| 引用本文：张皓, 吴梦洁, 陈星宇, 杨玉辉, 胡婉慈, 张萌, 施越, 龙思颖, 曹钰, 黄仙红.整合视域下卫生服务“以人为本”的语义解构、建构与实践指引——基于Python爬虫搜索的文本分析[J].中国卫生政策研究,2022,15(12):9-17 |
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| 整合视域下卫生服务“以人为本”的语义解构、建构与实践指引——基于Python爬虫搜索的文本分析 |
| 投稿时间：2022-08-13 修订日期：2022-12-14 PDF全文浏览 HTML全文浏览 |
| 张皓1, 吴梦洁1, 陈星宇2, 杨玉辉3, 胡婉慈1, 张萌1, 施越1, 龙思颖4, 曹钰4, 黄仙红1 |
1. 杭州师范大学公共卫生学院 浙江杭州 311121;
2. 北京协和医学院卫生健康管理政策学院 北京 100730;
3. 浙江大学信息技术中心 浙江杭州 310058;
4. 浙江大学计算机科学与技术学院 浙江杭州 310058 |
| 摘要:目的：针对“以人为本”在卫生服务中的概念尚未有普适性清晰界定的问题，解构、建构健康中国战略背景下的卫生服务“以人为本”的概念。方法：采用Python获取“以人为本”的概念文本，采用内容分析法解构语义，基于时代特征建构语义，并分析其对卫生服务实践的指引。结果：纳入文本154份，识别出67个分析指标，经四阶段发展，“整合”成为“以人为本”演化的时代特征。基于宏观系统整合、中观组织和专业整合、微观服务整合和支持保障的角度，建构卫生服务“以人为本”五个层次的语义，包括精神本质、人本需求、人本服务、人本治理和健康保障。结论：以整合为特征的“以人为本”的语义呈现多维度的丰富内涵，为健康中国战略的实践提供了方向指引，精准捕捉全人群健康需求、提供高价值整合服务、激励多元主体价值共创、建立全面的健康保障成为实践叙事的重点。 |
| 关键词:以人为本 整合 文本分析 语义建构 |
| 基金项目:国家自然科学基金(72004051)；教育部人文社科项目(18YJCZH232)；国家社会科学基金(19BGL250)；浙江省大学生新苗人才计划(2021R426047) |
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| Semantic deconstruction, construction and practical guidance of “people-oriented” health services from the perspective of integration： Text analysis based on Python crawler search |
| ZHANG Hao1, WU Meng-jie1, CHEN Xing-yu2, YANG Yu-hui3, HU Wan-ci1, ZHANG Meng1, SHI Yue1, LONG Si-ying4, CAO Yu4, HUANG Xian-hong1 |
1. School of Public Health, Hangzhou Normal University, Hangzhou Zhejiang 311121, China;
2. School of Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China;
3. Information Technology Center, Zhejiang University, Hangzhou Zhejiang 310058, China;
4. College of Computer Science and Technology, Zhejiang University, Hangzhou Zhejiang 310058, China |
| Abstract:Objective: Aiming at the problem that the concept of “people-oriented” health services lacks a clearly defined universal definition, this work deconstructed and constructed the concept of “people-oriented” health services under the background of Healthy China strategy. Method: Python was used to acquire the concept text of “people-oriented”, deconstruct its semantics using content analysis, construct its semantics based on the characteristics of the new era, and analyze its guidance to health service practices. Results: 154 texts were included to identify 67 analysis indicators, which were “integrated” as the era characteristics of “people-oriented” after four stages of development. From the perspectives of macroscopic system integration, meso organization and specialty integration, microscopic service integration and support guarantee, five levels of “people-oriented” semantics in health services were constructed, which covered spiritual essence, people-oriented demand, people-oriented services, people-oriented governance and health support. Conclusion: The semantic meaning of “people-oriented” characterized by integration presents multi-dimensional rich connotation, which provides directional guidance for the implementation of Healthy China strategy. Accurately capturing the health needs of the whole population, providing high value integrated services, encouraging multi-subject value co-creation, and establishing comprehensive health support shall be emphasized as the focuses of practical narration. |
| Key words:People-oriented Integration Text analysis Semantic construction |
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