Analysis of the gradient evolution and policy tools of China's chronic disease policies from the full-cycle perspective
10.3969/j.issn.1674-2982.2024.08.006
- VernacularTitle:全周期视角下我国慢性病政策梯度演化与政策工具分析
- Author:
Yu-Lu TIAN
1
;
Ye LI
;
Chen-Xi ZHANG
;
Yong-Qiang LAI
;
Hong-Yu LI
;
Xin-Wei LIU
Author Information
1. 哈尔滨医科大学卫生管理学院 黑龙江哈尔滨 150000
- Keywords:
Chronic disease;
Policy tools;
Full-cycle management;
Textual analysis
- From:
Chinese Journal of Health Policy
2024;17(8):43-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This paper aims to analyze the current status,characteristics,and problems of the policy text of China's chronic disease from the perspective of full-cycle,and provide a reference for subsequent policy optimization.Methods:The author selected 104 policy documents on chronic disease published at the national level from 2009 to 2023,used content analysis method,constructed a two-dimensional analysis framework of"policy tools-full-cycle management",and carried out one-dimensional quantitative analysis and two-dimensional cross-analysis.Results:The application of policy tools is obviously unbalanced,with supply-type policy tools accounting for as much as 63.23％,and demand-type policy tools used the least,only 10.51％.In the dimension of full-cycle management,the proportions of prevention,prevention and treatment,treatment,treatment and rehabilitation,health care,and full-cycle stages are 21.01％,24.58％,28.89％,7.32％,4.69％and 13.51％respectively.It is noteworthy that the proportions of the treatment and rehabilitation,and health care stages are relatively low.All stages of chronic disease health management interact frequently with supply-type policies,and the treatment and rehabilitation,health care and full-cycle stages cross less with demand-type policy tools.Conclusion:It is necessary to adjust the proportion of policy tools,strengthen their internal coordination,improve the top-level design of treatment and rehabilitation and health care,enhance the synergistic interaction between various types of policy tools and full-cycle management,and improve the overall effectiveness of policies.
