He Alex Jingwei, Fan Yumeng, Su Rui
Division of Public Policy, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR China.
Department of Asian and Policy Studies, The Education University of Hong Kong, Tai Po, Hong Kong SAR China.
Policy Sci. 2022;55(4):755-776. doi: 10.1007/s11077-022-09482-2. Epub 2022 Nov 19.
The proliferation of "wicked" policy problems in complex systems requires an experimental approach of problem-solving. Experimentalist governance offers a conducive framework through which to seek policy solutions amidst high levels of complexity in a multilevel governance structure. This study conceptualizes four distinctive experimental modalities based on varying levels of technical complexity and interest complexity, both of which represent salient constraints for policy reforms in a complex system, the health sector in particular. , , , and are all associated with distinct mechanisms of experimentation in a multilevel governance structure. Through four illustrative cases from China's massive experimental program of public hospital reform, this study demonstrates how experimentalist governance seeks policy solutions in the health sector. Should governance arrangements, policy capacity, pragmatism, and informational devices become aligned in a conducive way, experimentalist governance can play an instrumental role in seeking solutions for difficult problems in a complex policy system. A governance structure capable of policy learning and adaptive management is the key.
复杂系统中“棘手”政策问题的激增需要采用实验性的问题解决方法。实验主义治理提供了一个有益的框架，通过它可以在多层次治理结构的高度复杂性中寻求政策解决方案。本研究基于不同程度的技术复杂性和利益复杂性概念化了四种独特的实验模式，这两者都是复杂系统（尤其是卫生部门）中政策改革的显著制约因素。 、 、 和 都与多层次治理结构中不同的实验机制相关联。通过中国大规模公立医院改革实验项目中的四个实例，本研究展示了实验主义治理如何在卫生部门寻求政策解决方案。如果治理安排、政策能力、实用主义和信息手段能够以有益的方式协调一致，实验主义治理就能在为复杂政策系统中的难题寻求解决方案方面发挥重要作用。一个具备政策学习和适应性管理能力的治理结构是关键。
