| 引用本文：乔嘉慧, 鲁贝, 杨辰啸, 尹文强, 宋佳, 李秋莎, 陈钟鸣.政策工具视角下我国残疾人社区康复政策文本量化研究[J].中国卫生政策研究,2022,15(12):18-23 |
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| 政策工具视角下我国残疾人社区康复政策文本量化研究 |
| 投稿时间：2022-09-27 修订日期：2022-11-22 PDF全文浏览 HTML全文浏览 |
| 乔嘉慧1,2,3, 鲁贝1,2,3, 杨辰啸1,2,3, 尹文强1,2,3, 宋佳1,2,3, 李秋莎2,3,4, 陈钟鸣1,2,3 |
1. 潍坊医学院管理学院 山东潍坊 261053;
2. "健康山东"重大社会风险预测与治理协同创新中心 山东潍坊 261053;
3. 健康相关重大社会风险预警协同创新中心 上海 200032;
4. 潍坊医学院公共卫生学院 山东潍坊 261053 |
| 摘要:目的：分析我国社区康复政策的整体协同性和内部结构特征，探讨不同视角下政策的应用情况，为进一步完善残疾人社区康复政策体系提供参考。方法：从政策工具及服务系统视角出发，结合内容分析法，对2009—2022年间国家层面出台的51份有关残疾人社区康复服务的政策文件进行量化分析。结果：纳入的政策文本共筛选出318条政策编码。在政策工具维度中，供给型、环境型、需求型政策工具占比分别为27.4%、55.0%、17.6%；服务系统维度中，服务主体、服务对象、服务内容、服务方式、服务保障占比分别为33.6%、11.0%、19.5%、12.9%、23.0%。结论：我国残疾人社区康复政策主题多样、内容丰富，但政策工具内部结构和服务系统要素有待优化，维度间整体协同力有待提高。应根据政策未来发展目标科学配置政策工具组合；提升服务对象关注度，夯实服务内容精准度；注重维度间政策合力，强化政策执行力度。 |
| 关键词:社区康复 残疾人 政策工具 文本分析 |
| 基金项目:山东省重点研发计划(软科学项目)(2022RKY07002) |
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| Quantitative text analysis of China's community-based rehabilitation policies for persons with disabilities from the perspective of policy tools |
| QIAO Jia-hui1,2,3, LU Bei1,2,3, YANG Chen-xiao1,2,3, YIN Wen-qiang1,2,3, SONG Jia1,2,3, LI Qiu-sha2,3,4, CHEN Zhong-ming1,2,3 |
1. School of Management, Weifang Medical University, Weifang Shandong 261053, China;
2. "Health Shandong" Severe Social Risk Prevention and Management Synergy Innovation Center, Weifang Shandong 261053, China;
3. Collaborative Innovation Center of Social Risks Governance in Health, Shanghai 200032, China;
4. School of Public Health, Weifang Medical University, Weifang Shandong 261053, China |
| Abstract:Objective: To analyze the overall level of synergy and internal structural characteristics of China's community-based rehabilitation policies, and to explore the implementation of the policies from different perspectives, so as to provide a reference for further improving the community-based rehabilitation policy system for persons with disabilites(PWDs). Methods: From the perspectives of policy tools and service system, and by combining the content analysis method, this paper made quantitative text analysis on the texts of 51 policies on community-based rehabilitation services issued at the national level from 2009 to 2022. Results: A total of 318 policy codes were screened out from all included policy texts. In the dimension of policy tools, supply type, environmental type, and demand type policy tools respectively accounted for 27.4%, 55.0%, and 17.6% of all policy tools. In the dimension of service system, service subjects, service objects, service contents, service methods, and service guarantees respectively accounted for 33.6%, 11.0%, 19.5%, 12.9% and 23.0%. Conclusion: China's community-based rehabilitation policies for PWDs are diverse in theme and rich in content, but the internal structure of policy tools and elements of the service system still need to be optimized, and the overall level of synergy among different dimensions needs to be improved. It is suggested to scientifically configure the combination of policy tools according to the policy's future development goals, increase the society's attention towards the demand side of the services, and enhance the precision of the service contents. Furthermore, the government is suggested to focus on inter-dimensional policy synergy and strengthen policy implementation. |
| Key words:Community-based rehabilitation Persons with disabilities(PWDs) Policy tools Quantitative text |
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