首页|我国医疗健康政府注意力的演变研究——基于改革开放以来国务院政府工作报告的内容分析

我国医疗健康政府注意力的演变研究——基于改革开放以来国务院政府工作报告的内容分析

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[目的/意义]医疗健康是人民群众的基本需求,面对繁多的治理目标以及疫情的冲击,探讨政府如何分配其有限注意力具有重要意义。[方法/过程]本研究从政府注意力视角出发,以1978-2023年间我国国务院政府工作报告为研究对象,运用扎根理论形成了符合中国国情的医疗健康公共政策议题编码本,并以此为基础,结合内容分析法,梳理了我国医疗健康政府注意力在强度、指向及特征三个维度上的演变情况。[结果/结论]研究发现,改革开放以来,我国医疗健康政府注意力强度经历了"剧烈震荡-波动起伏-高度重视-调整攀升"四个阶段,在指向上存在着针对不同议题的不均衡分配现象,稳定性相对较高,多样性逐渐丰富。此外,突发公共卫生事件的暴发将显著提高医疗健康政府注意力的强度与聚焦程度。[创新/局限]本研究拓展了当前医疗政策研究的理论基础、事实依据及方法范畴,具有一定创新性。同时提出合理分配医疗健康政府注意力的相关建议,对进一步完善我国医疗健康政策体系有一定启发。
The Evolution of Chinese Government's Attention on Healthcare:A Content Analysis to-ward the Report on the Work of the Government since the Reform and Opening up
[Purpose/significance]Healthcare is one of the most fundamental needs of the whole people and an integral part of the socio-economic development of a country.Due to the fact that there are numerous tasks and unexpected emergency events such as COVID-19,the overall attention that the government can possess at a time is always limited,thus making how the government allo-cates such limited attention become popularly discussed.[Method/process]Based on the reports on the work of the government pub-lished during 1978 to 2023,this paper localized a healthcare policy agenda codebook that fits well into China's condition through the grounded theory,and analyzed the evolution of Chinese government's attention on healthcare using content analysis according to such codebook.[Result/conclusion]It was found that the intensity of Chinese government's attention on healthcare went through four devel-oping phases-violently shaking,fluctuating,prioritizing,and climbing.The allocation of the attention regarding various healthcare policies was quite uneven.The stability of Chinese government's attention on healthcare was found to be relatively high while the di-versity also kept increasing.In addition,this research identified that the outbreak of public health emergencies could significantly raise the intensity as well as the focus of the government's attention on healthcare.[Innovation/limitation]This study innovatively ex-panded the theoretical foundation,factual basis and methodological scope of current researches on healthcare policy analysis,and pro-posed several suggestions for further development of Chinese healthcare policy system.

healthcaregovernment's attentiongrounded theorycontent analysisgovernment work report

黄萃、罗思琪、秦洪怡、陈启明、朱一凡

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浙江大学公共管理学院,浙江杭州 310058

医疗健康 政府注意力 扎根理论 内容分析 政府工作报告

科技部科技创新2030——"新一代人工智能"重大项目国家自然科学基金优秀青年项目国家自然科学基金重点项目

2022ZD01162037172200272134007

2024

情报科学
中国科学技术情报学会 吉林大学

情报科学

CSTPCDCSSCICHSSCD北大核心
影响因子:2.275
ISSN:1007-7634
年,卷(期):2024.42(5)