基于政策工具和文献计量的分级诊疗与异地就医政策协同机制研究  

Research on the Policy Coordination Mechanism of Hierarchical Diagnosis and Treatment and Remote Medical Treatment Based on Policy Tool and Bibliometric

作　　者：吕曼辰 周典[2] 田帝 周苑 吴烨 张钰 薛同斌 刘雪珍 赵婉莹 荆筱涵 张雨晨 Lu Manchen;Zhou Dian;Tian Di(School of Health Management,Anhui Medical University,Hefei,Anhui,230032,China;不详)

机构地区：[1]安徽医科大学卫生管理学院,合肥230032 [2]安徽医科大学第二附属医院,合肥230601 [3]安徽医科大学第一附属医院,合肥230022

出　　处：《中国医院管理》2025年第2期18-21,共4页Chinese Hospital Management

基　　金：安徽省重点研发计划高新领域项目(202304a05020071);安徽省卫生健康科研项目(AHWJ2023A30040);安徽省高校科研计划项目(2024AH052615)。

摘　　要：目的 剖析分级诊疗和异地就医之间的内在联系,探究其内在关联状态并提出协同建议。方法 通过对2009—2023年分级诊疗和异地就医相关政策和学术文献的梳理,利用北大法宝政策工具平台和中国知网等数据库进行政策发文和学术研究趋势的可视分析。结果 纳入文献包括分级诊疗政策1 119篇、异地就医政策444篇和双政策协同16篇。分级诊疗相关文献达10 224篇,异地就医相关文献达2 388篇。分级诊疗政策发文量高于异地就医政策发文量,主要发文机构为国家卫生健康委和国家医保局。整体发文和学术探讨呈现先升后降趋势。结论 目前,分级诊疗和异地就医政策在执行中因部门利益冲突等导致摩擦现象,政策层面与学术界对其协同发展关注不足,显现出发展不平衡。政府和学术界需更加重视2项政策的协同发展,应实施更有效的协同策略。Objective It analyzes the internal relationship between hierarchical diagnosis and remote medical treatment,explores the internal relationship state, and put forward collaborative suggestions. Methods Through the review of relevant policies and academic literature from 2009 to 2023, the magic policy tool platform of Peking University and CNKI are used to conduct visual analysis of policy documents and academic research trends. Results The included literature includes 1 119 hierarchical diagnosis and treatment policies,444 remote medical treatment policies and 16 dual-policy coordination. There were 10 224 articles related to hierarchical diagnosis and treatment,and 2 388 articles related to remote medical treatment. The number of paper of hierarchical diagnosis and treatment policies is higher than that of medical treatment in different places policies, and the main institutions are the National Health Commission and the National Healthcare Security Administration. The overall publication and academic discussion showed a trend of rising first and then decreasing. Conclution The implementation of hierarchical diagnosis and remote medical treatmentpolicies has caused friction due to departmental conflicts of interest. The government and academia should pay more attention to the coordinated development of the dual policies,and should consider more effective collaborative strategies in the future.

关 键 词：政策工具 文献计量 分级诊疗 异地就医 协同机制 

分 类 号：R197.1[医药卫生—卫生事业管理]