[1]徐萍萍赵静李春晓刘森元李林峰.政策工具视角下我国县域医共体政策文本分析[J].中国卫生质量管理,2023,30(05):99-104.[doi:10.13912/j.cnki.chqm.2023.30.5.21 ]
　XU Pingping,ZHAO Jing,LI Chunxiao.Policy Text Analysis of County Medical Community in China from the Perspective of Policy Tools[J].Chinese Health Quality Management,2023,30(05):99-104.[doi:10.13912/j.cnki.chqm.2023.30.5.21 ]

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政策工具视角下我国县域医共体政策文本分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第30卷期数: 2023年05期页码: 99-104 栏目: 问题与探索出版日期: 2023-05-15

Title:: Policy Text Analysis of County Medical Community in China from the Perspective of Policy Tools

作者:: 徐萍萍赵静李春晓刘森元李林峰; 北京中医药大学管理学院

Author(s):: XU Pingping; ZHAO Jing; LI Chunxiao; School of Management, Beijing University of Chinese Medicine

关键词:: 县域医共体; 政策工具; 文本分析; 卫生政策

Keywords:: County Medical Community; Policy Tools; Text Analysis; Health Policy

分类号:: R197

DOI:: 10.13912/j.cnki.chqm.2023.30.5.21

文献标志码:: A

摘要:: 目的对我国县域医共体建设相关政策进行分析，探讨其侧重点及不足之处，以期为我国县域医共体建设提供参考。方法以政策工具方法为理论指导，制定政策分析二维框架，研究对象为2017年1月-2022年3月我国政府层面发布的县域医共体相关政策，对符合纳入条件的政策文本进行编码、分类和统计分析。结果X政策工具维度共有100条编码，分类后供给型、环境型、需求型工具分别为34个、64个、2个。Y系统论维度共有100条编码，分类后内部子模指标59个，外部子模指标41个。结论政策工具的推动及拉动作用未发挥最佳功效；子工具应用结构不合理，使用不充分；政策未能适时动态调整，忽视地区情况的差异性；内外部子模差异较大，技术、经济和社会系统使用较少。应多元化使用政策工具，优化组合政策工具使用与结构，动态化使用政策，优化系统内外部工具比例。

Abstract:: ObjectiveTo analyze the policies related to the construction of county medical community in China, and discuss their emphases and shortcomings, in order to provide reference for the construction of county medical community in China.MethodsBased on the theoretical guidance of policy tools and methods, a two-dimensional framework for policy analysis was developed. The research object was the relevant policies of county medical communities published by the Chinese government from January 2017 to March 2022. The policy texts eligible for inclusion were coded, classified and statistically analyzed. ResultsThere were 100 codes in X policy tool dimension, and there were 34, 64 and 2 for supply, environment and demand tools, respectively. There were 100 codes in the dimension of Y system theory. After classification, there were 59 internal sub-model indexes and 41 external sub-model indexes.Conclusion The promotion and pulling function of policy tools did not play the best effect. The application structure of sub-tools was not reasonable and the use was not sufficient. The policy failed to adjust dynamically timely and ignored the different regional conditions. The internal and external sub-models differed greatly, and the technical, economic and social systems were less used. The policy should be diversified, the combination and structure of policy tools should be improved, the policy should be dynamically used, and the proportion of tools inside and outside the system should be optimized.

参考文献/References:

［1］郭贺,戴力辉,高晶磊,等.我国县域医疗共同体建设实效评价［J］.中国医院管理,2021,41(2):14-17，26. ［2］郁建兴,涂怡欣,吴超.探索整合型医疗卫生服务体系的中国方案：基于安徽、山西与浙江县域医共体的调查［J］.治理研究,2020,36(1):5-15，2. ［3］洪梦园,杨金侠.安徽省阜南县医共体运行效果分析与评价［J］.卫生经济研究,2022,39(3):64-67. ［4］冯明宇,秦江梅,孟业清,等.国家紧密型县域医共体建设试点典型地区牵头医院的效率分析［J］.中国卫生经济,2022,41(3):19-25. ［5］戴悦,林燕羡,吴韶嫣,等.福建省紧密型县域医共体绩效评价指标体系构建［J］.中国卫生经济,2021,40(1):75-80. ［6］杨孝灯,黄晨晶.紧密型县域医共体薪酬制度改革与绩效考评实践［J］.中国卫生经济,2022,41(1):53-55. ［7］陈浩,周睿,顾仁君,等.基于合作博弈夏普利值法的县域医共体利益分配研究［J］.卫生经济研究,2022,39(6):82-85. ［8］姚俊,张丽.政策工具视角下中国养老服务政策文本量化研究［J］.现代经济探讨,2018(12):33-39. ［9］ROTHWELL R,ZEGVELD W.Innovation and the small and medium sized firm［J］.Social Science Electronic Publishing，2009,62(11):3734-3743. ［10］MICHAEL H,RAMESH M,ANTHONY P．Student public policy: policy cycles and policy subsystems［M］.Boston:Oxford University Press，2003:87．［11］SCHNEIDER A,INGRAM H.Behavioral assumptions of policy tools［J］.The Journal of Politics，1990,52(2):510-529. ［12］杨洪刚. 中国环境政策工具的实施效果及其选择研究［D］.上海：复旦大学,2009. ［13］刘巧,王军永,王力.基于政策工具的我国新冠肺炎疫情时期医疗保险政策文本分析［J］.医学与社会,2022,35(5):90-95，101. ［14］余秋静,曹娜,陈宗顺,等.政策工具视角下我国省级层面健康规划政策文本量化分析［J］.中国卫生政策研究,2021,14(10):25-30. ［15］马原,张依彤,杨练,等.政策工具视角下我国医保支付方式改革的文本量化研究［J］.医学与社会,2021,34(8):103-107.［16］陈皓阳,闫如玉,高镜雅,等.政策工具视角下我国医联体建设政策量化分析［J］.中国卫生经济,2019,38(11):20-23. ［17］范转转,刘园园,姚东明.政策工具视角下的我国全科医生政策研究［J］.中国全科医学,2018,21(31):3788-3794. ［18］贾琼,吴海波,许丰.基于政策工具的我国三医联动政策量化分析［J］.中国卫生事业管理,2021,38(1):34-37，49. ［19］光心慧,王珩,薛俊军,等.基于米特—霍恩模型的紧密型县域医共体运行困境研究［J］.南京医科大学学报(社会科学版),2021,21(6):533-537. ［20］吴名,范转转,向乐怡,等.基于政策工具的我国中医“治未病”政策研究［J］.医学与社会,2021,34(10):17-22. ［21］刘昭,孙志成,赵琨,等.县域医共体模式下医保基金支付管理现状调查［J］.中国医院管理,2021,41(8):58-62.

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更新日期/Last Update: 2023-05-15