摘要
目的分析中医药养生保健服务政策工具使用情况,为后续政策的调整和优化提供参考。方法基于Rothwell和Zegveld对政策工具分类的方法,结合卫生系统宏观模型构建中医药养生保健服务政策分析框架,政策工具分类维度为X维度,卫生系统宏观模型维度为Y维度,运用Nvivo对2013-2022年国家公开发布的50份中医药养生保健服务政策进行量化分析。结果X维度共142个文本编码,Y维度共154个文本编码,环境型、供给型、需求型政策工具分别占50.00%、38.73%、11.27%;内、外部子模指标分别占47.40%、52.60%。在三大政策工具中,策略性措施、法规管制和示范项目等政策子工具使用频率较多;在卫生系统宏观模型维度,监管系统、社会系统和政治系统子工具使用率较高。结论中医药养生保健服务政策以环境型为主导,需求型应用相对不足,系统内、外部子模指标分布仍需调整。建议政府有关部门加强市场引导、加大政策扶持、加快高层次人才培养,综合运用政策工具促进中医药养生保健服务发展。
Objective To analyze the use of traditional Chinese medicine(TCM)health care service policy tools,and to provide reference for further adjustment and optimization of TCM health care service policies.Methods Based on Rothwell and Zegveld's approach to policy tool classification combined with the health system macro model,a policy analysis framework for TCM health and wellness services was constructed with the policy tool classification dimension as the X dimension and the health system macro model dimension as the Y dimension.And Nvivo was used to quantitatively analyze the 50 TCM health and wellness service policies that were publicly released by the state from 2013 to 2022.Results A total of 50 policy texts were included,with 142 text codes in the X dimension and 154 text codes in the Y dimension.50.00%,38.73%,and 11.27%of the policy tools were environmental,supply,and demand type policy tools,respectively,and 47.40%and 52.60%of the indicators were in the internal submodels and the external submodels,respectively.Among the three main policy instruments,the policy sub-instruments of strategic measures,regulatory controls,and demonstration projects were used more frequently;within the health system macro-modeling dimension,the regulatory system,social system,and political system sub-instruments were used more frequently.Conclusion TCM health care service policies are dominated by environment-based,and demand-based application is relatively insufficient.The distribution of sub-modal indicators within and outside the system still needs to be adjusted.It is recommended that the relevant government departments should strengthen market gui-dance,increase policy support,accelerate high-level talent training,and comprehensively utilize policy tools to promote the development of TCM health care service.
作者
余晴霞
谭巍
罗倩
杨帆
YU Qingxia;TAN Wei;LUO Qian;YANG Fan(School of Management,Beijing University of Chinese Medicine,Beijing,102401,China)
出处
《中国社会医学杂志》
2024年第4期397-401,共5页
Chinese Journal of Social Medicine
基金
国家中医药管理局监测统计中心项目(BUCM-2022-KJ-GL-016)。
关键词
中医药养生保健服务
政策分析
卫生系统宏观模型
Chinese medicine health care service
Policy analysis
Health system macro-modeling
