我国医师定期考核制度政策文本分析  

Policy texts analysis of the physician periodic assessment system in China

作　　者：陈英琪 宋淑洁 周妍欣 燕梦雨 李菁 孙梅[1,2,3] CHEN Yingqi;SONG Shujie;ZHOU Yanxin;YAN Mengyu;LI Jing;SUN Mei(School of Public Health,Fudan University,Shanghai 200032,China;National Health Commission Key Laboratory of Health Technology Assessment(Fudan University),Fudan University,Shanghai 200032,China;China Research Center on Disability,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学公共卫生学院,上海200032 [2]复旦大学国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海200032 [3]复旦大学中国残疾问题研究中心,上海200032

出　　处：《上海预防医学》2025年第1期11-17,共7页Shanghai Journal of Preventive Medicine

基　　金：国家自然科学基金项目(71974035,72374045);教育部人文社科基金项目(19YJCZH143);上海市加强公共卫生体系建设三年行动计划(GWVI-10)。

摘　　要：【目的】分析我国医师定期考核制度相关政策文本的特征,为完善医师定期考核制度提供参考。【方法】采用内容分析法,从政策历程、政策主题、政策工具3个维度对纳入的116份政策文件进行分析。【结果】共得到298条编码。定期考核相关政策的数量总体呈先上升后下降趋势,年均发文高峰处于2011—2021年,政策文本平均数量呈下降趋势。政策文件可归纳为定期考核工作、个人行为、机构体系3个层面共8类主题。供给型、环境型、需求型政策工具占比分别为4.03%、60.40%、35.57%,在不同时间段环境型工具持续占主导地位,需求型工具次之,供给型工具最少。【结论】定期考核相关政策的主题较为宽泛且难以落实,内容侧重建章立制而忽视资源供给,并且未能持续完善制度建设。建议明确定期考核的管理范畴,完善配套制度,增加资源供给,持续推进执行评估和政策修订。[Objective]To analyze the characteristics of policy texts related to the physician periodic assessment system in China,providing references for the improvement of the system.[Methods]Content analysis was employed,examining 116 policy documents from three dimensions:policy process,policy themes,and policy tools.[Results]A total of 298 codes were obtained.The number of policies related to the periodic assessment of physicians showed an overall trend of increasing first and then decreasing,with the peak annual issuance period between 2011 and 2021,and the average number of policy texts showing a downward trend.Policy documents were summarized into 3 levels:physician periodic assessment work,individual behavior,and institutional systems,encompassing a total of 8 categories of themes.The proportion of supply-oriented,environmental-oriented,and demand-oriented policy tools were 4.03%,60.40%,and 35.57%,respectively.Moreover,environmental-oriented tools continued to dominate over time,followed by demand-oriented tools,with supply-oriented tools being the least.[Conclusion]The policy themes are relatively broad and difficult to implement,focusing on establishing regulations while neglecting resource provision,and failing to continuously improve the construction of the system.It is recommended to clearly define the scope of the periodic assessment management,improve supporting systems,increase resource supply,and continuously promote the execution of assessments and policy revisions.

关 键 词：医师定期考核制度 政策文本分析 政策工具 政策主题 

分 类 号：R19-0[医药卫生—卫生事业管理] R192.3[医药卫生—公共卫生与预防医学]