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公共政策目标群体的信任对政策执行具有一定影响。城市双向转诊政策至今推出20年却难以执行,其中患者对技术力量薄弱的社区医院不信任是一个重要因素。患者信任是确保双向转诊运行的基本要素,其实质为患者就医需求,其中技术和诊断层次需求是最基本的需求,对就医选择有一票否决作用。患者无法从社区医院中获得信任需求最终导致双向转诊政策执行受阻。公共政策目标群体的信任实质是一种利益诉求,可以从功能性、社会性和政治性3个维度进行分析,需要在政策制定和政策执行过程予以关注和满足。
The trust of target groups in public policy has an impact on policy implementation. The two-way referral policy in the city so far has been introduced for 20 years and is difficult to enforce. Mistrust of patients in poorly equipped community hospitals is an important factor. Patient trust is the basic element of ensuring two-way referral operations. The essence of patient trust is the need of patients for medical treatment. Among them, the demand of technology and diagnosis level is the most basic requirement, and has a veto effect on the choice of medical treatment. The inability of patients to obtain trust from community hospitals ultimately hinders implementation of the two-way referral policy. The essence of trust of target groups of public policy is a kind of interest appeal, which can be analyzed in three dimensions of function, sociality and politics, and needs to be paid attention and satisfied in the process of policy formulation and policy implementation.