Objective As a pivotal element of healthcare system reform,China's contracted family doctor service system is of paramount importance in achieving national health objectives.Despite the introduction of relevant policies in recent years,there is still a paucity of systematic quantitative research on the content of family doctor policies.The objective of this study is to employ a quantitative analysis of the textual content of China's contracted family doctor service policies.This analysis will be conducted in order to summarize the characteristics and shortcomings of the existing policies,and to provide suggestions for further improvement of the system.Methods Collect national level family doctors from January 2011 to June 2024 on the official government website on 1 July,2024.A three-dimensional analysis framework,based on the"Tool-Element-Strength"model was constructed.The content analysis method was employed,and NVivo was used to encode the included policy text content.The policy text was then analyzed from three dimensions.Results Following the coding of 23 family doctor contract service policies,a total of 133 codes were obtained.There is a notable imbalance in the utilization of policy tools,particularly the underutilization of Inducements(11.28％,15),symbolic and Hortatory(9.77％,13),and system-changing(6.02％,8)tools.The policy elements are also uneven,indicating that the service target(11.28％,15),content(10.53％,14)and method(9.02％,12)require greater focus.The strength of the family doctor policy is at a relatively low level,with an average score of 2.13.Furthermore,there is a dearth of intercon-nectivity between the three dimensions.Conclusion It is recommended that the application of policy tools be improved and that the different elements internal structure of family doctor policy tools be optimized.It is important to consider the different elements of the policy and to enhance the content of family doctor policies accordingly.Emphasize the synergy between three dimensions and improve the policy system for China's contracted family doctor service.
Contracted family doctor servicePolicy toolsPolicy elementsPolicy strengthText analysis
NETL
NSTL
万方数据
