| 引用本文：徐铭遥, 刘宏伟, 李瑞锋.政策工具视角下我国基层中医药发展政策文本分析[J].中国卫生政策研究,2023,16(3):77-82 |
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| 政策工具视角下我国基层中医药发展政策文本分析 |
| 投稿时间：2022-10-08 修订日期：2023-01-20 PDF全文浏览 HTML全文浏览 |
| 徐铭遥, 刘宏伟, 李瑞锋 |
| 北京中医药大学管理学院 北京 100029 |
| 摘要:目的：总结分析党的十八大以来我国基层中医药服务发展情况，为基层中医药领域发展政策的进一步调整与出台提供参考。方法：采用 Rothwell和Zegveld政策工具分类方法，结合利益相关者维度，对2012—2022年基层中医药发展领域的35份国家及直属部委层面的政策文本进行分析。结果：政策工具维度中供给型最多(46.68%)、环境型次之(37.91%)、需求型最少(15.40%)；利益相关者维度中政府和医疗机构使用政策工具较多；医疗技术人员和居民使用政策工具较少。结论：各类政策工具及其子工具使用结构不均衡；对医疗技术人员和居民需求关注不充分，政府和医疗机构内部政策工具结构失衡，各利益主体政策工具效用发挥受限。建议：优化政策工具结构；改善政府和医疗机构内部政策工具“倾斜”现象，以发挥政策的最大效用。 |
| 关键词:中医药 基层 政策工具 利益相关者 |
| 基金项目:北京市社会科学基金项目资助(20GLB019) |
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| Text analysis of grassroots Chinese medicine development policy in China from the perspective of policy tools |
| XU Ming-yao, LIU Hong-wei, LI Rui-feng |
| School of Management， Beijing University of Chinese Medicine, Beijing 100029, China |
| Abstract:Objective:To summarize and analyze the development of grassroots Chinese medicine services in China since the 18th National Congress of the Communist Party of China, and to provide reference for the further adjustment and introduction of development policies in the field of grass-roots Chinese medicine. Methods: Using the Rothwell and Zegveld policy tool classification method, combined with the stakeholder dimension, 35 policy texts at the national and ministerial levels in the field of grassroots Chinese medicine development from 2012 to 2022 are analyzed. Results: In the dimension of policy tools, the supply type is the most (46.68%), followed by the environment type (37.91%), and the demand type (15.40%). In the stakeholder dimension, the government and medical institutions use more policy tools; Medical technicians and the population use fewer policy tools. Conclusion: The structure of use of policy instruments and their sub-instruments is uneven; attention paid to the needs of medical technicians and residents is insufficient, the structure of policy tools within the government and medical institutions is unbalanced, and the effectiveness of policy tools of various stakeholders is limited. Suggestions: Optimize the structure of policy tools; change the “inclined” phenomenon of policy tools within the government and medical institutions to maximize the effectiveness of policies. |
| Key words:Traditional Chinese Medicine Grassroots Policy Tools Stakeholders |
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