摘要
目的分析我国基层中医药服务能力建设相关政策文本,为优化基层中医药政策提供参考。方法以政策工具维度和政策参与主体维度构建二维分析框架,采用内容分析法对纳入的34项政策文本进行编码分类与统计分析。结果政策工具运用与政策参与主体的分布都具有不均衡性,各项占比相差较大;政策工具与政府和医疗机构的交互较强,与社会公众的交互效应较弱。结论应加强基层中医药服务能力建设中各项政策工具使用的协调性;优化能力建设型政策工具,针对基层实际情况提升政策效能;完善对基层中医药工作的监督机制,评价政策实施效果;加强参与主体的均衡性,强化社会公众作用。
Objective To analyze policy tools for the construction of traditional Chinese medicine(TCM)service capacity at the grass-roots level in China,and to provide reference for the optimization of TCM policy at the grass-roots level.Methods The binary analysis framework is constructed based on the dimensions of policy instruments and policy participants,and the content analysis method is used to code,classify and statistically analyze the 34 policy texts included.Results The use of policy tools and the distribution of policy participants were uneven,with significant differences in the proportion of each item.Policy tools had stronger interaction with government and medical institutions,and weaker interaction with the public.Conclusion It is necessary to strengthen the coordination of the use of various policy tools in the construction of grass-roots TCM service capacity,optimize capacity-building policy tools and improve policy effectiveness based on the actual situation,improve the monitoring and evaluation mechanism at the grass-roots level,enhance the balance of participants and strengthen the role of the public.
作者
苏云汉
赵静
管泳怡
党子悦
徐萍萍
刘森元
SU Yunhan;ZHAO Jing;GUAN Yongyi;DANG Ziyue;XU Pingping;LIU Senyuan(College of Management,Beijing University of Chinese Medicine,Beijing,102488,China)
出处
《中国社会医学杂志》
2024年第5期523-527,共5页
Chinese Journal of Social Medicine
基金
国家中医药管理局基层中医药服务体系建设调查与政策建议项目(GHC-2022-ZFGM-005)。
关键词
政策工具
中医药服务
基层
文本分析
Policy tools
Traditional Chinese medicine
Grass-roots level
Text analysis
