基于政策工具的我国结核病防治政策分析

Analysis of Tuberculosis Prevention and Treatment Policy in China Based on Policy Tools

目的:研究我国结核病防治政策工具的特点及运用情况,为今后我国结核病防治政策的制定提出优化意见。方法:构建分析框架,将政策文件进行编码与聚类,运用统计学方法对结核发病率和累计政策数进行卡方检验及相关性分析。结果:将48份政策纳入研究,累计编码288条。X维度中,一级政策工具分别占比29.53%(供给型),20.80%(需求型),49.67%(环境型);Y维度中,内外部子模分别占比46.04%和53.96%。结论:我国结核病防治政策的系统性和总体性需不断提升,需求型政策性文件的使用频率有待增加,供给型和环境型政策工具的使用次数有待优化。

Objective: To study the characteristics and application of policy tools in tuberculosis prevention and treatment policies in China, so a to provide suggestions for the formulation of tuberculosis prevention and treatment policy in China in the future. Methods: The analysis framework was constructed, policy documents were coded and clustered, and tuberculosis incidence and cumulative policy number were analyzed by statistical methods. Results: 48 pieces of policies were included in the study, with 288 codes. Among the first-level policy tools in X dimension, they accounted for 29.53%(supply policy tools), 20.80%(demand policy tools) and 49.67%(environmental policy tools) respectively. And in dimension Y, internal and external submodes accounted for 46.04% and 53.96% respectively. Conclusion: The systematic and overall nature of tuberculosis prevention and control policies in China needs to be continuously improved, the use frequency of demand-based policy documents needs to be increased, and the use frequency of supply-based and environmental policy tools needs to be optimized.