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第6期 总第113期 南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
2022年12月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 545 ·
Journal

Text quantitative analysis of China’s medical insurance payment

reform policy based on three⁃dimensional policy tool framework

LI Xiangfei，ZHANG Zhen
School of Economics and Management，Tiangong University，Tianjin 300387，China
Abstract：In order to comprehensively analyze the characteristics and contents of the policy release of
health care payment reform in China and propose policy suggestions for future deepening reform，this study
obtained 171 health care payment reform policy at the national level in China from 2009 to 2021 through
systematic retrieval. Using statistical methods，social network analysis methods and content analysis methods, we
constructed a three⁃dimensional analysis framework based on“policy tools⁃policy objectives⁃policy strength”
based on the diachronic analysis of policy items and the analysis of publishing institutions. We then further
conduct a multi⁃dimensional quantitative classification and cross⁃comparative analysis of policy content. The
study found that policy tools are rich and diverse under the framework of policy analysis, while the internal
distribution is uneven. The reform focuses on service quality improvement，but the distribution of each objective
varies greatly. Additionally, the number of high ⁃ intensity specialized documents is relatively small, and the
overall control capacity is low. The analysis of each cross⁃dimension shows different degrees of mismatch and
structural imbalance. We recommend improving the internal structure of the policy and enhancing the balance of
the use of policy tools；giving full play to the policy goal⁃strength synergy effect and improving the compatibility
of all aspects of reform. It is also crucial to break the institutional factors that restrict the improvement of the
policy system to promote reform and development from the bottom.
Key words：health care payment reform；policy text；policy objective；policy tool；policy strength