首页|我国医联体建设政策文本量化研究——基于政策工具—目标—阶段三维框架

我国医联体建设政策文本量化研究——基于政策工具—目标—阶段三维框架

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医联体建设是实现医疗资源合理配置与均衡分布的重要策略,在我国医疗体系改革中扮演着关键角色.以近10年我国出台的医联体相关政策为研究对象,从"工具—目标—阶段"三个维度进行分析发现,当前我国医联体建设政策工具以环境型政策工具为主导,供给型和需求型政策工具数量相对较少,存在政策工具比重失衡现象;政策目标更加偏重于服务和管理协同,在利益和责任协同方面缺乏明确且规范的政策指导;医联体建设各阶段的政策内容整体趋势并未发生显著变化,缺乏创新性和适应性.因此,迫切需要通过调整政策工具结构、完善多目标协同政策体系、探索医联体政策的新模式来突破现有的发展困境,进一步推动医疗资源的优化配置和医疗服务质量的全面提升.
Quantitative Research on Chinese Medical Consortium Construction Policy Text:Based on the Three-Dimensional Framework of Tool-Goal-Stage
The construction of a medical consortium is an important strategy to achieve rational allocation and equitable distribution of medical resources,playing a key role in the reform of the medical system in China.Taking the medical consortium-related policies issued in China over the past decade as the research object,an analysis from the three dimensions of the"tool-goal-stage"reveals that the current policy tools for the construction of medical consortiums in China are mainly environmental policy tools,while the number of supply-side and demand-side policy tools is relatively small,indicating an imbalance in the proportion of policy tools.The policy goals are more focused on service and management coordination,lacking clear and standardized policy guidance in terms of interest and responsibility coordination.The overall trend of policy content in the different stages of medical consortium construction has not shown significant changes,lacking innovation and adaptability.Therefore,it is urgent to break through the existing development dilemma by adjusting the structure of policy tools,improving a multi-objective coordinated policy system,and exploring new models for medical consortium policies,in order to further promote the optimization of medical resource allocation and comprehensive improvement of medical service quality.

medical consortiumpolicy analysispolicy toolpolicy goalpolicy stage

王子伟、赵英、孙怡璐

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四川大学公共管理学院

医联体 政策分析 政策工具 政策目标 政策阶段

2024

社会建设

社会建设

ISSN:
年,卷(期):2024.11(3)