我国生育妇女健康管理政策变迁——基于ROST CM6政策文本分析  

Transformation of Health Management Policies of China for Fertility Women:A Policy Text Analysis based on the ROST CM6

作　　者：范梦洁 励晓红[1,2] 郦烨琳 许佳敏 陈刚[1,2] 孙梅[1,2] 吕军[1,2] FAN Mengjie;LI Xiaohong;LI Yelin;XU Jiamin;CHEN Gang;SUN Mei;LV Jun(School of Public Health,Fudan University,Shanghai,200032,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]复旦大学中国残疾问题研究中心,上海200032

出　　处：《中国社会医学杂志》2023年第4期383-387,共5页Chinese Journal of Social Medicine

基　　金：国家社科基金重大项目(17ZDA078);国家自然科学基金项目(71974037,71573053)。

摘　　要：目的基于我国生育妇女健康管理政策,分析在价值目标、规则等方面的演变历程及发展特征,为完善孕产期及育儿期妇女健康管理政策提供依据。方法采用内容分析法和社会网络分析法,运用ROST CM6软件对生育妇女健康管理相关政策文件进行分析,获取不同阶段生育妇女健康管理政策聚焦点,依据社会治理体系挖掘政策阶段性演变规律。结果1992-2021年,政策文件数量呈不断增加趋势;政策目标由“保障孕产妇健康权益”拓展到“为孕产妇免费提供生育全过程的健康服务”;政策关注群体由户籍孕产妇拓展到流动孕产妇和育儿期妇女;相关法律法规体系不断完善,但滞后于价值目标;社会支持主体由政府主导到提倡全社会参与;相关机制在发展中得到补充和加强。结论生育妇女健康管理总体呈不断发展趋势,但在对育儿期妇女关注度方面仍显不足。提示要进一步加强对育儿期妇女健康管理的关注,同时法律法规需要紧跟国家价值目标的变化,及时提供刚性保障。Objective Based on the policies related to the health management of fertility women in China,we analyze the evolution history and development characteristics in terms of value objectives and rules,and provide basis for improving the health management policies of pregnant and parenting women in China.Methods Using content ana-lysis method and social network analysis method,ROST CM6 software was used to analyze the policy documents relate d to fertility women's health management to obtain the different stages of policy focus related to the health management and to explore the policy stage evolution pattern based on the social governance system.Results The number of policy documents had been increasing continuously,the policy objective had been expanded from"protecting the health rights and interests of pregnant women"to"providing pregnant women with free health services in the whole process of childbirth",and the policy focus group had expanded to pregnant women of floating population and child-rearing women,the system of relevant laws and regulations had been continuously improved,the main body of social support had been led by the government to advocate the participation of the whole society,and the construction of relevant mechanisms had been supplemented and strengthened in the course of development.Conclusion The health management of fertility women generally shows a continuous development trend,but there is still insufficient attention to women during childcare.Further attention to the health management of women during the child-rearing period should be prompted,and at the same time,laws and regulations need to keep up with the changes in national value goals and provide guarantees in a timely manner.

关 键 词：生育妇女 健康管理 政策文本 内容分析法 社会网络分析 

分 类 号：R197.1[医药卫生—卫生事业管理]