政策工具视角下我国公立医院薪酬政策文本分析

夏冕; 高艺宁; 陈芝玲; 王明欧; 张亮

引用本文：夏冕, 高艺宁, 陈芝玲, 王明欧, 张亮.政策工具视角下我国公立医院薪酬政策文本分析[J].中国卫生政策研究,2023,16(12):1-8

政策工具视角下我国公立医院薪酬政策文本分析

投稿时间：2023-06-12 修订日期：2023-11-15 PDF全文浏览 HTML全文浏览

夏冕^1,2, 高艺宁¹, 陈芝玲¹, 王明欧¹, 张亮¹

1. 武汉大学政治与公共管理学院湖北武汉 430072;
2. 武汉大学健康治理研究中心湖北武汉 430072

摘要:目的：通过对公立医院薪酬政策文本进行政策工具的量化分析，揭示我国公立医院薪酬政策变迁的阶段性特点及政策工具使用情况，为进一步完善我国公立医院薪酬政策体系提供建议。方法：通过内容分析法，构建“工具（X维度）—阶段（Y维度）”二维政策工具分析框架，分析我国公立医院薪酬政策工具使用情况。结果：从Y维度来看，在不同阶段我国公立医院薪酬政策工具的选择与运用呈现出差异性、多元化的特点。但从X维度来看，我国公立医院薪酬政策工具发展速度不均衡，组合结构不良；局部政策子工具缺失严重，未形成功能互补。在此基础上提出政策建议：应优化多种政策工具组合，创新需求型政策工具手段，补齐供给型政策工具短板。

关键词:公立医院医师薪酬政策工具内容分析

基金项目:国家自然科学基金项目（71874128）；武汉大学2021年度研究生导师育人方式创新项目；武汉大学2023年度研究生“课程思政”示范课程项目

Text analysis of public hospital compensation policy in China from the perspective of policy tools

XIA Mian^1,2, GAO Yi-ning¹, CHEN Zhi-ling¹, WANG Ming-ou¹, ZHANG Liang¹

1. School of Political Science and Public Administration, Wuhan University, Wuhan Hubei 430072, China;
2. Health Governance Research Center, Wuhan University, Wuhan Hubei 430072, China

Abstract:Objective: To make a quantitative analysis of the policy tools which is related to the public hospital compensation policy text to reveal the characteristics of different stages in the policy and the use of the policy tools. Methods: Content analysis was performed to construct a two-dimensional framework of "tools(X-dimension)-phases(Y-dimension)", and analyze the use of public hospital compensation policy tools. Results: From the Y-dimension, the use of public hospital compensation policy tools in different stages shows the characteristics of differentiation and diversification. However, according to the X-dimension, there is uneven development rate and poor combination structure of public hospital compensation policy tools. And partial policy sub-tools are seriously missing, and failed to complement each other. On this basis, policy suggestions are put forward: optimize the combination of various policy tools, innovate the means of demand-based policy tools, and make up for the shortcomings of supply-based policy tools.Optimize the combination of various policy tools, innovate the means of demand-based policy tools, and make up for the shortcomings of supply-based policy tools.

Key words:Public hospitals Physician's compensation Policy tools Content analysis

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