote medical insurance policy:firstly,adjust the distribution of responsibility between policy community and intergovernmental network,public interest oriented;secondly,eliminate local protectionism among the intergovernmental network and unify the relevant medical insurance policies;thirdly,improve the public policy participation system and strengthen the discourse power of issue network;lastly,build an open policy network and promote policy actors to collaborate with each other.
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Objective:To analyze the supply management of emergency drugs from the perspective of policy network theory and to provide a reference for the establishment of timely,reasonable and effective emergency drug management system in China.Methods:The policy network theory was used to examine the existing problems in the current supply management system of emergency drugs in China and to optimize the policy network of emergency drug supply in China.Results:The policy network theory is applicable to the emergency drug system in China.From the perspective of policy network theory,the following aspects of supply management system of emergency drugs should be improved,including a clear government responsibility at all levels,strengthening the work of medical emergency funding and legal protection,and building up a policy network of public information platform for emergency drugs.Conclusion:Based on the findings of this analysis,optimizing the supply management system of China's emergency drugs is one of the important directions of the construction of national emergency system in China.The emergency work of the drugs needs to run benignly in a network with stable structure,balance of interests and integration of resources,so as to obtain reasonable and efficient results.
ABSTRACT
Objective:To analyze the supply management of emergency drugs from the perspective of policy network theory and to provide a reference for the establishment of timely,reasonable and effective emergency drug management system in China.Methods:The policy network theory was used to examine the existing problems in the current supply management system of emergency drugs in China and to optimize the policy network of emergency drug supply in China.Results:The policy network theory is applicable to the emergency drug system in China.From the perspective of policy network theory,the following aspects of supply management system of emergency drugs should be improved,including a clear government responsibility at all levels,strengthening the work of medical emergency funding and legal protection,and building up a policy network of public information platform for emergency drugs.Conclusion:Based on the findings of this analysis,optimizing the supply management system of China's emergency drugs is one of the important directions of the construction of national emergency system in China.The emergency work of the drugs needs to run benignly in a network with stable structure,balance of interests and integration of resources,so as to obtain reasonable and efficient results.
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Resumo O presente artigo analisa a emergência da questão social da violência sexual infanto-juvenil como problema público, sua inclusão e permanência na agenda formal das políticas nacionais nas décadas de 1990 e 2000. À luz de estudos sobre construção de agendas de políticas públicas e a partir da análise documental, o artigo contextualiza o amplo movimento de articulação e mobilização social da década de 1990, o Plano Nacional de Enfrentamento da Violência Sexual Infanto-juvenil como política pública intersetorial e a década de 2000 pautada pela sua implementação.
Abstract This article analyzes the emergence of the issue of child sexual abuse as a public problem, its inclusion and permanence in the national policy agenda in the decades of 1990 and 2000. Through the construction of public policy agendas and further analysis, this text highlights historical aspects which developed into a huge popular movement in the 1990s against child sexual violence, giving birth to the National Child Sexual Violence Combat Plan as an intersector public policy and the decade of 2000 devoted to its implementation.
Subject(s)
Humans , Child , Adolescent , Child Abuse, Sexual , Community Participation/history , Public Health , Public Policy , Sex OffensesABSTRACT
BACKGROUND: Policy network theory was proved to be an appropriate analytic tool for the current social welfare policy making process. This study aimed to analyze policy making process related to the nurse expansion and policy output while focusing on the interactions and activities among various policy actors. METHODS: In this study, we used reports related to the need for expansion of nursing personnel journals, dissertations, newspaper articles, for hearings and debate policies for securing nurse data, and interviews. We examined three components of policy network, that is, policy actors, interactions, linkage of interest. RESULTS: For that to expand the nurse before the 2000s in expanding the supply of medical supplies have been conducted without much disagreement among policy actors under the government's initiative. However, there was lacked a close relationship between the expanding supply of nurses and inaccurate analysis of supply and demand. As the policy is applied between the various policy actors' needs and claims, conflict was intensified and many policy options had been developed. Government only took a role as a coordinator among policy actors in the 2000's. Also, it was difficult to find sufficient and clear evidence that policy-making process based on fair judgment. CONCLUSION: Therefore, it is urgently required to determine the policy through a social consensus to address the appropriate policy means and the process by correct analysis of the policy issues.
Subject(s)
Humans , Consensus , Equipment and Supplies , Judgment , Nursing , Nursing Staff , Periodical , Policy Making , Social WelfareABSTRACT
OBJECTIVES: To assess the current public participation in-local health policy and its implications through the analysis of policy networks in health center programs. METHODS: We examined the decision-making process in sub-health center installations and the implementation process in metabolic syndrome management program cases in two districts ('gu's) of Seoul. Participants of the policy network were selected by the snowballing method and completed self-administered questionnaires. Actors, the interactions among actors, and the characteristics of the network were analyzed by Netminer. RESULTS: The results showed that the public is not yet actively participating in the local public health policy processes of decision-making and implementation. In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made. In the implementation process, the program was led by the health center, while other actors participated passively. CONCLUSIONS: Public participation in Korean public health policy is not yet well activated. Preliminary discussions with various stakeholders, including civil society, are needed before making important local public health policy decisions. In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.