政策工具视角下紧密型县域医共体高质量发展的政策着力点探索  

Exploring the Policy Focus of High-Quality Development of Compact County Medical Communities from the Perspective of Policy Tools

作　　者：刘雪宁 杨永生[2] 肖梦熊[2] 廖翠 郑格琳[2] Liu Xuening;Yang Yongsheng;Xiao Mengxiong(Institute of Information on Traditional Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing,100700,China;不详)

机构地区：[1]中国中医科学院中医药信息研究所,北京100700 [2]中国中医科学院中医药发展研究中心,北京100700

出　　处：《中国卫生经济》2025年第2期41-45,共5页Chinese Health Economics

基　　金：国家中医药管理局项目(GZY-GCS-2019-029)。

摘　　要：目的:从政策工具视角出发,探索引领紧密型县域医共体高质量发展的政策着力点。方法:利用内容分析法,对新医改以来我国医共体政策中的政策工具进行编码量化统计。结果:共筛选出107份医共体相关政策文件,从中获得319条编码。分类统计结果显示,权威工具占34.80%,劝告工具占30.41%,能力建设工具占15.99%,系统变革工具占11.60%,激励工具占7.21%。结论:我国紧密型县域医共体建设政策工具种类日益多元化,但工具使用策略仍有待加强。应逐渐转变权威工具和劝告工具的应用策略,确保在使用权威工具时充分发挥政府的监督职能,在运用劝告工具时加大对政策的宣传力度。同时,相关政策应更加聚焦于能力建设、系统变革和激励工具的有效应用,推动建立紧密型县域医共体建设长效机制,形成科学、有效且可持续的激励机制,从而推动紧密型县域医共体朝着健康、长期、稳定合作的方向不断发展。Objective:From the perspective of policy tools,it aimed to explore the policy focuses for promoting the high-quality development of compact county medical communities.Methods:It utilized content analysis method to encode and quantify the policy texts of county medical community.Results:A total of 107 policy documents on the construction of county medical community were screened,and 319 codes were obtained.The classification statistics showed that authoritative tools accounted for 34.80%,persuasive tools accounted for 30.41%,capacity-building tools accounted for 15.99%,system transformation tools accounted for 11.60%,and incentive tools accounted for 7.21%.Conclusion:The policy tools for building county medical communities in China are becoming increasingly diversified,but the strategies for using these tools still need to be strengthened.The government should gradually change the application strategy of authoritative tools and persuasive tools,further strengthen the supervision function of the government,and increase the intensity of policy publicity and guidance.At the same time,policies should strengthen the effective utilization of capacity-building tools,system transformation tools,and incentive tools,so as to establish the long-term mechanism of compact county medical communities,form scientific effective sustainable incentive mechanism,and promote the developmint in healthy,long and sustainable cooperative direction.

关 键 词：紧密型县域医共体 内容分析法 政策工具 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R19-0