基于政策工具的我国三医联动政策量化分析  

Quantitative Analysis of Medical-Insurance-Medicine Linkage in China Based on Policy Tools

作　　者：贾琼 吴海波[1] 许丰[2] Jia Qiong(School of Economics and Management,Jiangxi University of Traditional Chinese Medicine,Nanchang,P.R.China)

机构地区：[1]江西中医药大学经济与管理学院,江西南昌330004 [2]南方医科大学

出　　处：《中国卫生事业管理》2021年第1期34-37,49,共5页Chinese Health Service Management

基　　金：江西省教育科学规划重点项目“高校智库服务‘双一流’建设的功能定位及路径选择研究”(18ZD052)。

摘　　要：目的:对我国发布的27份三医联动政策文件的政策工具进行分析,探究我国三医联动政策体系的着重点与缺失点,为健全我国三医联动政策体系提供参考。方法;以我国2014—2019年发布的27份三医联动政策文件为研究对象,以政策工具为视角对纳入分析的政策文件进行摘录和编码,采用内容分析法和定量分析法对各项政策工具进行统计分析,并确定其运用情况。结果:260个政策编号中,需求型,供给型和环境型政策工具分别占6.9%、24.6%和68.5%;医疗、医保和医药政策工具分别占54.2%、24.6%和21.2%。由此可以看出,我国三医联动改革对环境现状的依赖程度较大,需求与供给政策相对不足,而医疗则是三医联动改革的核心关键点。结论:应适当增加需求型和供给型政策工具,着重解决医疗方面的重难点问题,促使医疗、医保、医药三个利益主体达成合力,形成“三医既联又动”的协同发展机制。Objective To analyze the policy tools of 27 documents on medical-insurance-medicine linkage policy, explore the key points and deficiencies of medical-insurance-medicine linkage policy system, and provide references for improving it. Methods The 27 documents on medical-insurance-medicine policy issued in China from 2014 to 2019 were taken as research objects, which were extracted and coded from the perspective of policy tools, and statistically analyzed with content analysis method and quantitative analysis method. Results Among the 260 policies, demand, supply and environment policy tools accounted for 6.9%, 24.6% and 68.5%, respectively, and medical, insurance and medicine policy tools accounted for 54.2%, 24.6% and 21.2%, respectively. Medical-insurance-medicine linkage reform is highly dependent on the status of environment. Demand and supply policies are relatively inadequate. And medical treatment is the core and key point of medical-insurance-medicine linkage reform in China. Conclusion It is necessary to appropriately increase the demand and supply policy tools, solve the difficult issues in medical treatment, promote the synergy of these three stakeholders to form a coordinated development mechanism of connected and moving medical-insurance-medicine linkage.

关 键 词：三医联动 政策工具 卫生政策 

分 类 号：R197[医药卫生—卫生事业管理]