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政策工具视角下中国全民健康管理政策文本分析

Policy tool analysis of China′s national health management policy documents

  • 摘要:
    目的 了解我国全民健康管理相关政策的应用现状及内外部特征,为完善我国全民健康管理政策体系提供参考。
    方法 采用内容分析法,构建“全民健康管理核心领域–政策工具”二维框架,对纳入的文件进行量化分析。
    结果 共纳入102份国家层面出台的全民健康管理相关政策文件;503个政策文本编号中,环境型政策工具所占比例最高(61.63%),其次为供给型(26.84%)及需求型(11.53%);现有政策对健康领域的关注程度既有政策对健康领域的重视程度从高到低分别为健康服务与保障(43.34%)、健康生活(33.20%)、健康环境(19.48%)、健康产业(2.19%)及健康水平(1.79%)。
    结论 全民健康管理相关政策可适度减少使用环境型政策工具,强化需求型政策制定,优化政策工具内部结构,均衡覆盖不同健康领域。

     

    Abstract:
    Objective To understand the current application status and internal and external characteristics of national health management-related policies in China, and to provide references for improving the national health management policy system.
    Methods A content analysis method was adopted, and a two-dimensional framework of "core areas of national health management–policy tools" was constructed to quantitatively analyze the included documents.
    Results A total of 102 national-level policy documents related to national health management were included. Among the 503 policy text codes, environment-oriented policy tools accounted for the highest proportion (61.63%), followed by supply-oriented (26.84%) and demand-oriented (11.53%) tools. The existing policies' attention to health fields, ranked from high to low, were health services and security (43.34%), healthy living (33.20%), healthy environment (19.48%), health industry (2.19%), and health level (1.79%).
    Conclusions The use of environment-oriented policy tools in national health management-related policies can be moderately reduced, while strengthening the formulation of demand-oriented policies, optimizing the internal structure of policy tools, and ensuring balanced coverage of different health fields.

     

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