作　　者： (房莉杰）;

机构地区： 中国社会科学院社会学研究所

出　　处： 《社会发展研究》 2017年第3期53-68,共16页

摘　　要： 结合王绍光对中国政策议程设置模式的划分,本文回顾了从新中国成立初期农村合作医疗建立,到改革开放后解体和重建失败,再到2003—2007年新型农村合作医疗建立和全国推广的过程。回顾发现,(新)农合的议程设置依次经历了计划经济时期相对封闭的动员模式,发展到改革开放后的内参、借力和外压模式并存,并且相对开放的外压模式正在成为主流的议程设置模式。卫生政策(或者说社会政策)议题要想在"压力竞争"中胜出,并且降低社会成本、提高效率,那么独立和通畅的谏言渠道,媒体、政策对象、学者之间的良性互动都是不可或缺的。 Based on Wang Shaoguang's analyzing framework of agenda-setting model,this article reviewed the policy transition of(New)Cooperative Medical Scheme(CMS/NCMS)from the 1950s to2008.It found out that the agenda-setting of CMS/NCMS experienced the motivation model through the planned economy period,and transferred to the combination of Inter-reference model,Externalsupported model,and External-pressure model.During the transition,the agenda-setting model of CMS/NCMS was becoming more and more open.Furthermore,this article also argued that the independent media,policy research,as well as the efficient interaction between media,policy targeted groups,and policy researchers should be highlighted so as to make the agenda-setting of health policy more efficient.

关 键 词： 合作医疗制度 议程设置模式 政策过程卫生政策