政策工具视角下我国家庭医生签约服务政策文本分析  

Textual Analysis of China’s Family Doctor Contracting Service Policy from the Perspective of Policy Tools

作　　者：杨梦雨 段彦然 蒋帅 高艳霞[3] 王成增 付航 Yang Mengyu;Duan Yanran;Jiang Shuai;Gao Yanxia;Wang Chengzeng;Fu Hang(School of Public Health,Zhengzhou University,Zhengzhou,Henan,450001,China)

机构地区：[1]郑州大学公共卫生学院,河南郑州450001 [2]河南省医院管理研究院,河南郑州450000 [3]郑州大学第一附属医院,河南郑州450000

出　　处：《中国初级卫生保健》2024年第3期21-24,共4页Chinese Primary Health Care

基　　金：国家自然科学基金项目(72004207);2021年度中国社区卫生协会“社区卫生科研基金”项目(2021-1-034)。

摘　　要：目的:分析家庭医生签约服务的政策内容,为政策调整与优化提供参考。方法:基于政策工具视角,构建家庭医生签约服务政策工具—利益相关者的二维分析框架。采用内容分析法,对2016—2023年国家发布的家庭医生签约服务相关政策文本进行梳理、编码。结果:共纳入29份家庭医生签约服务政策文件,形成205个政策条目编码;供给型、需求型、环境型政策工具分别占40.98%、10.73%、48.29%。结论:在今后家庭医生签约服务政策工具设计中,应适当降低环境型政策工具的使用比例,优化政策工具内部组合,实现各利益相关者协作联动。OBJECTIVE To analyze the policy content of family doctor contracting service and provide reference for policy adjust⁃ment and optimization.METHODS Based on the policy tool perspective,a two-dimensional analysis framework of policy tool-stake⁃holder for family doctor contracting service was constructed,and the content analysis method was used to sort out and code the poli⁃cy texts related to family doctor contracting service issued at the national level from 2016 to 2023.RESULTS A total of 29 family doctor contract service policy documents were included,forming 205 policy item codes.Supply-oriented,demand-oriented and envi⁃ronment-oriented policy instruments accounted for 40.98%,10.73%and 48.29%,respectively.CONCLUSION In the future design of policy tools for contracted services for family doctors,the proportion of environmental policy tools should be appropriately reduced,the structure of the internal use of policy tools should be optimized,and the collaboration and linkage of various stakeholders should be strengthened.

关 键 词：家庭医生签约服务 政策工具 政策文本分析 

分 类 号：R153[医药卫生—营养与食品卫生学]