| 引用本文：喻月慧, 李珍.三医协同治理视角下我国儿童健康保障政策量化分析[J].中国卫生政策研究,2023,16(9):8-14 |
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| 三医协同治理视角下我国儿童健康保障政策量化分析 |
| 投稿时间：2023-07-06 修订日期：2023-08-05 PDF全文浏览 HTML全文浏览 |
| 喻月慧1,2, 李珍3 |
1. 中国人民大学公共管理学院 北京 100872;
2. 中国人民大学健康保障研究中心 北京 100872;
3. 武汉大学政治与公共管理学院 湖北武汉 430072 |
| 摘要:目的：从三医协同治理视角出发分析新医改以来我国的儿童健康保障政策，为完善政策体系、提高儿童健康保障福祉提供参考。方法：采用内容分析法，构建“政策工具—政策目标”分析框架，对2009年至今中央层面发布的与儿童医疗、医保、医药密切相关的51份政策文本进行编码和量化分析，揭示其主要特征。结果：我国儿童健康保障政策整体偏向于医疗和医药领域，医保方面的政策较少；“三医”领域都有较清晰、集中的政策目标和工具，但是跨领域联动环节的政策工具不足；医疗领域以供给型政策工具为主，其中医疗服务价格调整是短板；医保领域最常用的是完善管理体制机制、法规管制这两类环境型政策工具，其作用目标相对模糊；医药领域以环境型政策工具为主，直接作用于儿童药供给的政策工具偏少。结论：儿童健康保障领域应重点补齐医保政策短板，增强医保对医疗和医药两个领域的激励和调节作用，同时应重视在三医联动环节增加政策工具。 |
| 关键词:儿童健康保障 三医协同治理 政策工具 政策分析 |
| 基金项目:中国人民大学健康保障研究中心“完善中国儿童医疗保障制度研究”(2022K20156) |
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| Quantitative analysis of China's child health protection policy from the perspective of the synergistic governance on healthcare, insurance and pharmaceutical sectors |
| YU Yue-hui1,2, LI Zhen3 |
1. School of Public Administration and Policy, Renmin University of China, Beijing 100872, China;
2. Centre for Health Protection Research, Renmin University of China, Beijing 100872, China;
3. School of Political Science & Public Administration, Wuhan University, Wuhan Hubei 430072, China |
| Abstract:Objective: To analyze China's child health protection policy since the new health care reform, guided by the concept of synergistic governance of the health care, insurance and pharmaceutical sectors, so as to provide a reference for improving the policy system and enhancing the health protection and well-being of children. Methods: A “policy tool-policy goal” analysis framework is constructed to codify and quantify 51 policy texts published since 2009 that are closely related to children's healthcare, health insurance and pharmaceuticals, using the content analysis method, to identify their key features. Results: Child health protection policies in China are generally biased towards the medical and pharmaceutical sectors, and there are fewer policies in health insurance; there are clear and focused policy objectives and tools in all three sectors, but insufficient policy tools to link them; the medical sector is dominated by supply-side policy tools, among which the price adjustment of medical services is a shortcoming; the two most commonly used environmental policy tools in the health insurance sector are the improvement of institutional management mechanisms and regulatory control,and their role goals are relatively; the pharmaceutical sector is dominated by environmental policy tools and policies work directly on medical supply to children are insufficient. Conclusion: In the field of children's health security, more attention should be paid to making up for the shortcomings of health insurance policies, in order to strengthen the incentive and regulatory role of medical insurancein both the healthcare and pharmaceutical sectors. In addition, more emphasis should be placed on strengthening linkage of these three sectors. |
| Key words:Child health protection Synergistic goverance on healthcare, insurance and pharmaceutical sectors Policy tools Policy analysis |
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