基于政策工具的我国精神卫生政策文本分析  

Textual analysis of mental health policies in China based on policy tools

作　　者：袁永旭[1,2] 李建悦 王思源 黄安琪 YUAN Yong-xu;LI Jian-yue;WANG Si-yuan;HUANG An-qi(Library of Shanxi Medical University,Taiyuan 030001,Shanxi Province,China;School of Management,Shanxi Medical University,Taiyuan 030001,Shanxi Province,China)

机构地区：[1]山西医科大学图书馆,山西太原030001 [2]山西医科大学管理学院,山西太原030001

出　　处：《中华医学图书情报杂志》2022年第12期14-22,共9页Chinese Journal of Medical Library and Information Science

基　　金：山西省研究生教育创新项目“卫生信息管理在突发公共卫生事件中的应用”(2020SY242)。

摘　　要：目的:为了解我国目前已经出台的精神卫生政策现状和特点,探讨现有政策体系的侧重点并剖析存在的问题,对我国国家层面出台的精神卫生政策文本进行研究,以期为推动我国精神卫生事业迅速发展、为政府未来制定与优化精神卫生领域政策提供参考。方法:选取1986-2021年我国在国家层面发布的有关精神卫生的政策文本76份,然后运用关键词词频分析法对精神卫生政策主题侧重点进行分析,再利用内容分析法构建“政策工具-管理过程-利益相关者”三维分析框架,从3个维度对我国精神卫生政策的文本内容进行分析。结果:76份精神卫生政策的主要关键词为“服务”“健康”;在政策工具维度,精神卫生政策总体呈现出重环境型政策工具、轻需求型政策工具的特点;在管理过程维度,精神卫生政策主要聚焦于预防阶段;在利益相关者维度,政府与政府部门是政策出台与执行的主要利益相关者。结论:应优化调配政策工具,平衡各利益相关者需求,增强政策多维耦合性,提高政策可操作性,构建能够更好地为精神卫生、心理健康服务的精神卫生政策体系。Objective In order to understand the current situation and characteristics mental health policies issued in China,explore the focus of the existing policy system and analyze the existing problems,this research on mental health policy texts issued at the national level was conducted,in order to promote the rapid development of mental health in China and provide reference for the government to formulate and optimize the policies in the future.Methods 76 national-level mental health policy texts were selected from 1986 to 2021,and then analyzed by using keyword frequency analysis to analyze the themes of mental health policies.The content analysis method was used to construct a three-dimensional analysis framework of"policy instrument-management process-stakeholders"to analyze the textual content of China′s mental health policy from three dimensions.Results The primary keywords of 76 mental health policies were"service"and"health";in the dimension of policy instruments,mental health policies generally showed emphasis on environment-based policy instruments rather than demand-based policy instruments;in the dimension of management process,mental health policies mainly focus on the phase of prevention;in the dimension of stakeholders,the government sectors were the main stakeholders of policy formulation and implementation.Conclusion It is proposed to optimize the instruments of policy deployment,balance the needs of different stakeholders,enhance the multidimensional coupling,improve the operability,and build a policy system that can better serve mental health.

关 键 词：政策工具 精神卫生 利益相关者 政策文本分析 

分 类 号：R-012[医药卫生] R749