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政策工具视角下我国数字健康政策文本分析

Analysis of digital health policy texts in China from the perspective of policy tools

  • 摘要:
    目的 梳理我国中央政府及所辖部门数字健康相关政策文本,分析政策的特征以及存在的问题,为推动数字健康政策的优化提供建议。
    方法 通过“北大法宝”、国家卫生健康委员会以及中国政府网等网站,检索时间为2000—2024年,收集37份数字健康相关政策,构建“政策工具—政策目标”二维框架并以此为基础对收集的政策文本进行量化分析。
    结果 政策工具维度下以环境型(67%)为主,其中“健全机制”占比最高(40%),而供给型(22%)与需求型(11%)应用明显不足;供给型工具内部高度依赖“科技支持”(84%),“人才支持”(12%)及“财政支持”(4%)存在短板。政策目标维度分析显示,分布集中于“履职保障”(32.5%)与“制度规则”(17.7%),“数据资源”(11.3%)及“平台支撑”(7.1%)关注度较低。交叉分析进一步揭示,政策工具与政策目标间存在结构性错配。
    结论 建议优化工具结构,协调工具组合;平衡目标分布,关注政策目标短板;注重政策工具与政策目标的多维协同。

     

    Abstract:
    Objective  To sort out the digital health policy texts of China′s central government and its affiliated departments and analyze the characteristics and existing problems of the policies, thus providing suggestions for optimization of digital health policies.
    Methods  A total of 37 digital health policies were collected from the websites of PKULaw, National Health Commission, and the State Council of China with the time interval from 2000 to 2024. A two-dimensional framework of policy tools-policy objectives was constructed for the quantitative analysis of the collected policy texts.
    Results  In the dimension of policy tools, environment-based tools (67%) were dominant, of which "sound mechanisms" accounted for the highest proportion (40%), while the supply-based (22%) and demand-based (11%) applications were obviously insufficient. Supply-based tools demonstrated high dependence on "scientific and technological support" (84%), with insufficient attention to "talent support" (12%) and "financial support" (4%). In the dimension of policy objectives, the policy distribution was concentrated on "performance guarantee" (32.5%) and "institutional rules" (17.7%), while "data resources" (11.3%) and "platform support" (7.1%) received less attention. Cross-analysis further revealed that there was a structural mismatch between policy tools and policy objectives.
    Conclusions  It is recommended that the future efforts should be made to optimize the structure of policy tools and coordinate the combination of tools, balance the distribution of objectives considering the existing policy shortcomings, and focus on the multidimensional synergy of policy tools and policy objectives.

     

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