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作 者:孔帅 黄龙坚 KONG Shuai;HUANG Longjian(Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)
出 处:《右江民族医学院学报》2025年第1期103-110,共8页Journal of Youjiang Medical University for Nationalities
摘 要:目的对广西健康养老的相关政策文本进行分析,发现政策优点与不足,为进一步优化养老服务政策体系提供建议。方法通过自治区政府网站、自治区健康委员会官网搜索获取广西健康养老相关政策文本,使用NVivo分析软件,从政策工具、政策目标两个维度对经筛选后得到的19份养老政策文本进行编码,构建PMC指数评价模型,计算PMC指数得分,对政策进行等级评价。结果政策工具结构使用不平衡,需求型政策工具缺失(17.68%),政策目标存在明显偏好,老年健康支撑体系占比高达31.11%,对养老保障关注较少,仅占11.11%。PMC指数模型结果显示,19份政策均在良好和优秀范围内,PMC得分均值为6.25。结论广西养老政策总体质量较好,在政策评价、政策措施和功能方面得分较高,但还存在政策工具不均衡、政策目标不够全面,政策参与主体有限等问题。应从增加需求型工具使用、拓展政策目标、动员多主体参与等方面入手提升政策质量。Objective To analyze the relevant policy texts on healthy elderly care in Guangxi,identify the advantages and disadvantages of the policies,and provide suggestions for further optimizing the elderly care service policy system.Methods Relevant policy texts on healthy elderly care in Guangxi were obtained through searching on the websites of the autonomous region government and the autonomous region health commission.Using NVivo analysis software,19 selected elderly care policy texts were coded from two dimensions:policy instruments and policy objectives.A PMC index evaluation model was constructed,PMC index scores were calculated,and the policies were graded.Results The use of policy instrument structures was unbalanced,with a lack of demand-type policy instruments(17.68%).There were clear preferences in policy objectives,with the elderly health support system accounting for 31.11%and less attention paid to old-age security,which only accounted for 11.11%.The results of the PMC index model showed that all 19 policies fell within the good to excellent range,with an average PMC score of 6.25.Conclusion Guangxi's elderly care policies are generally of good quality,with high scores in policy evaluation,measures,and functions.However,there are still issues such as an unbalanced use of policy instruments,incomplete policy objectives,and limited policy participation entities.Efforts should be made to improve policy quality by increasing the use of demand-type instruments,expanding policy objectives,and mobilizing multi-subject participation.
关 键 词:养老服务 政策文本分析 政策工具 PMC指数模型
分 类 号:R19[医药卫生—卫生事业管理]
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