摘要
采用内容分析法和社会网络分析法,构建了基于政策主体、政策工具和政策过程的三维分析框架,对中国医疗服务价格改革政策文本进行量化分析。结果显示,中国医疗服务价格改革的过程可以分为政策探索(2009—2015年)、政策推进(2016—2020年)以及政策深化(2021—至今)三个阶段,且每个阶段关注的侧重点有所不同;中国医疗服务价格改革的政策工具以环境型工具为主(57.23%),供给型工具次之(24.07%),需求型工具使用最少(18.71%);中国医疗服务价格改革呈现以国务院为主导,以国家卫生健康委员会为核心,国家医疗保障局、国家中医药管理局、国家发展改革委等主体为局部核心的多元主体协作格局。在未来的改革进程中,需要提高政策工具使用的均衡性,把握改革的阶段性特征,优化改革政策的顶层设计,推动中国医疗服务价格改革工作有序进行。
This paper uses content analysis method and social network analysis method to construct a three-dimensional analysis framework based on policy subjects,policy tools and policy processes,and makes a quantitative analysis of the text of China’s medical service price reform policy.The results show that the processes of China’s medical service price reform can be divided into three stages:policy exploration(2009-2015),policy promotion(2016-2020)and policy deepening(2021-present),and the focus of each stage is different;The policy tools for China’s medical service price reform are mainly environmental tools(57.23%),followed by supply tools(24.07%),and demand tools are the least used(18.71%);China’s medical service price reform presents a pattern of multi-subject cooperation with the State Council as the leader,the National Health Commission as the core,and the National Healthcare Security Administration,the National Administration of Traditional Chinese Medicine and the National Development and Reform Commission as the partial core.In the future reform process,it is necessary to improve the balance of the use of policy tools,grasp the phased characteristics of reform and optimize the top-level design of reform policies,so as to promote the orderly progress of China’s medical service price reform.
作者
李乐乐
王曦
LI Le-le;WANG Xi(School of Labor and Human Resources,Renmin University of China,Beijing 100872)
出处
《价格月刊》
北大核心
2023年第6期1-9,共9页
基金
国家自然科学基金青年项目“标尺竞争机制、DRG/DIP支付方式改革与医疗服务定价”(编号:72204251)。
关键词
医疗服务价格改革
政策主体
政策工具
政策过程
medical service price reform
policy subjects
policy tools
policy processes
