摘要
目的:总结分析我国各省份中医药基本医疗保险政策的构成特点与问题,为中医药基本医疗保险政策的完善和优化提供参考。方法:从政策工具视角出发,结合政策工具—政策发展过程两个维度,采用内容分析法对2011—2023年省级中医药基本医疗保险政策文本进行量化研究。结果:纳入93份政策文件,累计编码487条。从政策工具维度来看,内部子工具涵盖主题丰富,但对其关注程度存在差异;从政策发展过程维度来看,各环节也呈现出离散态势,显示出以政策规划和政策实施占主导的特征。结论:优化政策工具运用组合,构建协调平衡的政策工具架构;统筹规划中医药医保政策发展过程,彰显中医药特色优势;重视维度间政策协同性,强化中医药医保政策执行力度。
Objective:To summarize and analyze the composition characteristics and problems of basic medical insurance policies for traditional Chinese medicine in various provinces of China,providing reference for optimizing and improving subsequent basic medical insurance policies for traditional Chinese medicine.Methods:Based on the perspective of policy instrument,combined with two dimensions of policy instrument types and policy development process,the content analysis method is used to quantitatively analyze the content of the basic medical insurance policies for traditional Chinese medicine released at the provincial level from 2011 to 2023.Results:The 93 included policy documents were coded and sorted,with a cumulative total of 487 codes.From the perspective of policy instrument dimensions,subcategories of policy instruments involve diverse themes,but there are differences in the level of attention paid to each policy tool.From the perspective of policy development process,each link also presents a discrete trend,indicating a dominant feature of policy planning and implementation.Conclusion:To improve the basic medical insurance policy system of traditional Chinese medicine in China,it is necessary to optimize the combination of policy instrument and construct a coordinated and balanced policy instrument framework;Overall planning of the development process of traditional Chinese medicine medical insurance policies,highlighting the unique advantages of traditional Chinese medicine;Emphasize policy synergy between dimensions and strengthen the implementation of traditional Chinese medicine medical insurance policies.
作者
时生辉
游茂
李瑞锋
田雪晴
任平
吴澜涛
郑秋莹
SHI Sheng-hui;YOU Mao;LI Rui-feng;TIAN Xue-qing;REN Ping;WU Lan-tao;ZHENG Qiu-ying(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;China National Health Development Research Center,National Health Commission,Beijing 100044,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2024年第4期16-22,共7页
Chinese Journal of Health Policy
基金
北京市社会科学基金项目(20GLB019)
北京市社会科学基金青年资助项目(17GLC047)。
关键词
中医药
基本医疗保险
政策工具
内容分析法
Traditional Chinese Medicine
Basic medical insurance
Policy instrument
Content analysis method