政策工具视角下我国公立医院负债治理政策量化分析  

Quantitative Analysis of China's Public Hospital Liability Governance Policies from the Perspective of Policy Tools

作　　者：范鹏举 李岩 冯静 郭锋 翟铁民 万泉 Fan Pengju;Li Yan;Feng Jing(North China University of Science and Technology,Tangshan,Hebei,063210,China;不详)

机构地区：[1]华北理工大学,河北唐山063210 [2]国家卫生健康委卫生发展研究中心,北京100044

出　　处：《中国卫生经济》2024年第6期36-39,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(72374052)。

摘　　要：目的:从政策工具视角探讨公立医院负债治理政策的科学性,为后续政策优化调整提供参考.方法:选取2009-2022年国家和各省级层面的政策文本为研究对象,基于Rothwell和Zegveld对政策工具分类的方法,利用Excel 2019对编码结果进行统计分析.结果:纳入分析的政策文本128份.其中,在政策工具维度中需求型、供给型、环境型政策工具分别占29.96%、34.16%、35.88%;系统机制维度主要以补偿机制为重点.结论:三种政策工具内部使用主要以环境型政策工具占据主导,需求型政策工具相对缺乏.建议增强需求型政策工具的使用,优化政策工具内部结构,提高各政策间的协调耦合性.Objective:To explore the scientificity of the public hospital liability policy governance from the perspective of policy tools,and to provide evidence for the optimization and adjustment of subsequent policies.Methods:Policy texts at the national and regional levels from 2009-2022 were selected,and the coding results were statistically analyzed using Excel 2019 based on Rothwell and Zegveld's classification of policy tools.Results:A total of 128 policy texts were included in the analysis,with 29.96%,34.16%,and 35.88%of the policy tools in the policy instrument dimension being demand-based,supply-based,and environment-based,respectively.The system mechanism dimension focused primarily on compensation mechanisms.Conclusion:The use of the three policy instruments is mainly dominated by environmental policies,with a relative lack of policies from demand side.It is recommended that the use of policies from demand side could be strengthened and the internal structure of policy tools be optimized,to improve the consistency and coupling of policies.

关 键 词：公立医院 负债治理 政策工具 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R19-0