引用本文:邓清文, 郑炆苅, 魏艳, 周萍, 陈英耀.政策工具视角下我国肿瘤防治领域政策文本研究[J].中国卫生政策研究,2022,15(7):16-23 |
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政策工具视角下我国肿瘤防治领域政策文本研究 |
投稿时间:2022-05-24 修订日期:2022-06-18 PDF全文浏览 HTML全文浏览 |
邓清文, 郑炆苅, 魏艳, 周萍, 陈英耀 |
复旦大学公共卫生学院 国家卫生健康委员会卫生技术评估重点实验室 上海 200032 |
摘要:目的:分析我国肿瘤防治相关政策的使用情况与分布特征,为我国未来肿瘤防治领域政策制定及优化提供参考。方法:采用内容分析法,构建“政策目标—政策工具”二维框架,对我国中央政府层面发布的与肿瘤防治密切相关的89份政策文件进行量化分析。结果:共生成545条政策编码。从政策目标维度看,我国肿瘤防治政策目标依次集中在改善防治环境与管理、增进人群受益、提升防治水平、规范诊疗行为四个方面;从政策工具维度看,环境型政策工具使用较多,供给型工具使用较为均衡,需求型工具整体使用不足,国际交流合作、信息化支持、税费优惠等部分政策工具存在缺位。结论:肿瘤防治领域政策应适当减少对环境型政策工具的依赖,合理优化政策工具内部结构,发挥不同政策工具组合对促进政策目标实现的合力。 |
关键词:肿瘤|防治|政策工具|政策文本 |
基金项目:国家自然科学基金资助项目(72004028) |
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Study on policy texts in the field of tumor prevention and treatment in China from the perspective of policy tools |
DENG Qing-wen, ZHENG Wen-yi, WEI Yan, ZHOU Ping, CHEN Ying-yao |
NHC Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200032, China |
Abstract:Objective: To analyze the use and distribution characteristics of policies related to oncology prevention and treatment in China and to provide references for the formulation and optimization of follow-up policies.Methods: Content analysis was performed to construct a two-dimensional framework of "policy goals-policy tools" for quantitative analysis of 89 national-level policies related to oncology prevention and treatment.Results: A total of 545 policy text codes were generated.From the perspective of policy goals, the objectives of China's tumor prevention and treatment policies are focused on improving the prevention and control environment and management, enhancing the benefit of the population, improving the prevention and control level, and regulating the diagnosis and treatment behavior; from the perspective of policy tools, environment-oriented policy tools are greater used, supply-oriented are used more balanced, demand-oriented are underused overall, and some policy tools such as international cooperation, information technology support, and tax reduction are relatively absent.Conclusion: Tumor prevention and treatment policies should appropriately reduce the dependence on environment-oriented policy tools, optimize the internal structure of policy tools, and give full play to the synergy of the combination of different policy tools to promote the achievement of policy goals. |
Key words:Tumor|Prevention and treatment|Policy tools|Policy texts |
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