基于有限理性决策理论的“十四五”时期我国中医药发展注意力配置研究

Research on the Attention Allocation of Traditional Chinese Medicine Development in China during the 14^(th) Five⁃Year Plan Period Based on the Theory of Bounded Rationality

目的分析“十四五”时期我国中医药发展的注意力配置情况,提出促进中医药高质量发展的建议。方法通过检索卫生行政部门相关网站,搜集31个省、自治区、直辖市的“十四五”中医药发展规划文本。基于有限理性决策理论,运用NVivo 14软件进行文本量化分析,基于关键词词频比较各地、不同经济区域/行政区域中医药发展的注意力配置情况;运用NVivo 14软件的编码功能挖掘关键词对应的关联词,分析不同经济区域/行政区域中医药发展的政策工具选择和资源布局重点。结果最终确定与中医药发展规划吻合的10个关键词,即中医、发展、服务、健康、文化、人才、创新、中药、特色、传承。词频分析结果显示,北京市、浙江省、四川省、江苏省、吉林省和河北省的关键词总词频相对较高,均超过800次;东部地区、直辖市的关键词平均总词频相对较高,分别为823.60次、813.00次。关联词分析结果显示,在中医药发展政策工具选择和资源布局重点上,四大经济区域均注重中医医院(医疗机构)建设、中医药的文化传播和传承创新,三类行政区域均注重中医医院(医疗机构)建设、高质量发展、特色优势、中医药的文化传播和传承创新;在其他关键词相同的情况下,各经济区域/行政区域仍有个性化的政策工具选择和资源布局重点。结论各地、不同经济区域或行政区域对中医药发展的注意力配置情况差异较大,中医药优质资源的区域间分布不均衡问题突出。建议持续优化中医药发展注意力配置策略,打破区域内、区域间中医药发展壁垒,充分利用好中医药发展政策工具箱,推动实现更高水平的中医药传承创新发展。

Objective To analyze the attention allocation of Traditional Chinese Medicine development in China during the“14^(th)Five-Year Plan”period,and to put forward suggestions to promote the high-quality development of Traditional Chinese Medicine.Methods Planning documents of Traditional Chinese Medicine development during the“14^(th)Five-Year Plan”period in 31 provinces,autonomous regions,and municipalities directly under the central government were searched through retrieving websites related to the health administrative departments.Based on the bounded rational decision theory,the NVivo 14 software was employed to perform textual quantitative analysis.Attention allocation of Traditional Chinese Medicine development was compared between various regions,and different economic/administrative regions based on keywords word frequency.The coding function of NVivo 14 software was used to mine correlative words corresponding to keywords,and to analyze policy tool selection and key points of resource allocation of Traditional Chinese Medicine development in different economic/administrative regions.Results Eventually,10 keywords were determined,which were consistent with the development planning of Traditional Chinese Medicine,namely,Traditional Chinese Medicine,development,service,health,culture,talents,innovation,Chinese herb,characteristic,inheritance.The results of word frequency analysis revealed that Beijing,Zhejiang Province,Sichuan Province,Jiangsu Province,Jilin Province,and Hebei Province all had a relatively high total word frequency of keywords,with all more than 800 times;in addition,the average total word frequency of keywords in Eastern region and municipalities directly under the central government was relatively high,with 823.60 times and 813.00 times,respectively.The results of correlative words analysis indicated that in terms of policy tools selection and key points of resource allocation for the Traditional Chinese Medicine development,the four major economic regions all paid attention to the construction of hospitals(medical institutes)of Chinese Medicine,cultural transmission,and inheritance and innovation of Traditional Chinese Medicine,whereas the three categories of administrative regions all paid attention to the construction of hospitals(medical institutes)of Chinese Medicine,high-quality development,characteristics and advantages,cultural transmission,and inheritance and innovation of Traditional Chinese Medicine.In the case of other keywords being the same,various economic/administrative regions still had personalized policy tools selection and key points of resource allocation.Conclusion Various regions,different economic/administrative regions have great differences in attention allocation to Traditional Chinese Medicine development,and the problem of unbalanced allocation to high-quality Traditional Chinese Medicine resources between regions is prominent.It is suggested to continuously optimize attention allocation strategy for Traditional Chinese Medicine development,break the intra-regional and inter-regional barriers to Traditional Chinese Medicine development,make full use of the policy toolbox of Traditional Chinese Medicine development,and promote the inheritance and innovative development of Traditional Chinese Medicine at a higher level.