Page 17 - 南京医科大学社科版

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第2期 总第121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）
2024年4月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 119 ·
Journal

Structural analysis of healthcare reform policy and its evolutionary

characteristics
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WANG Xue ，ZHANG Lei 1，2，3 ，WANG Wenhua ，LUO Yi ，YUAN Xiaoxiao 1，2
1. School of General Medicine，Xi’an Medical University，Xi’an 710021；2. The Health Industry Association Service Center，
Xi’an 710003；3. Secretary Department，Shaanxi Medical Association ，Xi’an 710003，China
Abstract：This research utilizes 554 policy texts relevant to the national health reform enacted from 2009
to 2023. It implements the bibliometric and content analysis methods by creating a two⁃dimensional analysis
framework of health policy that encompasses the characteristics of policy structure and text content，to enhance
the understanding of the reform，progress and governance of health undertakings. The study finds that the
collaboration networks for multi⁃departmental collaboration in health policy are expanded with a distinct pattern
of cooperation emerging. With the trend of healthcare being the central focus and integrating the three medical
aspects（healthcare，insurance and pharmaceuticals），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 independent 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 phases. Based on this，reflect on the macro，meso
and micro level will provide reference for future policy formulation.
Key words：policy measurement；policy instrument；policy evolution；development trend