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CommonID:DIR_18152153,ID:8152153,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:214065,name:总报告 改革梗阻现象：表现、根源与治理,ShortName:null,SubName:null,EnTitle:General Report The phenomenon of the reform obstruction in China：the performance，origin and solution,EnShortTitle:null,EnSubTitle:null,Level:0,BookId:8152143,AbstractCH:

首先，本文对“顶层设计”“改革梗阻”“政策执行”等相关概念进行了内涵界定，并在此基础上确定了本文的研究思路和研究重点。其次，本文分析了当前我国改革梗阻问题的主要表现形式，并从机制缺陷、利益固化与权力集中三方面分别挖掘出当前我国改革梗阻问题产生的背景和原因。再次，本文明确了当前破除改革梗阻、完善改革推进机制的总体思路，并从决策设计机制、执行协调机制和监督考评机制三方面提出了政策建议。最后，本文还提出了行政审批制度改革、国有企业改革、财税体制改革、户籍制度改革、医药卫生体制改革五个重点改革领域完善改革推进机制的政策措施。

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CommonID:DIR_18152282,ID:8152282,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:214066,name:专题报告之一 “改革顶层设计与实际落地之间的梗阻问题”基础理论研究,ShortName:null,SubName:null,EnTitle:Project report Ⅰ The research on the basic theory of “the obstruction between the top-level design and actual execution”,EnShortTitle:null,EnSubTitle:null,Level:0,BookId:8152143,AbstractCH:

本报告作为本课题的理论先导，重点阐述了“顶层设计”“改革梗阻”等核心概念内涵，并分析了改革推进机制三大部分（决策、执行、监督）的相互作用，以及如何协调推进破除改革梗阻问题。本报告主要借鉴了博弈论的分析方法，并结合本课题特点予以适度引申。

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CommonID:DIR_18152322,ID:8152322,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:214067,name:专题报告之二 改革的决策设计机制研究,ShortName:null,SubName:null,EnTitle:Project report Ⅱ The research on the reform policy-making mechanism,EnShortTitle:null,EnSubTitle:null,Level:0,BookId:8152143,AbstractCH:

改革决策设计机制的科学与否直接影响改革的成功与否。改革开放三十多年来，改革重大决策形成了党和国家最高决策层、中央政府、地方政府、基层、学术界、公众之间互动的机制。但改革“次决策”共识难形成，改革决策程序并未形成制度化规定，部分改革方案设计质量不高等问题依然存在。针对上述问题，本文提出完善改革决策设计机制的四点政策建议：规范改革决策程序，提高改革方案质量，明确改革决策主体，夯实改革决策的支撑体系。

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CommonID:DIR_18152357,ID:14775870,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:214068,name:专题报告之三 破除改革关键梗阻的执行协调机制研究,ShortName:null,SubName:null,EnTitle:Project report Ⅲ The research on the coordination and implementation mechanism to unplug the obstruction,EnShortTitle:null,EnSubTitle:null,Level:0,BookId:8152143,AbstractCH:

改革执行协调机制三个核心约束条件——执行难度、执行意愿、执行能力的不同匹配结构，直接影响改革目标的实现程度。当前我国改革执行协调中存在思想认识不统一、改革推进机制不完善、改革部门化和碎片化、改革执行扭曲风险较大、“条”对“块”的限制太多、推进改革与于法有据的关系尚未理顺、改革协调成本高企等关键梗阻。当前梗阻的成因主要有改革顶层设计的公共选择不足、利益分化、负激励的机会-风险结构等。有效破除关键梗阻，推进全面深化改革落地生根的主要举措是完善顶层设计，优化改革执行协调机制；完善激励机制，调动干部队伍改革创新的积极性；协调顶层设计和基层创新，鼓励地方探索创新；高位推动，健全改革的利益协调机制；营造良好的改革环境，凝聚改革共识。

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CommonID:DIR_18152399,ID:8152399,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:214069,name:专题报告之四 改革的监督考评机制研究,ShortName:null,SubName:null,EnTitle:Project report Ⅳ The research on the supervision and evaluation mechanism of reform,EnShortTitle:null,EnSubTitle:null,Level:0,BookId:8152143,AbstractCH:

建立规范、科学、可持续的改革监督考评机制，是全面深化改革的重要保障和有力助推器。一个完备的改革监督考评机制，涵盖目标管理、全程调控、持续改进、绩效考核、激励控制等多项环节和内容。本专题将以改革监督考评机制的现状、问题为切入点，对现行的改革监督考评机制进行系统梳理，搞清楚改革工作的监督考评在目前的政府绩效管理中是如何体现的，对哪些部门、哪些人用哪些绩效指标进行考核，实施效果怎么样，最重要的是要弄清楚现在的监督考评模式在全面深化改革的新形势下有哪些不适应、需要改进的地方，按照法治导向、系统科学、分层分类、多方参与、责罚分明、增强动力的总体导向设计改革的监督考评机制。

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CommonID:DIR_18152470,ID:8152470,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:214070,name:专题报告之五 重点领域改革落地实施关键梗阻问题与建议,ShortName:null,SubName:null,EnTitle:Project report Ⅴ The key obsturctions in major fields of reform and relevant suggestions,EnShortTitle:null,EnSubTitle:null,Level:0,BookId:8152143,AbstractCH:

本文选取行政审批制度改革、国有企业改革、财税体制改革、户籍制度改革、医药卫生体制改革五个重点改革领域，应用改革推进机制的逻辑分析链条对五个重点领域依次进行分析，明确指出了不同领域在改革推进过程中遇到的关键梗阻问题，并分别设计了完善各领域改革推进机制的具体政策措施。

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CommonID:DIR_18152606,ID:8152606,SiteID:14,Type:chapter,Code:null,ParentId:0,InnerCode:214071,name:综述报告 改革顶层设计与实际落地之间的梗阻研究综述,ShortName:null,SubName:null,EnTitle:Research review report The research review on “the obstruction between the top-level design and actual execution”,EnShortTitle:null,EnSubTitle:null,Level:0,BookId:8152143,AbstractCH:

如何破解改革的梗阻问题是当前全面深化改革面临的热点和难点问题之一。本文主要对政策、梗阻、顶层设计等有关概念，梗阻的表现形式，梗阻出现的原因，破解梗阻的方法等进行了综述，从而为进一步研究改革顶层设计与实际落地之间的梗阻问题提供基础的理论支撑。

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