| 引用本文：谢士钰, 赵德余, 王艳, 杨肖光.地方政府制度创新如何吸引中央政策注意力？——基于医改简报的文本分析[J].中国卫生政策研究,2023,16(11):24-30 |
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| 地方政府制度创新如何吸引中央政策注意力？——基于医改简报的文本分析 |
| 投稿时间：2023-08-20 修订日期：2023-10-13 PDF全文浏览 HTML全文浏览 |
| 谢士钰1, 赵德余2, 王艳3, 杨肖光4 |
1. 南京中医药大学养老服务与管理学院 江苏南京 210000;
2. 复旦大学社会发展与公共政策学院 上海 200000;
3. 中共沈阳市委党校 辽宁沈阳 110000;
4. 上海交通大学医学院/上海交通大学中国医院发展研究院 上海 200000 |
| 摘要:政策注意力的分配是政策过程的关键要素。在中国特有的行政体制下，基于医疗卫生领域的试点探索—经验总结—创新扩散的政策设计模式，需要将政策注意力放置于试点创新的具体政策情境中去阐释。本研究基于国务院深化医药卫生体制改革简报的文本资料，在国家层面的医改制度框架引导下，运用主题模型分析技术呈现地方医改制度创新的类别和具体内容，从政策过程角度解释地方制度创新案例具备的结构特征。研究发现，制度创新案例的文本内容表述上，进一步彰显了政策的目标价值与效果；对具体路径与方案的完善，具有解决上一轮政策议程设置的问题以及开启新一轮政策议程的双重功能。 |
| 关键词:制度创新 政策注意力 医疗改革 地方试点 |
| 基金项目:教育部人文社会科学青年项目(19YJCZH217);江苏省教育厅高校哲社科项目(2022SJYB0328);江苏省淮安市卫生健康委员会招标项目(HARC-竞谈20190803) |
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| How can local governmental institutional innovation capture the attention of central policymaking?：A text analysis based on healthcare reform briefings |
| XIE Shi-yu1, ZHAO De-yu2, WANG Yan3, YANG Xiao-guang4 |
1. College of Elderly Services and Management, Nanjing University of Chinese Medicine, Nanjing Jiangsu 210000, China;
2. School of Social Development and Public Policy, Fudan University, Shanghai 200000, China;
3. Municipal Party School of Shenyang City Committee, CPC, Shenyang Liaoning 110000, China;
4. Shanghai Medical College, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai 200000, China |
| Abstract:The allocation of policy attention is a crucial element in policy process. Under China's administrative system, the policy design pattern based on pilot exploration, experience accumulation, and innovation diffusion in the healthcare sector needs to be interpreted by focusing on the allocation of policy attention and the opening of the policy decision-making agenda in the specific policy context of pilot innovation. This study is based on textual data from the State Council's briefing on deepening medical and healthcare system reform. Utilizing topic modeling analysis techniques, we attempt to analyze the interactive relationship between the national-level medical reform policy framework and local institutional innovation, as well as the structural characteristics of local institutional innovation cases. The study found that the textual content of institutional innovation cases further reveals the goal value and effects of policies from a policy discourse perspective and carries the dual function of addressing the problems of the previous policy agenda setting and opening a new round of policy agenda. |
| Key words:Institutional innovation Policy attention Healthcare reform Local pilot |
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