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孟欣雨, 苗雅楠, 刘馨雨, 王薇. 政策工具视角下中国遏制细菌耐药文本量化分析[J]. 中国公共卫生, 2022, 38(2): 228-234. DOI: 10.11847/zgggws1132882
引用本文: 孟欣雨, 苗雅楠, 刘馨雨, 王薇. 政策工具视角下中国遏制细菌耐药文本量化分析[J]. 中国公共卫生, 2022, 38(2): 228-234. DOI: 10.11847/zgggws1132882
MENG Xin-yu, MIAO Ya-nan, LIU Xin-yu, . Antimicrobial resistance containment-related policies in China: a policy tool-based text quantitative analysis[J]. Chinese Journal of Public Health, 2022, 38(2): 228-234. DOI: 10.11847/zgggws1132882
Citation: MENG Xin-yu, MIAO Ya-nan, LIU Xin-yu, . Antimicrobial resistance containment-related policies in China: a policy tool-based text quantitative analysis[J]. Chinese Journal of Public Health, 2022, 38(2): 228-234. DOI: 10.11847/zgggws1132882

政策工具视角下中国遏制细菌耐药文本量化分析

Antimicrobial resistance containment-related policies in China: a policy tool-based text quantitative analysis

  • 摘要:
      目的  基于政策工具视角,对中国现有遏制细菌耐药政策文本进行分析,研究中国目前遏制细菌耐药相关国家级政策的结构和特征,为今后政策完善提供思路。
      方法   采用内容分析方法,利用Nvivo12程序对2004年1月 — 2020年7月的75份国家级政策进行文本量化分析,并以表格方式进行数据统计和对比。
      结果   75份政策共编码316条。以涉及领域区分,卫生领域合计175条,农业领域合计130条,环境领域合计11条;以干预方法区分,强制类合计155条,能力类合计86条,价值类合计17条,激励类合计49条,创新类合计9条。
      结论  中国遏制细菌耐药相关政策属于政府管制型,涉及领域方面以卫生和农业领域为主力,强制类和能力类政策工具为主导工具;而环境的政策工具数量远低于其他两个领域,亟待加强和调整优化;干预方法方面,强制类占绝大多数,而价值类和创新类相关政策较为匮乏。

     

    Abstract:
      Objective  To study the structure and characteristics of national policies on the containment of antimicrobial resistance (AMR) in China for providing a reference to the improvement of relevant policy - making.
      Methods  By searching websites of governmental agencies and China National Knowledge Infrastructure, we retrieved all AMR containment-related documents issued from January 2004 through July 2020. Using the content analysis method, we conducted textual quantitative analysis on 75 policy documents issued by government agencies with Nvivo 12 software.
      Results  Of the 75 policy documents, 22, 51, and 2 were about AMR containment in health, agriculture, and environment sectors. From the text of the 75 documents, totally 316 policy tool - related item elements were coded. Of the 316 item elements, 175, 130, and 11 corresponded to policy items involving health, agriculture, and environment sectors; in terms of policy tool category, 155 item elements belong to the compulsory category and 86, 17, 49, and 9 belong to categories of capability construction, value judgment, incentive, and innovation promotion, respectively.
      Conclusion  In China, the national AMR containment - related policies are under the government administration; the policies act mainly on health and agriculture sectors and on aspects of mandatory management and capability construction. More policy tools need to be developed for environment - related AMR containment and in the categories of value judgment and innovation promotion.

     

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