政策工具视角下上海医养结合养老服务政策文本研究  

Text Analysis of Policies Related to the Integration of Medical Treatment and Eldercare in Shanghai from the Perspective of Policy Instrument

作　　者：谭金可[1] 李学莹 Tan Jinke;Li Xueying(East China University of Political Science and Law,Shanghai 201620,China)

机构地区：[1]华东政法大学政府管理学院

出　　处：《上海城市管理》2023年第3期54-63,共10页Shanghai Urban Management

基　　金：国家重大社科基金项目“国民卫生健康治理法治化研究”(20&ZD187)阶段性研究成果

摘　　要：从政策工具、医养结合领域及发展阶段三个维度出发,采用内容分析法,借助N v i vo软件,对作为我国三种典型实践模式之一的上海市医养结合模式政策文本进行分析,可以发现2014至2021年间,上海市医养结合政策数量总体呈现上升趋势。同时,存在政策工具运用比例失衡、涉及居家养老的政策文本较少、医养结合政策缺少强制性、多主体统筹合力发挥不足等问题。在此基础上,提出合理优化医养结合政策工具结构、提升居家养老政策倾斜度、通过地方性法规明确规定医养结合相关各方的责任、完善多主体参与的长效发展机制等建议措施。This present study,from three dimensions of policy instrument,the field of integration of medical treatment and eldercare(hereafter referred to as Integration),and developmental phase,analyzes the policy texts of the Integration model in Shanghai,which is one of the three typical practical models in China,through the method of content analysis and the software Nvivo.From 2014 to 2021,though the aggregated number of Integration-related policies is on the rise,there exist problems such as lopsided usage of policy instruments,a lack of texts on home-based care,Integration-related policies being not mandatory enough,and insufficient exertion of the joint efforts made by multiple subjects.It is recommended that the structure of the Integrationrelated policy instruments be optimized,home-based care be paid more attention to,the duties of relevant parties of the Integration be specified through local regulations,and a long-term development mechanism involving multiple subjects be improved.

关 键 词：医养结合 政策文本分析 上海市 

分 类 号：D669.6[政治法律—政治学] R197.1[政治法律—中外政治制度]