右江民族医学院学报2024,Vol.46Issue(2) :221-226.DOI:10.3969/j.issn.1001-5817.2024.02.013

我国医疗服务共同体政策文本分析——基于政策工具和利益相关者视角的NVivo分析

Analysis of china's medical service community policy documents An NVivo analysis from policy tools and stakeholder perspectives

魏岚 魏海斌 黄龙坚
右江民族医学院学报2024,Vol.46Issue(2) :221-226.DOI:10.3969/j.issn.1001-5817.2024.02.013

我国医疗服务共同体政策文本分析——基于政策工具和利益相关者视角的NVivo分析

Analysis of china's medical service community policy documents An NVivo analysis from policy tools and stakeholder perspectives

魏岚 1魏海斌 2黄龙坚1
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作者信息

  • 1. 右江民族医学院,广西 百色 533000
  • 2. 广西中医药大学,广西 南宁 530200
  • 折叠

摘要

目的 通过分析2017~2022年国家和地方政府在促进县域医疗服务共同体(简称"医共体")建设过程中政策工具的使用情况,为后续政策的制定和优化提供参考.方法 借助Rothwell &Zegvelad政策工具和利益相关者分类,在词频分析的基础上,运用NVivo软件对政策文件进行编码并编制政策文本分析二维框架.结果 23份政策文件编码参考点显示,供给型政策工具、环境型政策工具、需求型政策工具分别占比40.84%、33.24%、25.92%,利益相关者中医疗机构、政府部门、患者和社会企业参考点分别为67个、30个、24个、17个.结论 希望各地政府针对地区医共体建设存在的问题,加强政策的均衡协调运用,落实上层制度的创新突破,理顺医疗服务体系各主体的关系,持续推进我国医共体建设稳步发展.

Abstract

Objective To provide reference for subsequent policy formulation and optimization by analy-zing the application of policy tools by national and local governments in promoting the construction of county-level medical service communities during 2017~2022.Methods Policy documents were coded and mapped u-sing NVivo software based on word frequency analysis with the help of Rothwell & Zegvelad policy tools and stakeholder classification.A two-dimensional framework was developed for policy text analysis.Results The coded reference points of the 23 policy documents showed that supply-type policy tools,environment-type poli-cy tools,and demand-type policy tools accounted for 40.84%,33.24%,and 25.92%,respectively.The refer-ence points for stakeholders were 67 for healthcare institutions,30 for governmental departments,24 for pa-tients,and 17 for social enterprises,indicating an imbalanced distribution across dimensions.Conclusion It is suggested that local governments address challenges in regional medical community construction,enhance balanced coordination of policy tools,implement innovative breakthroughs in the upper-level systems,straight-en out relationships among subjects within the medical service system,and continuously promote the steady de-velopment of China's medical community construction.

关键词

医疗共同体/政策工具/利益相关者/NVivo/CiteSpace

Key words

medical community/policy tools/stakeholders/NVivo/CiteSpace

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基金项目

广西中医药大学校级项目(2018ZD004)

防城港国际医学开放试验区课题(H2023009)

出版年

2024
右江民族医学院学报
右江民族医学院

右江民族医学院学报

影响因子:0.708
ISSN:1001-5817
参考文献量22
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