新医改以来我国中医药政策的回顾与展望——从整合到嵌入

Retrospect and Prospect of Traditional Chinese Medicine Policy since the New Healthcare Reform——From Integration to Embedding

目的:研究2009年新医改以来我国中医药政策特征,为政策发展提供参考。方法:选取新医改以来国家层面发布的中医药政策文件47份,从“政策工具-政策目标”两个维度,运用嵌入理论,探究我国中医药政策从整合到嵌入的演变历程。结果:我国中医药政策的嵌入层次以宏观嵌入为主,供给型政策工具过溢(41.97%),环境型政策工具次之(32.45%),需求型政策工具不足(25.58%);嵌入逻辑在制度、关系和结构方面呈现阶段性特征。结论:以制度嵌入为着力点,加大中医药政策执行力度;以关系嵌入为结合点,促进中医药主体协同运作;以结构嵌入为支撑点,强化中医药长效监督机制。

Objective To study the characteristics of traditional Chinese medicine policy since the New Healthcare Reform launched in2009 and to provide reference for future policy making.Methods Forty seven policy documents issued at the national level since the New Healthcare Reform were selected.This study adopted embedding theory and constructed an analysis framework of "Policy Tools-Policy Objectives" to explore the evolution of traditional Chinese medicine policy from integration to embedding.Results The embedding level is mainly at macro level,with overflow of supply tools(41.97%) and environmental tools(32.45%),and insufficient demand tools(25.58%).Embedding logic presented phased features in system,relationship and structure.Conclusion It is suggested to enhance the implementation of traditional Chinese medicine policy with the focus on system embedding,to promote coordination between traditional Chinese medicine suppliers with the combination point of relationship embedding,and to strengthen the long-term supervision mechanism of traditional Chinese medicine with the supporting point of structure embedding.