我国医联体政策文本量化分析

Quantitative analysis of Chinese medical cluster policy texts

目的:对中央政府层面颁布的27份有关医联体政策文本进行分析,得出医联体政策分布情况,从而为政府进一步优化医联体政策提供参考。方法:基于政策工具框架对搜集到的27份政策文本进行编码,运用内容分析方法及定量分析方法对纳入分析的政策文件进行统计分析。结果:105个政策编号中,供给型政策工具、需求型政策工具、环境型政策工具的应用分别占59.9%、22.9%、17.2%。供给型政策工具中,机构建设工具使用最多,占36.2%;财政投入和教育培训使用最少,均占0.9%。需求型政策工具中,缺少对药品调控工具的应用。环境型政策工具中未出现应用法规管制工具的情况。结论:在3种政策工具的应用方面,供给型政策工具的应用比例过高,需求型政策工具则应用不足;3种政策工具的内部结构体系不协调,部分政策工具缺乏应用。探索政策工具使用的合理性和协调性,优化各政策工具内部结构、提高对需求型及政策型政策工具的使用将是医联体相关政策优化和调整的重点方向。

Objective:Analyze the policy tools in the 27 medical Cluster-related policy texts issued by China's central government level,and explore the focus and inadequacies of China's medical association-related policy system,so as to provide a reference for future adjustment and optimization of the medical association policy.Methods:Based on the framework of policy tools,the collected 27 policy texts were encoded,and the content analysis method and quantitative analysis method were used for statistical analysis of the policy documents included in the analysis.Results:Among the 105 policy serial numbers,supply,demand,and environmental policy tools accounted for 59.9%,22.9%,and 17.2%,respectively.Conclusion:In the dimension of policy tools,the proportion of supply-oriented policy instruments is too high,the demand-based policy tools are insufficient,the internal structure of each policy tool is unreasonable,and some policy tools are ignored.