我国精神卫生政策执行困境研究*万晓文1盛文彬1黄蓉1曾程1吴海波1摘要：通过模糊-冲突理论分析我国精神卫生政策执行困境，为推进精神卫生政策的有效实施提供理论依据。发现我国精神卫生政策的模糊性较低，但冲突性显著，政策执行的冲突性主要表现在观念差异、职业认同冲突、利益协同冲突三方面。因此，我国精神卫生政策执行属于政治性执行，其支配性因素为“权力”，政策执行过程存在一定程度的“形式主义”和“变通执行”。建议从完善政策设计、建立健全配套措施、保障政策执行资源等方面促进精神卫生政策有效实施。关键词：精神卫生，心理健康，模糊-冲突理论，政策分析中图分类号：R-05文献标识码：A文章编号：1002-0772(2024)03-0027-04DOI：10.12014/j.issn.1002-0772.2024.03.06ResearchontheImplementationDilemmasofMentalHealthPoliciesinChinaWANXiaowen1,SHENGWenbin1,HUANGRong1,ZENGCheng1,WUHaibo1．1.SchoolofEconomicsandManagement,JiangxiUniversityofChineseMedicine,Nanchang330004,ChinaAbstract：ThedilemmaofmentalhealthpolicyimplementationinChinaisanalyzedbyambiguity-conflictmodeltoprovideatheoreticalbasisforadvancingtheeffectiveimplementationofmentalhealthpolicy.TheresearchrevealsthatChina'smentalhealthpolicieshaverelativelylowambiguitybutsignificantconflictsinimplementation.Theconflictintheimplementationofthepolicyismainlymanifestedintheconceptualdifferences,professionalidentityconflict,andinterestsynergyconflict.Therefore,theimplementationofmentalhealthpoliciesinChinafallsunderpoliticalexecution,withthedominantfactorbeing"power",andthereisacertaindegreeof"formalism"and"flexibleimplementation"intheprocessofpolicyimplementation.Itisrecommendedthattheeffectiveimplementationofmentalhealthpoliciesbepromotedbyimprovingpolicydesign,establishingsoundsupportingmeasures,andensuringresourcesforpolicyimplementation.KeyWords：mentalhealth,psychologicalwell-being,ambiguity-conflictmodel,policyanalysis精神卫生问题是我国重要的民生和社会问题[1]。调查显示，2016年我国精神障碍终生加权患病率达16.6%，近1亿人患抑郁障碍[2]，有91.3%的精神障碍患者从未接受过专业治疗[3]。心理/精神疾病具有病程长、易复发、难治愈的特点，给家庭和社会造成沉重的负...
