政策工具视角下新疆城乡居民医保整合政策分析

Analysis the Urban and Rural Medical Insurance Integration Policy in Xinjiang Based on the Perspective of Policy Tools

目的:定量分析新疆各地州(市)级政府整合城乡居民基本医疗保险政策文件,分析政策工具使用情况,为提高城乡医保整合政策实施的有效性提供建议。方法:检索新疆各地州(市)卫生健康委、政府信息公开处关于医保整合的政策文件,以政策文本为研究对象。从政策工具视角出发,基于政策工具和实施阶段两个维度对政策文件进行编码、统计分类和分析,分析该地区整合政策的政策工具使用情况。结果:收集了21份政策文件,编码589条。从政策工具维度来看,环境型政策工具占比最高为71.14%,其次为供给型和需求型政策工具,分别为17.32%、11.54%;从实施阶段维度来看,第1阶段文件条目数占8.83%,第2阶段条目数占31.58%,第3阶段条目数占59.59%。结论:新疆城乡居民医保整合政策文本中环境型政策工具运用最多,供给型、需求型政策工具不足。

Objective:Using quantitative analysis to explore the basic medical insurance integrate policy documents of the urban and rural residents in prefecture level governments throughout Xinjiang, analyze the use of policy tools, and provide suggestions on improving the effectiveness of urban and rural health insurance integration policy implementation.Methods:Taking the policy text as the research object, the policy documents on health insurance integration of the Health Care Commission and the Government Information Disclosure Office in various prefectures of Xinjiang was retrieved from the perspective of coded policy tools, so as to statistically classify and analyze the documents based on the two dimensions of policy tools and implementation phase, and explore the use of policy tools for integrating policies in the region.Results:A total of 21 policy documents were collected, and 589 were coded,with environmental policy tools accounting for the highest percentage(71.14%) in terms of policy instrumental dimensions, followed by supply-oriented(17.32%) and demand-based policy instruments(11.54%), respectively. In terms of the implementation phase dimension, the number of file entries in the first phase was 8.83%, the number of entries in the second phase was 31.58%, and the number of entries in the third phase was 59.59%.Conclusion:The environmental policy tools were mostly used in the text of the integrated medical insurance policy of urban and rural residents in Xinjiang, and the supply-oriented and demand-oriented policy tools were insufficient.