| 引用本文：马文雯, 李超凡, 刘聪慧, 孙强.我国医防协同政策文本量化分析——基于政策工具、协同层次和协同机制的三维框架[J].中国卫生政策研究,2022,15(7):24-29 |
|
| 我国医防协同政策文本量化分析——基于政策工具、协同层次和协同机制的三维框架 |
| 投稿时间：2022-04-26 修订日期：2022-07-06 PDF全文浏览 HTML全文浏览 |
| 马文雯1,2, 李超凡1,2, 刘聪慧1,2, 孙强1,2 |
1. 山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心 山东济南 250012;
2. 国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学) 山东济南 250012 |
| 摘要:目的：分析我国医防协同政策的侧重点和不足，为优化医防协同政策提供参考。方法：构建基本政策工具、协同层次、协同机制三维框架，全面检索2009—2021年国家层面医防协同相关政策文件，运用内容分析法和政策文献量化分析法，对检索出的政策文本进行多维分类分析。结果：20份政策中，供给型、环境型和需求型政策工具分别为58.62%、33.33%和8.05%；服务协同条目最多（51.43%），其次是专业协同（27.14%），系统协同最少（21.43%）；分工协作机制条目占比最高（55.68%），未涉及医保筹资支付机制。结论：医防协同政策缺乏顶层设计，政策工具应用失衡，医防协同层次不合理，医防协同机制不完善。建议：加快医防协同政策顶层设计，优化政策工具使用结构，健全多层次医防协同政策，完善多元医防协同机制。 |
| 关键词:医防协同|文本量化分析|政策工具|协同层次|协同机制 |
| 基金项目:山东大学新冠肺炎疫情防控专项重点课题 |
|
| Text quantitative analysis on China's medical and prevention coordination policy: A three-dimensional framework based on policy tools, coordination levels and coordination mechanisms |
| MA Wen-wen1,2, LI Chao-fan1,2, LIU Cong-hui1,2, SUN Qiang1,2 |
1. Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan Shandong 250012, China;
2. NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan Shandong 250012, China |
| Abstract:Objective: The paper analyzed the focus and deficiency of China's medical and prevention coordination policies, so as to provide reference for optimizing medical and prevention coordination policy. Methods: A three-dimensional framework of basic policy tools, coordination levels and coordination mechanisms was constructed. Searching the relevant policy texts of medical and prevention coordination at the national level from 2009 to 2021, and multi-dimensional classification analysis the retrieved policy texts by using content analysis methods and policy documents quantitative analysis methods. Results: Among the 20 policies, supply, environment and demand policy tools accounted for 58.62%、33.33% and 8.05%, respectively. The service coordination items were the most (51.43%), followed by professional coordination (27.14%) and system coordination (21.43%). The division of labor and cooperation mechanism accounted for the highest proportion (55.68%), and there was no medical insurance financing payment mechanism involved in policies. Conclusion: Lack of top-level design, imbalanced application of policy tools, unreasonable coordination levels and imperfect coordination mechanisms.Recommendation: It was necessary to accelerate the top-level design of medical and prevention coordination policies, optimize the use structure of policy tools, improve multi-level medical and prevention coordination policies, and accelerate the improvement of diversified medical and prevention coordination mechanisms. |
| Key words:Medical and prevention coordination|Text quantitative analysis|Policy tools|Coordination levels|Coordination mechanisms |
| 摘要点击次数: 1488 全文下载次数: 674 |
|
|
|
|
|
