| 引用本文：张孟, 林振平, 詹祥, 周业勤, 钱东福.基于政策工具的南京市医养结合政策文本分析[J].中国卫生政策研究,2021,14(6):21-28 |
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| 基于政策工具的南京市医养结合政策文本分析 |
| 投稿时间：2021-04-12 修订日期：2021-06-07 PDF全文浏览 HTML全文浏览 |
| 张孟1, 林振平1,2, 詹祥1,2, 周业勤3, 钱东福1,2 |
1. 南京医科大学医政学院 江苏南京 211166;
2. 健康江苏研究院 江苏南京 211166;
3. 南京医科大学马克思主义学院 江苏南京 211166 |
| 摘要:目的：分析医养结合政策文本内容的特征及不足，并在此基础上提出优化完善医养结合的政策建议。方法：本文以政策工具为视角，结合医养结合发展阶段、医养结合部门协同构建三维分析框架，对样本城市的37篇政策文本进行内容分析和定量分析。结果：研究发现，医养结合政策力度还存在相对不足。从政策工具维度看，政策工具使用失衡；部门协同维度发现部门之间缺乏明确的协同机制。结论：从完善配套政策、健全医养结合协同治理机制、均衡政策工具使用力度等角度提出政策建议。 |
| 关键词:医养结合 政策文本 政策工具 部门协同 三维分析框架 |
| 基金项目:江苏高校哲学社会科学研究基金项目（2018SJA0278）；国家社会科学基金项目（15BSH121）；江苏高校哲学社会科学优秀创新团队“公共健康政策与管理创新研究团队”资助 |
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| Analysison the policy text of combination of medical and nursing care in Nanjing: Based on policy tools |
| ZHANG Meng1, LIN Zhen-ping1,2, ZHAN Xiang1,2, ZHOU Ye-qin3, QIAN Dong-fu1,2 |
1. School of Health Policy and Management, Nanjing Medical University, Nanjing Jiangsu 211166, China;
2. Institute of Healthy Jiangsu Development, Nanjing Jiangsu 211166, China;
3. School of Marxism, Nanjing Medical University, Nanjing Jiangsu 211166, China |
| Abstract:Objective:To analyze the characteristics and shortcomings of the policy text, and on this basis, to put forward some policy suggestions of optimizing and perfecting the combination of elderly care and medical service. Methods:From the perspective of policy tools, this research constructed a three-dimensional analysis framework based on the development process and department collaboration of the combination of medical and nursing care. The content analysis and quantitative analysis were used to explore the characteristics and shortcomings of the 37 policies that were used as samples from sample cities. Results:The research found that the policies are still relatively insufficient, and there is an imbalance in the use of policy tools. In terms of the department coordination, it was noticed that the coordination mechanism was unclear. Conclusions:Policy suggestions are put forward from the perspectives of improving the supporting policies, improving the coordinated governance mechanism of combining medical and nursing care, and balancing the use of policy tools. |
| Key words:Combination of medical and nursing care Policy texts Policy tools Department collaboration Three-dimensional analytical framework |
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