高级检索

从教育优先发展政策看健康优先发展的经验借鉴:基于1986—2025年政策文件分析

Experience from the policy of priority development of education for priority development of health: an analysis of policy documents during 1986–2025

  • 摘要:
    目的 检索国家层面教育优先发展政策并进行分析,为我国健康优先发展战略实施提供参考。
    方法 检索1986—2025年中国政府网、国家卫生健康委等官方网站,利用政策转移理论、政策工具理论及结合文献检索分析,构建政策分析框架,包含发展理念、发展规划、资源投入、治理体系及政策法规5个一级维度11个二级维度。采用内容分析法,运用NVivo 15对教育优先发展政策进行编码,并选取典型结果指标进行比较分析,评估政策实施成效。
    结果 共纳入教育优先发展相关政策34份,发文时间为1986—2025年,政策平均力度为3.9。发文部门为中共中央、国务院(27份)及教育部等部门联合发文(7份)。教育优先发展主要体现在资源投入及治理体系维度(合计占比70.23%)。我国教育支出占GDP比重(2012年以来均为4%及以上),生师比位于全球中等偏上水平(2024年为16.06:1);教育一般公共预算支出(2024年为42 076亿元)、教师待遇位于我国各民生领域中等偏上位置(2012—2024年年均增长率在19个行业中排名第5);我国人均预期寿命超过中高收入国家平均水平(2025年为79.25岁),但卫生健康支出及增长相对落后于世界平均水平及国内其他民生领域。
    结论  教育结果体现优先发展且领先于健康领域,健康领域可充分吸收教育领域的优先发展经验,在资源投入、组织体系及公共政策倾斜方面优化政策安排,促进健康优先发展。

     

    Abstract:
    Objective To analyze national-level priority development policies in the education sector and thus provide references for implementing China′s strategy of priority development of health.
    Methods Official websites of the State Council and the National Health Commission were searched for the related documents during 1986–2025. The policy transfer theory, policy instrument theory, and literature review were employed to construct a policy analysis framework, which encompassed five first-level dimensions and 11 second-level dimensions. Content analysis was conducted in NVivo15 to code the policies for priority development of education, and a comparative study was carried out for selected outcome indicators to evaluate policy implementation effectiveness.
    Results  A total of 34 policies related to the priority development of education were included, which were issued between 1986 and 2025, with an average intensity score of 3.9. Policies were issued by the State Council (27 documents) or jointed by multiple departments such as the Ministry of Education (7 documents). The priority development of education was mainly reflected in resource investment and governance systems (accounting for 70.23% combined). China′s education expenditure remained at 4% or above of GDP since 2012, and student-teacher ratios (16.06:1 in 2024) were at an upper-middle level globally. Additionally, general public budget expenditure on education (reaching RMB 4 207.6 billion in 2024) and teacher compensation (ranking 5th in average annual growth rate among 19 industries from 2012 to 2024) ranked at upper-middle levels among various public service sectors in China. Although China′s average life expectancy surpassed that of upper-middle-income countries (reaching 79.25 years in 2025), its health expenditure and growth lagged behind the global average and other domestic public service sectors.
    Conclusions The notable outcomes in education demonstrate its priority development and leading position compared with the health sector. The health sector can learn from experience of education development by optimizing policy arrangements in resource allocation, organizational systems, and tilt in public policy to promote the priority development of health.

     

/

返回文章
返回