To Be And Ought To Be Exploratory Research On The Power List System Of Local Health Administration

The list of powers originated from the corruption prevention of the local government.In order to prevent the corruption,the local government attempted to use the power list to put specific powers and they trajectories under the sun and allow the power to accept the supervision of the masses as the role of power preservatives.Then the localities followed suit.In the context of governing the country based the law,administering the government service,and the government information to be opened,the functions of the power list had been continuously adjusted and expanded to suit the reforms.Local practice attracted the attention and recognition of the central government.The power list was proposed as an administrative institution first time at The Third Plenary Session of the 18th Central Committee of the CPC.In 2015,the China Affairs Office and the State Council issued a document stating that the power list system is an important measure for the modernization of national governance systems and governance capabilities.It requires governments and administrative departments at all levels to fully implement them.In practice,the health administrative departments of local governments have been launched the power list system.On the surface,the power list system is not related to the health administrative departments which belongs to the social field,even say,the word "power" seems to be dazzling.From the perspective of the reaction of the academic community,the degree of attention was also not high.Traditional health management research was mostly based on resources localization.The analysis of allocation factors involves the relationship between the government and public hospitals and generally uses vocabulary such as "regulation" and"holding" to reflect specific functions.There was less cross-research between health management and power and law,so the power list system is the political and economic fields are in full swing.In the health field,especially in the grassroots health administrative departments,how to position and how to play the value function is even more crucial to what connotation elements should be given.The problem has not yet been studied in depth,and it is exactly what this article tries to explore.In addition,this article also combines practical cases to try to analyze the problems existing in the existing power list and try to propose directions for future improvement.This paper is divided into five modules.The first module is the analysis of basic theories and key concepts;the second module is the actual exploration of the power list system of grass-roots health administrative departments.Through the text analysis and field interviews,we understand that the B The progress of the implementation of the system of powers,the main role of the system,and the major problems that exist;The third module should be discussed,including two parts,the first part is the connotation,function value,key elements of the power list system in the general field.The theoretical discussion of commonalities such as legal attributes etc.The second part is the discussion of characteristics,focused on the functional value of the list of powers at the basic level of health and the construction of the contents of the list;the fourth module is based on practical issues,and the grassroots health administration.The contradiction between the actual and the deterministic of the system of the list of powers of the department is analyzed and discussed from the perspective of institutional supply and demand;the fifth module is based on the analysis of the contradiction between the actual and the supposed exploration and the Suggestions.In basic theory combing and key conceptual modules,this article analyzes the confusing concepts such as rights,duties,power,authority,authority,duties,and functions through literature research,and sorts out the theory of government functions,theory of public goods,and division of powers.in principle.After actually exploring the module,through text analysis,this paper finds that there are serious heterogeneities in the power lists of the provincial-level health and planning committees in the country,which reflects that the provincial-level health and planning committee does not recognize or respect the power list system;The actual analysis part of the S-area Health and Welfare Committee’s power list system,this article first described a descriptive analysis of the status quo,and then tried to put forward the main problems,first,the power list formulation is subjective,lacks the specification,and the second is the list The third is that the legal attributes are unclear and the legitimacy is in doubt.Fourth,the current list of powers only plays a role in information disclosure,and it has limited effects on the administrative system reform and the health system reform.When the module should be explored,first of all,a theoretical analysis of the power list system in the general field should be carried out.In terms of the connotation elements of the power list system,this paper believes that the power list system is based on the principles of legality,reasonableness,openness,and accountability.The existing administrative powers and responsibilities of government departments are centered on a series of system systems that form effective and statutory lists of powers and responsibilities.The resulting elements include comprehensive,statutory,and reasonable powers,as well as a list of powers.A consistent list of responsibilities,the process elements should be administrative legislation,its legal attributes should be rules or regulations,its functional value is to help simplify the decentralization of government,rationalize and build a new type of relationship between the government,the market,and the society.The functions of the three parties are adapted to the socialist market economic system.With regard to the proper level of the power list system of the grassroots health administrative department,this paper believes that the function of the power list system has its special place in the health field.Compared with the main functions of the power restriction in the political field,the power list system in the health field is mainly We will implement localized management of the medical and health industry through the promotion of decentralization,deregulation,and regulatory oversight,promote the implementation of the modern hospital management system through clarifying the powers and responsibilities of the government and public hospitals,and clarify the main areas of supervision,identify cross-cutting areas,and strengthen supervision of the society.Supervise and promote the landing of the comprehensive regulatory system.The powers of the grass-roots health administrative departments in the power list should correspond to their functions.By analyzing the scope of benefits and the advantages of local information,this paper believes that the primary functions and powers of grass-roots health administrative departments should be accompanied by small-scale access,health education,and health supervision.The community health service centers(stations)and the fight against illegal medical practices are adapted.In the conflict analysis module between the actual and the proper of the system,this paper believes that the institutional demand side shows the symptoms of the real difficulties of the realization of all the elements of the system,while the institutional supply side has the institutional environment,institutional arrangements,and institutional implementation mechanisms that are not Perfection,the former is the representation of contradictions and conflicts,and the latter is the root cause of the gap between the actual and the proper.The key to balance and what should be lies in the dialectical view of the power list system and the search for a connection between reality and ideals.In the proposed module,the content of the previous article should be integrated and should be discussed,and based on the analysis of the previous module,in order to narrow the gap between actual and necessary,this paper suggests that we should start from the following three aspects at the central level to improve the institutional environment.Promoting the transformation of government functions and the establishment of laws and regulations on the division of powers;improve institutional arrangements:slow down the pace,clarify the legal attributes of the power list as soon as possible;restructure the implementation mechanism:establish an examination,incentive,and constraint mechanism for the implementation of the power list system;At the administrative level,we should push the boat:pay attention to the power list system and look for its combination with health reforms;first,afterwards:explore the comprehensiveness of the list of powers,realize the value of its information disclosure,and at the same time steadily:strengthen the review of existing lists.And quality to avoid unnecessary trouble.