基于政策工具的国家层面公立医院管理政策量化分析  

Quantitative analysis of public hospital management policies at the national level based on policy tools

作　　者：孙冬悦[1] 宋林子[1] 杨敬[1] SUN Dongyue;SONG Linzi;YANG Jing(Office of Dean,Xuanwu Hospital,Capital Medical University,Beijing100053,China)

机构地区：[1]首都医科大学宣武医院院长办公室,北京100053

出　　处：《中国医药导报》2021年第34期156-159,171,共5页China Medical Herald

基　　金：北京市医院管理中心“培育计划”项目(PG2021013)。

摘　　要：目的基于政策工具,研究国家层面公立医院运行管理的相关政策文件,以期为公立医院管理政策制订提供参考。方法采用内容分析法对搜集到的政策内容进行量化分析,对入选的341条管理政策进行逐一编码并归类拟合,构建政策工具三维分析模型。结果本研究构建了政策工具类型、公立医院管理层级、时间阶段三个维度的政策工具分析模型。纳入分析的341条政策文本中,能力建设型政策工具使用最多,占比43.99%,权威型政策工具使用频数次之,占比40.18%,象征与劝诫型政策工具使用42条,占比12.32%,激励型政策工具仅使用12条,占比3.52%;在管理层级维度分析,医院内部管理对应政策条目共209条,占比61.29%。结论政策工具在公立医院管理领域适用情况良好,但使用均衡性存在不足。在后续公立医院管理政策制订中,应优化政策工具内部结构,形成政策合力,综合运用政策工具,推动公立医院高质量发展。Objective To study the relevant policy documents of operation and management of public hospitals at the national level based on policy tools,in order to provide a reference for the formulation of public hospital management policies.Methods The collected policy content was quantitatively analyzed by content analysis method,and the 341 selected management policies were coded,classified and fitted to construct a three-dimensional analysis model of policy tools.Results This study constructed a policy tool analysis model with three dimensions,included policy tools,public hospital management level,and time phases.The 341 policy texts were included in the analysis,capacity-building policy tools were used the most,accounting for 43.99%.Authoritative policy tools were used the second most,accounting for 40.18%.There were 42 symbolic and exhortation policy tools were used,accounting for 12.32%;only 12 incentive policy tools,accounting for 3.52%.In the dimension analysis of management level,there were 209 policy items corresponding to hospital internal management,accounting for 61.29%.Conclusion The application situation of policy tools in the field of public hospital management is good,but the balance of use is insufficient.In the subsequent policy formulation of public hospital management,the internal structure of policy tools should be optimized to form a policy synergy,and comprehensively use policy tools to promote the high-quality development of public hospitals.

关 键 词：公立医院管理 政策工具 国家层面 量化分析 

分 类 号：R197[医药卫生—卫生事业管理]