| 引用本文：吕博, 谢佳鑫, 薛咏茜, 仇艺童, 卢羿同, 赵昀彤, 孟开.我国家庭医生签约服务政策扩散分析[J].中国卫生政策研究,2023,16(5):15-22 |
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| 我国家庭医生签约服务政策扩散分析 |
| 投稿时间：2022-11-07 修订日期：2023-01-14 PDF全文浏览 HTML全文浏览 |
| 吕博1, 谢佳鑫1, 薛咏茜1, 仇艺童1, 卢羿同1, 赵昀彤1, 孟开1,2 |
1. 首都医科大学公共卫生学院 北京 100069;
2. 首都医科大学附属北京天坛医院 北京 100070 |
| 摘要:目的：分析我国家庭医生签约服务政策扩散规律和特征，为家庭医生签约服务政策制定及推广提供参考依据。方法：在中央及各省级政府、卫生健康委员会官网以及“北大法宝”数据库，检索2021年12月31日前颁布的中央及地方家庭医生签约服务相关政策。运用政策参照网络分析和政策关键词时序分析法，从政策扩散强度、广度、速度、方向四个方面分析我国家庭医生签约服务政策扩散特点。结果：本研究共纳入549项政策，包括中央政策38项，地方政策511项，政策数量在家庭医生签约政策服务全面实施阶段达到峰值。扩散强度和广度位列前10位的政策均为中央政策，以意见和通知类型政策为主。政策扩散速度整体上呈先增加后减缓趋势，政策扩散方向为自上而下扩散和平行扩散相结合方式。结论：我国家庭医生签约服务政策扩散呈阶段性变化，中央和地方颁布的政策扩散情况均存在差异，政策扩散受政策背景、内容和自身属性的共同影响。建议充分发挥中央政府引领作用，地方政府提高政策创新积极性，促进家庭医生签约服务政策扩散。 |
| 关键词:家庭医生签约服务 政策扩散 网络分析 关键词时序分析 |
| 基金项目:国家自然科学基金面上项目(72274128);首都医科大学学生科研创新项目(XSKY2022) |
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| Analysis of the policy diffusion of family doctor contract service in China |
| LYU Bo1, XIE Jia-xin1, XUE Yong-xi1, QIU Yi-tong1, LU Yi-tong1, ZHAO Yun-tong1, MENG Kai1,2 |
1. School of Public Health, Capital Medical University, Beijing 100069, China;
2. Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China |
| Abstract:Objective: To analyze the diffusion laws and characteristics of family doctor contract service policy in China, and provide scientific basis for the formulation and promotion of family doctor contract service policy. Methods: Search relevant policies of central and local family doctor contract services promulgated before December 31, 2021 on the official websites of the central and provincial governments, Health Commissions, and the “Peking University Magic Treasure” database. By using the policy reference network analysis and policy keywords time series analysis, the study analyzes the characteristics of the family doctor contract service policy diffusion from the four aspects of intensity, breadth, speed and direction. Results: A total of 549 policies were included in this study, including 38 central policies and 511 local policies, the number of which peaked at the stage of full implementation of family doctor contract services. The top 10 policies in terms of diffusion intensity and breadth were all central policies, mainly of opinion and notification type. Policy diffusion velocity increased before slowing down, and the direction of policy diffusion was a combination of top-down diffusion and parallel diffusion. Conclusion: The diffusion of family doctors contract service policies in China has changed in stages, and there are differences between the central and local policies. The diffusion of policy is affected by the common influence of policy background, content and its own attributes. It is recommended to give full play to the leading role of the central government, and local governments to increase the enthusiasm for policy innovation, and promote the diffusion of family doctor contract service policies. |
| Key words:Family doctor contract service Policy diffusion Network analysis Keyword time series analysis |
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