| 引用本文：盛雅菲,邓敏.RE‐AIM视角下南京市综合医院实施中医DRG改革政策文本与实践分析[J].中国卫生政策研究,2026,19(5):49-56 |
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| RE‐AIM视角下南京市综合医院实施中医DRG改革政策文本与实践分析 |
| 投稿时间：2026-01-18 修订日期：2026-05-06 PDF全文浏览 HTML全文浏览 |
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盛雅菲1，邓敏1,2
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| 1南京中医药大学卫生经济管理学院 江苏南京 210023;2江苏省重大健康风险管理与中医药防控政策研究中心 江苏南京 210023 |
| 摘要:目的 在RE‐AIM框架视角下分析我国综合医院实施中医DRG改革政策文本的配置特征与实施现状，为政策完善提供参考。方法 以中央、江苏省和南京市三级政策文件为研究对象，构建“政策工具-RE‐AIM”二维分析框架，采用内容分析法进行文本编码与定量分析。结果 纳入31份政策文本，RE‐AIM框架方面主要集中于覆盖度（31.28%）、采纳度（23.46%）和实施度（20.67%），表明现有政策更侧重改革范围扩展、组织采纳引导与执行过程规范；持续度（15.64%）和有效度（8.94%）占比较低，提示长效运行保障和改革效果评价仍相对薄弱。结论 综合医院中医DRG改革政策在推进覆盖扩面、组织采纳和规范实施的同时，对成效评价与持续运行保障仍显不足，未来可从差异化激励、标准化运行与协同治理等方面优化。 |
| 关键词:综合医院 中医DRG RE-AIM框架 政策工具 |
| 基金项目:教育部哲学社会科学研究重大课题攻关项目（24JZD043）；南京市中医药传承创新试点城市医保支付改革二期课题（JSDY-2025F0102）；江苏省智慧中医药健康服务工程研究中心开放课题（ZHZYY202408） |
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| Policy text and practice analysis of Traditional Chinese Medicine DRG reform in general hospitals in Nanjing from the perspective of RE‐AIM |
| SHENG Ya-fei1, DENG Min1,2 |
| 1College of Health Economics and Management， Nanjing University of Chinese Medicine， Nanjing Jiangsu 210023，China;2Jiangsu Research Center for Major Health Risk Management and TCM Control Policy， Nanjing Jiangsu 210023，China |
| Abstract:Objective To analyze the configuration characteristics and implementation status of DRG reform policy texts in general hospitals of Traditional Chinese Medicine （TCM） in China from the perspective of RE-AIM framework， so as to provide reference for policy improvement.Methods Taking the policy documents of the central government， Jiangsu Province and Nanjing Municipality as the research object， a two-dimensional analysis framework of "policy instrument-RE-AIM" was constructed， and the content analysis method was used for text coding and quantitative analysis.Results A total of 31 policy texts were included. The RE-AIM framework mainly focused on the coverage （31.28%）， adoption （23.46%） and implementation （20.67%）， indicating that the existing policies focused more on the expansion of the scope of reform， organizational adoption guidance and implementation process specification. The persistence （15.64%） and validity （8.94%） accounted for relatively low， suggesting that long-term operation guarantee and reform effect evaluation were still relatively weak.Conclusions While promoting the coverage expansion， organizational adoption and standardized implementation， the DRG reform policy of TCM in general hospitals still has insufficient effectiveness evaluation and continuous operation guarantee. In the future， it can be optimized from the aspects of differential incentive， standardized operation and collaborative governance. |
| Key words:General hospital DRG in Traditional Chinese Medicine RE-AIM framework Policy tools |
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