|
|
Quantitative analysis of public hospital management policies at the national level based on policy tools#br# |
SUN Dongyue SONG Linzi YANG Jing |
Office of Dean, Xuanwu Hospital, Capital Medical University, Beijing 100053, China |
|
|
Abstract Objective To study the relevant policy documents of operation and management of public hospitals at the national level based on policy tools, in order to provide a reference for the formulation of public hospital management policies. Methods The collected policy content was quantitatively analyzed by content analysis method, and the 341 selected management policies were coded, classified and fitted to construct a three-dimensional analysis model of policy tools. Results This study constructed a policy tool analysis model with three dimensions, included policy tools, public hospital management level, and time phases. The 341 policy texts were included in the analysis, capacity-building policy tools were used the most, accounting for 43.99%. Authoritative policy tools were used the second most, accounting for 40.18%. There were 42 symbolic and exhortation policy tools were used, accounting for 12.32%; only 12 incentive policy tools, accounting for 3.52%. In the dimension analysis of management level, there were 209 policy items corresponding to hospital internal management, accounting for 61.29%. Conclusion The application situation of policy tools in the field of public hospital management is good, but the balance of use is insufficient. In the subsequent policy formulation of public hospital management, the internal structure of policy tools should be optimized to form a policy synergy, and comprehensively use policy tools to promote the high-quality development of public hospitals.
|
|
|
|
|
[1] 国家卫生健康委员会.2019年中国卫生健康统计年鉴[M].北京:中国协和医科大学出版社,2020.
[2] 严云鹰.公立医院综合改革政策工具运用与优化研究[D].重庆:重庆医科大学,2020.
[3] 宁骚.公共政策学[M].北京:高等教育出版社,2018.
[4] 从荣刚.中国公共医疗体制改革的回顾与反思[J].当代经济管理,2012,34(7):58-61.
[5] 熊烨.政策工具视角下的医疗卫生体制改革:回顾与前瞻——基于1978-2015年医疗卫生政策的文本分析[J].社会保障研究,2016(3):51-60.
[6] 朱笑笑,钱爱兵.基于内容分析法的江苏省养老服务政策分析[J].医学与社会,2019,32(8):100-107.
[7] 卫生部.卫生部关于印发《医院管理评价指南(2008版)》的通知(卫医发〔2008〕27号)[EB/OL].(2008-05-13)[2021-01-13].http://www.nhc.gov.cn/wjw/gfxwj/201304/ac4b5d02 e70b47deb9c8fce0380f225c.shtml.
[8] 崔成森,左旭,孟开.基于政策工具的我国分级诊疗政策内容分析[J].中国医院管理,2018,38(9):24-27.
[9] 张韦,何东,张研,等.政策工具视角下我国远程医疗国家层面政策分析(1997—2019)[J].中国卫生政策研究,2020,13(6):56-64.
[10] 孙昌赫,翟铁民,王荣荣,等.基于政策工具的我国“互联网+医疗健康”政策内容分析[J].中国卫生经济,2020, 39(1):13-17.
[11] Rothwell R,Zegweld W. Reindusdalization and technology [M]. London:Logman Group Limited,1985.
[12] Lorraine MM,Richard FE. Alternative Policy Instruments [J]. Educ Eval Policy An,1987,9(2):133-152.
[13] Schneider A,Ingram H. Behavioral assumptions of policy tools [J]. J Polit,1990,52(2):510-529.
[14] 何强,陈菲,王映红,等.基于政策工具视角的我国老年健康服务业政策分析[J].医学与社会,2020,33(6):47-52.
[15] 董屹,王晨,李娜,等.政策工具对北京市乡村两级继续医学教育的影响分析[J].中华医学教育杂志,2018,38(1):113-118.
[16] 陈皓阳,曹志辉,陈志全.政策工具视角下建立现代医院管理制度政策量化分析[J].中国医院管理,2019,39(9):33-35.
[17] 张招椿,胡海源,陈川.政策工具视角下我国家庭医生政策量化分析[J].中国全科医学,2019,22(10):1139-1146.
[18] 国务院办公厅.国务院办公厅关于建立现代医院管理制度的指导意见(国办发〔2017〕67号)[EB/OL].(2017-07-25)[2021-01-21].http://www.gov.cn/zhengce/content/2017-07/25/content_5213256.htm.
[19] 靳冬旭,陈宏,唐慧,等.公立医院内部运行机制存在的问题及对策探讨[J].中国医院管理,2020,40(5):87-88.
[20] 潘杰.利用竞争作为政策工具推进公立医院改革[J].中国卫生政策研究,2014,7(11):48-53.
[21] 陈晔,董四平.我国三级公立医院绩效考核指标体系解读与评析[J].中国卫生政策研究,2020,13(2):19-25.
[22] 张明,胡豫,张杰,等.三级综合医院构建优质高效运行机制探讨[J].中国医院管理,2019,39(6):67-68.
[23] 国务院办公厅.国务院办公厅关于城市公立医院综合改革试点的指导意见(国办发〔2015〕38号)[EB/OL].(2015-05-07)[2021-02-24].http://www.gov.cn/zhengce/content/2015-05/17/content_9776.htm. |
|
|
|