政策工具视角下十年医改政策对“三医联动”作用的文本量化分析

Textual quantitative analysis of healthcare reform policies on role of joint reform of medical service, medication and medical assurance in past ten years from perspective of policy tools

始于2009年的新医改强调注重"三医联动"改革,本文从政策工具和"三医联动"的三个体系维度对医改十年来的53项国家层面医改政策进行了文本量化分析。结果显示了供给面、环境面和需求面政策工具的使用情况及其演变特点,并初步分析了政策工具与"三医联动"体系的作用关系。本研究从政策工具视角探讨医改十年来政策的发展变化路径,并探讨了医改政策作用于"三医联动"的三个体系的情况,为下一步医改深入推进提供了有益参考。

The new healthcare reform, which began in 2009, emphasizes on the joint reform of medical service, medication and medical assurance. This paper makes a textual quantitative analysis of 53 national-level healthcare reform policies in the past 10 years from both the perspectives of policy tools and three system dimensions of ＂three-medicine linkage＂. The results show the usage and evolution of policy tools in the aspects of supply, environment and demand, and preliminarily analyze the relationship between policy tools and the ＂three medicine linkage＂ system. From the perspective of policy tools, this study explores the path of development and change of healthcare reform policies in the past 10 years, and analyzes the effect of healthcare reform policies on the three systems of ＂three medical linkage＂ and the linkage relationship between the systems, which provides a useful reference for the further promotion of health care reform.