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基于政策工具的基层中医药服务能力建设政策文本量化分析

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目的 分析我国基层中医药服务能力建设相关政策文本,为优化基层中医药政策提供参考。方法 以政策工具维度和政策参与主体维度构建二维分析框架,采用内容分析法对纳入的34项政策文本进行编码分类与统计分析。结果 政策工具运用与政策参与主体的分布都具有不均衡性,各项占比相差较大;政策工具与政府和医疗机构的交互较强,与社会公众的交互效应较弱。结论 应加强基层中医药服务能力建设中各项政策工具使用的协调性;优化能力建设型政策工具,针对基层实际情况提升政策效能;完善对基层中医药工作的监督机制,评价政策实施效果;加强参与主体的均衡性,强化社会公众作用。
Quantitative Analysis of the Policy Text of the Grass-roots TCM Service Capacity Building Based on Policy Tools
Objective To analyze policy tools for the construction of traditional Chinese medicine(TCM)service ca-pacity at the grass-roots level in China,and to provide reference for the optimization of TCM policy at the grass-roots level.Methods The binary analysis framework is constructed based on the dimensions of policy instruments and policy participants,and the content analysis method is used to code,classify and statistically analyze the 34 policy texts included.Results The use of policy tools and the distribution of policy participants were uneven,with signifi-cant differences in the proportion of each item.Policy tools had stronger interaction with government and medical in-stitutions,and weaker interaction with the public.Conclusion It is necessary to strengthen the coordination of the use of various policy tools in the construction of grass-roots TCM service capacity,optimize capacity-building policy tools and improve policy effectiveness based on the actual situation,improve the monitoring and evaluation mecha-nism at the grass-roots level,enhance the balance of participants and strengthen the role of the public.

Policy toolsTraditional Chinese medicineGrass-roots levelText analysis

苏云汉、赵静、管泳怡、党子悦、徐萍萍、刘森元

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北京中医药大学管理学院,北京,102488

政策工具 中医药服务 基层 文本分析

国家中医药管理局基层中医药服务体系建设调查与政策建议项目

GHC-2022-ZFGM-005

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(5)