摘要
目的 梳理当前国家层面的医疗服务价格改革相关政策文件,分析当前存在的短板和问题,并提出相应对策建议。方法 采用内容分析法,以医疗服务价格改革的政策工具—过程—力度三维分析框架为基础,对2000—2021年发布的国家层面的医疗服务价格改革相关政策文件进行单维度及多维度交互研究。结果 共纳入62份政策文件进行研究,医疗服务价格改革呈现环境型政策工具过剩(81.72%)、政策过程中缺乏监督(11.56%)与评价(4.03%)、政策力度呈螺旋形上升的发展状况。结论 医疗服务价格改革多部门共治态势已基本形成,但医疗服务价格改革政策的内部结构平衡性需要优化,需重视政策发展的各个阶段、提升政策总体效力层级,以保障政策效果、解决规划执行不力的问题。
Objective To sort out the policy documents on the medical service price reform at the national level,analyze the shortcomings and problems,and put forward countermeasures and suggestions.Methods The content analysis method was used to analyze the policy texts,released from 2000 to 2021 for medical service price reform at the national level,based on the three-dimensional analysis framework of policy tools,policy process and policy intensity,conducting a single dimension and multi-dimension research.Results Including 62 policy documents for research,it is found that the policy texts in medical service price reform showing a surplus of environmental policy tools(81.72%),a lack of supervision(11.56%) and evaluation(4.03%) of policy process,and spiral increase of policy strength.Conclusion The trend of multi-sector co-governance of medical service price reform has been basically formed.However,the internal structural balance of policy needs to be optimized.It is necessary to attach importance to each stage of policy development and elevate the effectiveness level of policies to guarantee policy effects and solve the problems of poor planning implementation.
作者
陈楚颖
程银霞
魏来
Chen Chuying;Cheng Yinxia;Wei Lai(School of Management,Zunyi Medical University,Zunyi,Guizhou,563006,China;不详)
出处
《中国医院管理》
北大核心
2023年第7期30-33,共4页
Chinese Hospital Management
基金
遵义医科大学研究生科研基金项目(ZYK56)。
关键词
医疗服务价格
价格改革
政策工具
文本量化分析
medical service price
price reform
policy tool
text quantitative evaluation
