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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。
Combined with Wang Shaoguang’s division of China’s policy agenda setting mode, this article reviews the process of establishing new rural cooperative medical system and nationwide promotion from 2003-2007 after the establishment of rural cooperative medical system in the early days of new China, the failure and reconstruction after the reform and opening up. The review found that the agenda setting of the (new) AMSC has undergone a relatively closed mobilization model in the planned economy period, the development of internal control after the reform and opening up, the coexistence of leveraging and external pressure modes, and the relatively open external pressure mode being the mainstream Agenda setting mode. If health policy (or social policy) issues are to win in “stress competition” and reduce social costs and efficiency, independent and open channels of admonition, positive interaction between media, policy objects, and scholars Is indispensable.