摘要
目的分析我国慢性阻塞性肺疾病(慢阻肺)健康管理政策文本的内容和结构,为后续相关政策的优化与完善提供参考。方法检索2017年1月-2023年12月国家层面慢阻肺健康管理相关政策文件,构建政策工具和慢性病健康管理流程二维分析框架,对政策文本编码归类,采用内容分析法对政策文本进行内容分析。结果纳入政策文本24份。政策工具维度编码183条,供给型、环境型及需求型工具分别占43.72%、47.54%、8.74%。健康管理流程维度编码124条,健康信息收集与管理占12.10%,风险预测占14.52%,干预与治疗占66.13%,随访与效果评估占7.26%。结论目前我国慢阻肺健康管理相关政策工具比例需动态调整,适当降低环境型工具,优化供给型工具内部结构,全面增强需求型工具拉动作用,强化慢阻肺健康管理流程耦合性,不断提升相关政策系统性和总体性。
Objective To analyse the content and structure of the health management policy text for chronic obstructive pulmonary disease(COPD)in China,and to provide a reference for the optimization and improvement of subsequent relevant policies.Methods We searched for relevant policy documents on COPD health management at the national level from January 2017 to December 2023,constructed a two-dimensional analysis framework for policy tools and chronic disease health management processes,coded and classified policy texts,and used content analysis method to analyze policy texts.Results Twenty-four policy texts were included.There were 183 codes for policy tool dimension,with supply based,environmental based,and demand based tools accounting for 43.72%,47.54%,and 8.74%,respectively.There were 124 codes for the dimension of health management processes,with health information collection and management accounting for 12.10%,risk prediction accounting for 14.52%,intervention and treatment accounting for 66.13%,and follow-up and effectiveness evaluation accounting for 7.26%.Conclusions At present,the proportion of policy tools related to the management of COPD in China needs to be dynamically adjusted.Environmental tools should be appropriately reduced,the internal structure of supply tools should be optimized,the driving effect of demand tools should be comprehensively enhanced,the coupling of COPD health management processes should be strengthened,and the relevant policy system and overall quality should be continuously improved.
作者
屈明叶
刘扣英
汤婷
孙晓慧
陈元元
杨澜
蔡昊
QU Mingye;LIU Kouying;TANG Ting;SUN Xiaohui;CHEN Yuanyuan;YANG Lan;CAI Hao(School of Nursing,Nanjing Medical University,Nanjing,Jiangsu 211166,P.R.China;Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital,Nanjing Medical University,Nanjing,Jiangsu 210029,P.R.China)
出处
《华西医学》
CAS
2024年第4期535-540,共6页
West China Medical Journal
基金
江苏省研究生科研与实践创新计划项目(JX10614200)
江苏省高校优势学科建设工程项目(苏政办发[2018]87号)。
关键词
政策工具
慢性阻塞性肺疾病
健康管理
政策分析
Policy tool
chronic obstructive pulmonary disease
health management
policy analysis
