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[1]周笑昱赵业辰刘宝松魏楠张艳丽李海燕井淇郑文贵张建华.基于政策工具理论的我国医院评审政策演化逻辑分析[J].中国卫生质量管理,2026,33(8):1-5.[doi:10.13912/j.cnki.chqm.2026.33.8.01]
　ZHOU Xiaoyu,ZHAO Yechen,LIU Baosong.Analysis on the Evolution Logic of China’s Hospital Accreditation Policies Based on Policy Tool Theory[J].Chinese Health Quality Management,2026,33(8):1-5.[doi:10.13912/j.cnki.chqm.2026.33.8.01]

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基于政策工具理论的我国医院评审政策演化逻辑分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年8期页码: 1-5 栏目: 特别关注出版日期: 2026-08-15

Title:: Analysis on the Evolution Logic of China’s Hospital Accreditation Policies Based on Policy Tool Theory

作者:: 周笑昱赵业辰刘宝松魏楠张艳丽李海燕井淇郑文贵张建华; 山东第二医科大学公共卫生学院

Author(s):: ZHOU Xiaoyu; ZHAO Yechen; LIU Baosong; School of Public Health, Shandong Second Medical University

关键词:: 医院评审; 政策工具; 政策文本分析; 公立医院高质量发展

Keywords:: Hospital Accreditation; Policy Tool; Policy Text Analysis; High-Quality Development of Public Hospitals

分类号:: R197

DOI:: 10.13912/j.cnki.chqm.2026.33.8.01

文献标志码:: A

摘要:: 目的系统梳理医院评审政策的演化过程，分析政策工具结构及变化特征，为完善医院评审制度、优化政策工具结构提供参考。方法以2009年新医改以来发布的14份医院评审相关政策文本为研究对象，运用政策文本分析方法，借助NVivo 15软件对政策内容进行词频分析和编码，从政策工具视角分析医院评审政策的结构特征。结果我国医院评审政策文本中“质量”“安全”“技术”“临床”“规范”等词汇出现频次较高；政策以标准规范工具和行政规制工具为主导，并逐步向质量安全与内涵建设、能力建设与支持、绩效考核等多元政策工具协同运用演变；政策治理逻辑由行政规制导向逐步转为质量导向与综合治理导向。结论应进一步优化政策工具结构，强化质量安全导向，完善信息公开与社会监督机制，并强化医院能力建设，以促进医院评审制度持续完善，推动公立医院高质量发展。

Abstract:: ObjectiveTo systematically sort out the evolution process of hospital accreditation policies, analyze the structure and changing characteristics of policy tools, so as to provide references for improving the hospital accreditation system and optimizing the structure of policy tools.MethodsTaking 14 hospital accreditation-related policy documents issued since the medical reform in 2009 as the research objects, the policy text analysis method and NVivo 15 software were used to conduct word frequency analysis and coding on the policy content, and analyze the structural characteristics of hospital accreditation policies from the perspective of policy tools.ResultsTerms such as "quality""safety""technology" "clinical" and "standard" appeared with high frequency in China’s hospital accreditation policy texts. The policies are dominated by standard specification tools and administrative regulation tools, and have gradually evolved to the collaborative application of diversified policy tools covering quality safety and connotation construction, capacity building and support, and performance appraisal. The policy governance logic has gradually shifted from the administrative regulation orientation to the quality orientation and comprehensive governance orientation.Conclusion It is necessary to further optimize the structure of policy tools, strengthen the orientation of quality and safety, improve the information disclosure and social supervision mechanism, and enhance the support for hospital capacity building, so as to promote the continuous improvement of the hospital accreditation system and drive the high-quality development of public hospitals.

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更新日期/Last Update: 2026-08-15