基于政策文本分析的中国医药卫生管理机构合作网络变迁研究

Study on the Change of Cooperative Network Relationship of Medical and Health Management Institutions in China Based on Policy Text Analysis

目的:从管理机构间横向关系维度研究中国医药卫生管理机构合作网络的变迁,剖析中国医药卫生管理机构间的网络关系,为相关研究提供参考。方法:选取1979-2019年的医药卫生政策文本,以健康中国战略的演进为基础,将中国医药卫生管理机构间互动网络与演进机制分为五个不同阶段进行分析。基于网络中心势和群体密度两个维度定量分析政府部门合作关系的网络特征。结果:共收集1145份政策文本。医药卫生合作网络管理机构层次和类型逐渐复杂;医药卫生合作网络的变迁遵循由松散型网络向耦合型网络、弹性型网络、协同型网络的演化路径;医药卫生治理网络逐渐向协同型网络转变,政策结合度不断提高。结论:中国医药卫生管理机构合作网络形成了协同但有所侧重的结构。同时,管理机构间的合作网络在健康中国战略的演进中不断发展。

Objective: To study the change of the cooperative network of Chinese medical and health management institutions from the horizontal relationship between management institutions, to analyze the network relationship between Chinese medical and health management institutions, so as to provide references for relevant study. Methods: According to the evolution of Healthy China strategies, this research selected policy documents from 1979 to 2019, and divided the interactive network and evolution mechanism among medical and health governance institutions in China into five different stages. Based on the two dimensions of network centralization and network group density, this research analyzed the network characteristics of the cooperative relationship between government departments. Results: A total of 1145 policy documents were collected. The levels and types of cooperative network management for medical and health were increasingly complicated. The transformation of medical and health cooperative network followed the evolutionary path from loose network to coupling network, elastic network and collaborative network. The governance network of medical and health had gradually transformed into a collaborative network, and the degree of policy integration had been continuously improved. Conclusion: The cooperative network of Chinese medical and health management institutions has formed a collaborative but focused structure. At the same time, the cooperative network among management institutions has been developing in the evolution of the Healthy China strategies.