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英、美两国在突发公共卫生事件冲击下健康战略重点转移及启示

毛艾琳 宋璟萱

毛艾琳, 宋璟萱. 英、美两国在突发公共卫生事件冲击下健康战略重点转移及启示[J]. 中国公共卫生, 2023, 39(11): 1507-1512. doi: 10.11847/zgggws1142044
引用本文: 毛艾琳, 宋璟萱. 英、美两国在突发公共卫生事件冲击下健康战略重点转移及启示[J]. 中国公共卫生, 2023, 39(11): 1507-1512. doi: 10.11847/zgggws1142044
MAO Ailin, SONG Jingxuan. Key shift of national health strategies in the UK and the US under the impact of emergent public health events and its enlightenment for China[J]. Chinese Journal of Public Health, 2023, 39(11): 1507-1512. doi: 10.11847/zgggws1142044
Citation: MAO Ailin, SONG Jingxuan. Key shift of national health strategies in the UK and the US under the impact of emergent public health events and its enlightenment for China[J]. Chinese Journal of Public Health, 2023, 39(11): 1507-1512. doi: 10.11847/zgggws1142044

英、美两国在突发公共卫生事件冲击下健康战略重点转移及启示

doi: 10.11847/zgggws1142044
基金项目: 国家社会科学基金青年项目(20CGL040)
详细信息
    作者简介:

    毛艾琳(1985 – ),讲师,博士,研究方向:社会保障、健康管理

    通信作者:

    毛艾琳,E-mail:maoailin2006@126.com

Key shift of national health strategies in the UK and the US under the impact of emergent public health events and its enlightenment for China

More Information
  • 摘要: 面对人民日益增长的健康诉求,各国政府均将推进全民健康上升到国家战略层面,其中尤以美国和英国的国家健康战略最具代表性。本文基于政治系统理论框架,通过对英国和美国近年健康战略的政策文本及不同时间段两国政策文本的语义网络和词频分析以及共词矩阵分析,解读英国和美国在面对突发公共卫生事件冲击下健康战略重点的转移与措施调整,并以此推断两国健康战略未来发展的方向,以为实现“健康中国”的战略目标提供借鉴和参考。
  • 图  1  研究框架

    Figure  1.  Research framework for co-word matrix analysis on selected health policy documents issued from 2018 to 2026 in the UK and the US

    图  2  英国2022年健康战略语义网络分析图

    Figure  2.  Semantic network analysis using ROST-CM6 on the health policy document issued in the UK in 2022

    图  3  美国2022 — 2026公共政策语义网络分析图

    Figure  3.  Semantic network analysis using ROST-CM6 on the health policy document issued in the US for financial years of 2022 – 2026

    表  1  政策文件

    Table  1.   Selected health policy documents issued from 2018 to 2026 in the UK and the US

    国家政策年限(年)政策名称/文献序号
    英国2018 — 2019Public health commissioning in the NHS 2018 to 2019/[23]
    2019 — 2020Public health commissioning in the NHS 2019 to 2020/[24]
    2020 — 2021Public health commissioning in the NHS 2020 to 2021/[25]
    2021 — 2022Public health commissioning in the NHS 2021 to 2022/[26]
    2022 — 2023Public health commissioning in the NHS 2022 to 2023/[27]
    美国2018 — 2022Strategic Plan FY 2018 – 2022/[28]
    2022 — 2026Strategic Plan FY 2022 – 2026/[29]
    下载: 导出CSV

    表  2  英国2018 — 2023年健康战略高频词 a

    Table  2.   Year-specific top ten high frequency words for selected health policy documents issued from 2018 to 2023 in the UK – a text analysis with ROST-CM6

    排序2018 — 2019年2019 — 2020年2020 — 2021年2021 — 2022年2022 — 2023年
    词语加权百分比(%)词语加权百分比(%)词语加权百分比(%)词语加权百分比(%)词语加权百分比(%)
    1计划2.26计划2.63计划2.87健康3.99服务3.81
    2疫苗2.26服务2.59服务2.78知识2.20医疗1.48
    3实施1.51体系2.39体系2.50卫生1.87提供1.44
    4健康1.38接种1.63肺炎1.67促进1.67体系1.36
    5儿童1.38确保1.44保健1.39服务1.38卫生1.25
    6服务1.26实施1.25卫生1.11普及1.38国民1.22
    7促进1.26疫苗1.25组织1.11系统1.14协议1.11
    8合作1.13方案1.20范围0.97获得1.10公共0.99
    9提供0.88儿童1.15实施0.97社会1.06职能0.96
    10接种0.88医疗1.15提供0.93医疗0.90计划0.96
      注:a 利用ROST-CM6文本分析软件对2018 — 2023年英国在NHS官网上公布的年度公共健康政策进行词频分析;在去除无意义词汇后对相关同义词进行合并,并在此基础上截取前10位高频词语。
    下载: 导出CSV

    表  3  美国2018 — 2026年健康战略高频词 a

    Table  3.   Period-specific top ten high frequency words for selected health policy documents issued from 2018 to 2026 in the US – a text analysis with ROST-CM6

    排序2018 — 2022年2022 — 2026年
    词语加权百分比(%)词语加权百分比(%)
    1卫生1.47卫生2.49
    2医疗1.40服务1.86
    3服务1.23提供1.45
    4提供1.07支持1.42
    5支持1.03促进1.29
    6健康1.03健康1.29
    7使用0.95项目1.13
    8组织0.91提高1.12
    9获得0.87社区1.10
    10工作0.84使用1.05
      注:a 利用ROST-CM6文本分析软件对2018 — 2026年内美国在HHS官网上公布的年度公共健康政策进行词频分析;在去除无意义词汇后对相关同义词进行合并,并在此基础上截取前10位高频词语。
    下载: 导出CSV

    表  4  美国2022 — 2026年健康战略共词矩阵分析结果

    Table  4.   Co-word matrix analysis on selected health strategy-related documents of the US for financial years of 2022 — 2026

    序号词汇序号词汇
    1促进 —— 卫生6促进 —— 公平
    2促进 —— 服务7促进 —— 服务部
    3促进 —— 公众8促进 —— 伙伴
    4促进 —— 改善9促进 —— 机会
    5促进 —— 健康10促进 —— 社区
    下载: 导出CSV
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  • 接收日期:  2023-04-18
  • 录用日期:  2023-09-21
  • 修回日期:  2023-08-28
  • 网络出版日期:  2023-11-28
  • 刊出日期:  2023-11-01

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