我国县域医共体政策扩散特征研究  

Study on the diffusion characteristics of county-level medical community policies in China

作　　者：周佳佳 梅杰 刘霞[2] 刘雨璇 谭浩 王军永[3] ZHOU Jiajia;MEI Jie;LIU Xia;LIU Yuxuan;TAN Hao;WANG Junyong(School of Economics and Management,Jiangxi University of Traditional Chinese Medicine,Nanchang,Jiangxi Province,330004,PRC)

机构地区：[1]江西中医药大学经济与管理学院,江西省南昌市330004 [2]江西中医药大学中医学院,江西省南昌市330004 [3]江西中医药大学中医药与大健康发展研究院,江西330004

出　　处：《中国医院》2025年第1期3-8,共6页Chinese Hospitals

基　　金：国家自然科学基金(72064023,71764012);江西省卫生健康委科技计划项目(202211407)。

摘　　要：目的:对县域医共体政策的扩散规律和特征进行分析,为县域医共体政策制定及推广提供参考依据。方法:在政策扩散理论基础上,结合政策参照网络分析等方法分析2010-2024年县域医共体政策扩散强度、广度、速度和方向。结果:共纳入政策文件395项,包括中央政策12项、地方政策383项。政策扩散强度和广度较大的政策发布机构的行政级别较高,政策类型主要以意见和通知为主。政策扩散速度随时间呈现“慢-快-慢-快”交替式变动趋势,政策扩散方向为自上而下扩散和平行扩散相结合。结论:县域医共体政策扩散受行政级别、政策类型的影响;在不同发展阶段,政策的扩散效果也有所不同。建议强化政策的引领示范性,优化政策的扩散效果,健全政策的沟通网络,实现县域医共体政策有效落地。Objective:To analyze the diffusion patterns and characteristics of county-level medical community policies,providing references for policy formulation and promotion.Methods:Based on policy diffusion theory,combined with policy reference network analysis,the study analyzed the diffusion intensity,breadth,speed,and direction of county-level medical community policies from 2010 to 2024.Results:A total of 395 policy documents were included,comprising 12 central-level and 383 local-level policies.Policies with greater diffusion intensity and breadth were issued by higher-level administrative agencies and were predominantly opinions and notices.Policy diffusion speed followed an alternating"slow-fast-slow-fast"trend over time,with a combination of top-down and parallel diffusion directions.Conclusion:The diffusion of county-level medical community policies is influenced by administrative level and policy type,with varying diffusion effects at different developmental stages.It is recommended to strengthen the demonstrative leadership of policies,optimize diffusion effectiveness,enhance communication networks,and ensure effective implementation of county-level medical community policies.

关 键 词：医共体 县域医共体 医联体 政策扩散 量化分析 

分 类 号：R197.1[医药卫生—卫生事业管理]