政策工具视角下我国儿童药物政策文本分析
Textual analysis of China's pediatric drug policies:from the perspective of policy tools
朱卓辉 1姚东明 1江海兰1
作者信息
- 1. 330004 南昌,江西中医药大学经济与管理学院
- 折叠
摘要
目的 从政策工具视角出发,梳理我国儿童药物有关政策文本,分析政策工具的使用情况,以期为今后儿童药物政策的制定和完善提供参考和建议.方法 检索2011年—2022年国家层面发布的涉及儿童药物的重要政策文件并进行编码分类,从基本政策工具和儿童药物政策体系两个维度统计分析儿童药物政策工具的具体使用情况.结果 共纳入19份与儿童药物有关的政策文件,经过编码共得到65个内容分析单元.基本政策工具维度方面,供给型政策工具居多,占52.30%;环境型政策工具次之,占35.38%;需求型政策工具较少,占12.32%.儿童药物政策体系维度包括注册审批、安全标准、人才培养、研发创新、宣传教育5个方面的内容,其中,研发创新相关内容较多,占38.46%;安全标准和注册审批相关内容居中,分别占29.24%和15.38%;人才培养与宣传教育有关内容涉及较少,仅占10.77%和6.15%.结论 儿童药物政策整体上对于需求型政策工具的使用重视程度较低,不同类型政策工具及儿童药物政策体系内部政策工具的使用均存在失衡;政策工具类型需向需求型倾斜,同时增加环境型政策工具中激励性工具的使用以及提高供给型政策工具中硬件设施等应用投入.
Abstract
Objective To perform textual analysis of China's pediatric drug policies from the perspective of policy tools,thus providing evidence for future policies on pediatric medications.Methods Major policy documents related to pediatric drugs released at the national level from 2011 to 2022 were retrieved,coded,and categorized.The use of pediatric drug policy tools was analyzed from the perspectives of basic policy tools and pediatric drug policy system.Results Nineteen policy documents were included and 65 content analysis units were obtained.In terms of basic policy tools,the supply-based policy tools predominated(52.30%),followed by environmental policy tools(35.38%).Demand-based policy tools were less common(12.32%).The pediatric drug policy system includes five dimensions:registration approval,safety criteria,talent training,research and development innovations,and awareness-raising/education,among which research and development innovations accounted for a significant portion(38.46%),followed by safety criteria(29.24%)and registration approval(15.38%);talent training and awareness-raising/education accounted for only 10.77%and 6.15%.Conclusion The demand-based policy tools are less used in pediatric drug policies,and there are imbalances in the use of different policy tools and internal policy tools within the pediatric drug policy system.The use of demand-based tools should be prioritized,along with the increased use of incentive tools in environmental policy tools and the increased investment in hardware facilities in the supply-based tools.
关键词
儿童用药/基本政策工具/政策体系/二维分析Key words
Pediatric drugs/Policy tools/Policy system/Two-dimensional analysis引用本文复制引用
基金项目
江西省医疗服务项目常态化定价项目(2022)(YCZX2022-G0801-1)
出版年
2024
NETL
NSTL
维普
万方数据