Selection of policy tools for constructing tiered medical care system: A Quantitative analysis based on provincial government policy text
10.3969/j.issn.1674-2982.2018.01.008
- VernacularTitle:构建分级诊疗体系的政策工具选择——基于省级政府政策文本的量化分析
- Author:
Yang LI
1
;
Guang-Feng DUAN
;
Wen-Hua TIAN
;
Wei ZHANG
;
Jun-Rui LONG
;
Zi-Xue SUN
Author Information
1. 第二军医大学卫生勤务学系 上海 200433
- Keywords:
Hierarchical medical;
Policy tools;
Policy texts;
Quantitative analysis
- From:
Chinese Journal of Health Policy
2018;11(1):48-52
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare and analyze the choice and application of policy tools in the construction of hierarchical medical system in different provinces of china, and to provide advice for improving the effectiveness of the hierarchical medical policy implementation. Methods:Retrieve the policy documents of provincial governments on hierarchical medical policy through internet search;sort names and categories of policy tools based on the classifica-tion of policy tools by Rothwell&Zegveld after consulting the expert,and analyze the use of policy tools by calculating the frequency of different policy tools. Results:This study has summed up 15 types of policy tools in 3 categories in-cluding demand,supply,and environment of provincial hierarchical medical policy. Supply policy tools accounted for 32.92%,demand policy tools accounted for 20.58%, and environmental policy tools accounted for 46.50%. The most widely used policy tool is the regulatory control, and the least used policy tool is the disease catalog. Conclu-sions:Among the choice of policy tools,the category of environmental policy tools are the most widely used,and de-mand policy tools are applied the least. The use of three types of policy tools in the eastern region are balanced,the demand policy tools in Central China are relatively few, and the environmental policy tools are widely used in the western region,while the demand oriented policy tools are scarce.
