卫生健康改革政策结构分析及其演变特征
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陕西省卫生行业学会服务中心

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《政会校企共建科技柔性智库网络体系、建设机制与协同效应研究》陕西省科协决策咨询项目(陕科协发[2023]规字5号,2023-7-2);《“三项改革”政策下医学科技成果转化现状评估及对策研究》陕西省科技厅软科学项目一般项目,项目编号:2024ZC-YBXM-001


Analysis of health reform policy structure and its evolutionary characteristics
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The Health Industry Association Service Center Of Shaanxi Province

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    摘要:

    本文以 2009-2023 年国家层面颁布实施的 554个与卫生健康改革密切相关的政策文本为研究对象,构建卫生健康政策二维分析框架,从政策结构及政策内容维度对卫生健康事业改革发展治理进行政策计量及内容分析。研究发现,卫生健康政策发文多部门协作网络逐渐完善,合作格局初步形成;以医疗为核心,以医保、医药协同治理的趋势在卫生健康政策中得以体现,三医联动逐渐从各自内部治理到耦合协同,供给型政策工具为初期常用工具,而在改革深化和高质量发展阶段环境型政策工具运用较多。从宏观加强顶层设计,完善内外部协同治理,中观层面构建部门协作网络,优化政策工具使用与资源配置;微观层面完善医务人员激励机制,建立面向人群全生命周期健康服务体系等方面提出政策建议。

    Abstract:

    This research utilizes 554 policy texts relevant to the national health reform enacted from 2009 to 2023, and implements the bibliometric and content analysis methods. Creating a two-dimensional analysis framework of health policy that encompasses the characteristics of policy structure and text content, for the purpose of enhancing understanding of the reform, progress and governance of health undertakings.The study found the collaboration networks are expanded, a distinct pattern of cooperation has emerged. Medical care being the central focus, health policies have demonstrated the movement towards integrated control of medical insurance and medicine. The connection between the three medical services has shifted from their own singular governance to mutually coordinated governance. Supply-oriented policy tools are typically invoked at the outset, while environment-oriented policy tools are employed more significantly in the process of advanced reform and high-quality development. This research makes policy recommendations from the perspective of the macro level to strengthen top-level design and improve internal and external collaborative governance, from the meso-level to build a departmental collaboration network and optimize the use of policy tools and resource allocation; from the micro level, to improve the incentive mechanism for medical personnel and establish a health service system for the whole life cycle of the population.

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  • 收稿日期:2024-01-09
  • 最后修改日期:2024-03-04
  • 录用日期:2024-03-12
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