| 引用本文：司建平, 郭清, 王先菊, 马晓静, 王晓迪, 王晓晓, 边森森, 沈阳, 张浩成, 方纪元, 王杉杉.政策工具视角下我国医养结合政策文本研究[J].中国卫生政策研究,2020,13(6):49-55 |
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| 政策工具视角下我国医养结合政策文本研究 |
| 投稿时间：2020-04-16 修订日期：2020-05-19 PDF全文浏览 HTML全文浏览 |
| 司建平1,3, 郭清2, 王先菊3, 马晓静1, 王晓迪4, 王晓晓1, 边森森1, 沈阳1, 张浩成1, 方纪元1, 王杉杉1 |
1. 杭州师范大学医学院 浙江杭州 311121;
2. 浙江中医药大学 浙江杭州 310053;
3. 河南中医药大学管理学院 河南郑州 450046;
4. 杭州师范大学学术期刊社 浙江杭州 311121 |
| 摘要:本文从政策工具视角对我国医养结合政策文本进行分析，揭示现有政策工具在政策过程中应用的特点与盲点，并提出相应的政策建议，为完善医养结合政策体系提供借鉴。方法：基于政策工具和政策过程两个维度构建二维分析框架，采用内容分析法，对83项医养结合政策文本、919个政策条文进行分析。结果：政策工具结构不均衡，供给型政策工具占53.86%、需求型政策工具占5.66%、环境型政策工具占40.48%。政策过程不协调，议程设置占12.95%、政策制定占66.27%、政策执行占17.08%、政策评估占3.7%。结论：优化医养结合政策工具结构；统筹医养结合政策过程；健全医养结合政策系统，不断提升医养结合政策工具科学化水平。 |
| 关键词:医养结合 政策工具 政策文本 |
| 基金项目:国家自然科学基金项目（71774147） |
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| A study on the policy text of integrated health care and social services for seniors in China from the perspective of policy tools |
| SI Jian-ping1,3, GUO Qing2, WANG Xian-ju3, MA Xiao-jing1, WANG Xiao-di4, WANG Xiao-xiao1, BIAN Sen-sen1, SHEN Yang1, ZHANG Hao-cheng1, FANG Ji-yuan1, WANG Shan-shan1 |
1. School of Medicine, Hangzhou Normal University, Hangzhou Zhejiang 311121, China;
2. Zhejiang Chinese Medical University, Hangzhou Zhejiang 310053, China;
3. School of Management, He'nan University of Chinese Medicine, Zhengzhou He'nan 450046, China;
4. Department of Academic Journal, Hangzhou Normal University, Hangzhou Zhejiang 311121, China |
| Abstract:Objective: From the perspective of policy tools, this paper analyzed the policy text of China's integrated health care and social services for seniors, revealed the characteristics and blind spots of the existing policy tools in the policy application process, and proposed the corresponding policy recommendations to provide reference for improving the policy system of integrated health care and social services for seniors. Methods: Based on the two dimensions of policy tools and policy process, a two-dimensional analysis framework was established. The content analysis method was used to analyze 919 policy articles of 83 policy texts of integrated health care and social services for seniors. Results: The structure of policy instruments was uneven, with 53.86% of them being supply-oriented, 5.66% were demand-oriented and 40.48% were environment-oriented. The policy process was not coordinated, with agenda setting accounting for 12.95%, 66.27% for policy formulation, 17.08% for policy implementation, and 3.7% for policy evaluation, respectively. Conclusions: It is suggested that, be from single to comprehensive, the structure of policy tools should be optimized; from partial to overall, the policy process should be coordinated; from discrete to coupled, the policy system should be improved, and the scientific level of the policy tools should be constantly improved. |
| Key words:Integrated health care and social services for seniors Policy tools Policy texts |
| 摘要点击次数: 1898 全文下载次数: 747 |
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