我国大型医用设备配置与使用管理政策扩散研究  

A Study on the Diffusion of Chinese Large Medical Equipment Allocation and Use Management Policies

作　　者：黄仲跃 杨玉洁[1] 夏千航 彭紫怡 毛阿燕[1] 邱五七[1] 吴旭生 张冬云 Huang Zhongyue;Yang Yujie;Xia Qianhang(Institute of Medical Information,Chinese Academy of Medical Sciences,Beijing,100020,China;不详)

机构地区：[1]中国医学科学院医学信息研究所,北京100020 [2]深圳市卫生健康发展研究和数据管理中心,广东深圳518028

出　　处：《中国医院管理》2024年第2期30-35,共6页Chinese Hospital Management

基　　金：中国卫生经济学会第二十一批重点招标课题(CHEA2021040103)。

摘　　要：目的研究我国大型医用设备配置与使用管理政策在不同机构或地区间的扩散模式和特点等,为完善相关政策提供参考。方法在中央、各省(区、市)政府及各级卫生健康委员会官方网站和“北大法宝”等数据库检索1994年1月—2022年12月中央政府和地方政府发布的大型医用设备配置与使用管理政策。基于政策扩散理论,结合政策扩散强度、扩散广度、扩散速度和扩散方向等维度,对我国大型医用设备配置与使用管理政策的扩散特点、扩散模式及影响因素等进行研究,并通过政策网络分析识别不同政策之间的相互关系。结果共纳入161项政策文件进行分析,其中,国家层面政策25项、地方层面政策136项。我国大型医用设备配置与使用管理政策的发展可分为萌芽期、监管空窗期、逐步成长期和创新发展期4个阶段,扩散强度、广度较高且扩散速度较快的政策主要是由国家卫生健康委发布的大型医用设备配置规划、管理办法等政策文件,同时以“自上而下”的垂直扩散模式为主。结论大型医用设备配置与使用管理政策在不同阶段的扩散效果存在差异,在创新发展期政策扩散效果最优,政策扩散受行政权责划分、政策类型等因素影响。Objective To study the diffusion mode and characteristics of large medical equipment allocation and use management policies among different institutions or regions,so as to provide reference for the improvement of policies.Methods The policies on the allocation and use management of large medical equipment released from Janu⁃ary 1994 to December 2022 were searched on the official websites of the central government,local governments,and health commissions,and databases such as“Peking University Magic”.Based on the theory of policy diffu⁃sion,It analyzed the diffusion characteristics,diffusion mode and influencing factors of large medical equipment allo⁃cation and use management policy in combination with factors such as policy diffusion intensity,diffusion width,dif⁃fusion speed,and diffusion direction,and through the policy network analysis identified interrelationships between policies across agencies or across regions.Results It included 161 policy documents for analysis,including 25 central policies and 136 local policies.The development of large medical equipment allocation and use management policies in China can be divided into four periods.The policies with high diffusion intensity,breadth and fast diffusion speed were mainly policy documents such as large medical equipment allocation plan and management measures issued by the National Health Commission,and at the same time,the“top-down”policy vertical diffusion modelwas the main one.Conclusion There were differences in the diffusion effects of large medical equipment allocation and use management policies at different stages,and the policy diffusion effect was obvious in the innovation and develop⁃ment period.It found that policy diffusion was affected by factors such as the division of administrative powers and responsibilities,and policy types.

关 键 词：大型医用设备 配置管理 使用管理 政策扩散 

分 类 号：R197.38[医药卫生—卫生事业管理]