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基于系统文献综述的方法与治理的相关理论与实践,文章系统梳理了卫生部门治理的基本逻辑架构及关键要素,即问责、公开、参与、廉政以及政策能力;并在此基础上,系统阐述了每个要素的基本概念及相关的政策与管理工具以及多元主体在治理架构中所形成的权责矩阵关系。上述5个关键要素相辅相成,相得益彰,不仅构建了卫生部门治理的基本逻辑架构,也决定了其相关政策的决策模式,其目的在于识别实际或潜在的治理问题,并通过形成一种包容与相互促进的治理架构以及能够体现其治理主体价值理念的模式与机制来促使相互冲突或不同利益相关者之间的协调,并形成一种包容合作与持续发展的方式来改善医疗卫生服务的供给问题以及资源的利用效率。
Based on the related theory and practice of systematic literature review, this paper systematically reviews the basic logical structure of health sector governance and its key elements, namely, accountability, openness, participation, integrity and policy capabilities; and on this basis, elaborates systematically The basic concepts of each element and related policy and management tools as well as the matrix of rights and responsibilities formed by the multiple subjects in the governance structure. These five key elements complement each other and complement each other, not only building the basic logical structure of the health sector governance, but also determines the decision-making model of its related policies, the purpose is to identify actual or potential governance issues and through the formation of a tolerance and mutual promotion Governance structure and models and mechanisms that embody the values of governance principals to foster coordination between conflicting or disparate stakeholders and to create an inclusive and sustainable way of improving the supply of health services and resources Use efficiency.