| 引用本文：姚强,焦月芳,张修芳,等.政策工具视角下我国省级层面基层用药衔接保障政策研究（2020—2025）[J].中国卫生政策研究,2025,18(10):1-8 |
|
| 政策工具视角下我国省级层面基层用药衔接保障政策研究（2020—2025） |
| 投稿时间：2025-07-22 修订日期：2025-10-09 PDF全文浏览 HTML全文浏览 |
| 姚强1,2，焦月芳1，张修芳3，何艳平1，张晓丹1，张苗4，姚岚2,4 |
| 1.武汉大学政治与公共管理学院 湖北武汉 430072;2.国家医保研究院华科基地 湖北武汉 430030;3.国家卫生健康委基层卫生健康司 北京 100044;4.华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030 |
| 摘要:目的 全面分析我国省级层面基层用药衔接保障政策工具现状，为完善基层用药衔接保障政策提供参考。方法 基于政策工具理论构建“政策工具—政策目标”二维分析框架，对省级层面颁布的基层用药衔接保障相关政策文件进行定量分析。结果 最终纳入58份政策文本并生成407条政策文本编码。其中，政策工具维度供给型（41.03%）最多，环境型（37.59%）次之，需求型（21.38%）最少。政策目标维度主要集中于促进基层药品联动配备（21.84%）、规范和优化基层用药种类（18.88%）和完善基层药品集中供应配送（18.25%）。结论 我国基层用药衔接保障政策设计及实施地区差异显著，部分政策工具缺位，政策目标覆盖不足且衔接不畅。建议通过区域差异化配置和跨域协同优化政策区域布局，优化工具组合以增强政策适配性，同时加强薄弱环节的补充与目标上下协同，并依托紧密型医联体建设推动基层用药衔接保障，最终构建系统化并动态适配的基层用药衔接保障体系。 |
| 关键词:基层卫生 用药衔接保障 政策文本 政策工具 |
| 基金项目:国家自然科学基金面上项目（72174149、72574169）； 国家卫生健康委基层司项目“基层医疗卫生机构与上级医院用药联动衔接研究” |
|
| Research on primary healthcare medication continuity and security in China from the perspective of policy tools： A quantitative analysis based on provincial policy texts from 2020 to 2025 |
| YAO Qiang1,2, JIAO Yue-fang1, ZHANG Xiu-fang3, HE Yan-ping1, ZHANG Xiao-dan1, ZHANG Miao4, YAO Lan2,4 |
| 1.School of Political Science and Public Administration， Wuhan University， Wuhan Hubei 430072， China;2.HUST Base of National Institute of Healthcare Security， Wuhan Hubei 430030， China;3.Department of Primary Healthcare， National Health Commission of the People's Republic of China， Beijing 100044，China;4.School of Medicine and Health Management of Tongji College，Huazhong University of Science and Technology，Wuhan Hubei 430030， China |
| Abstract:Objective To comprehensively analyze the current situation of the policy tools for primary healthcare medication continuity and security in China， and to provide advice for improving the policy system of primary healthcare medication continuity and security.Methods Based on the theory of policy tools， a two-dimensional analysis framework of "policy tools-policy goals" was constructed.Results A total of 407 policy text codes were generated from 58 policy texts included in the analysis. Among them， the supply-based policy tools were the most （41.03%）， followed by environmental （37.59%） and demand-based （21.38%）； the policy goals mainly focused on promoting the equipment and linkage of medication （21.84%）， optimizing the types of medication （18.88%）， and improving the centralized supply and distribution of medication （18.25%）.Conclusions Significant regional disparities exist in the design and implementation of China's primary healthcare medication continuity and security policies. Certain policy tools are absent， policy objectives lack comprehensive coverage， and coordination remains inadequate. It is suggested to optimize regional policy layouts through differentiated configuration and cross-regional coordination， enhance policy adaptability by refining policy tool combinations， strengthen weak segments and vertical coordination， promote the articulation of primary healthcare medication based on tight medical consortium， and finally build a systematic and dynamically adaptive primary healthcare medication continuity and security policy system. |
| Key words:Primary healthcare Medication continuity and security Policy text Policy tool |
| 摘要点击次数: 126 全文下载次数: 64 |
|
|
|
