Research on primary healthcare medication continuity and security in China from the perspective of policy tools:A quantitative analysis based on provincial policy texts from 2020 to 2025
10.3969/j.issn.1674-2982.2025.10.001
- VernacularTitle:政策工具视角下我国省级层面基层用药衔接保障政策研究(2020-2025)
- Author:
Qiang YAO
1
;
Yue-fang JIAO
;
Xiu-fang ZHANG
;
Yan-ping HE
;
Xiao-dan ZHANG
;
Miao ZHANG
;
Lan YAO
Author Information
1. 武汉大学政治与公共管理学院 湖北 武汉 430072;国家医保研究院华科基地 湖北 武汉 430030
- Publication Type:Journal Article
- Keywords:
Primary healthcare;
Medication continuity and security;
Policy text;
Policy tool
- From:
Chinese Journal of Health Policy
2025;18(10):1-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To comprehensively analyze the current situation of the policy tools for primary healthcare medication continuity and security in China,and to provide advice for improving the policy system of primary healthcare medication continuity and security.Methods:Based on the theory of policy tools,a two-dimensional analysis framework of"policy tools-policy goals"was constructed.Results:A total of 407 policy text codes were generated from 58 policy texts included in the analysis.Among them,the supply-based policy tools were the most(41.03%),followed by environmental(37.59%)and demand-based(21.38%);the policy goals mainly focused on promoting the equipment and linkage of medication(21.84%),optimizing the types of medication(18.88%),and improving the centralized supply and distribution of medication(18.25%).Conclusions:Significant regional disparities exist in the design and implementation of China's primary healthcare medication continuity and security policies.Certain policy tools are absent,policy objectives lack comprehensive coverage,and coordination remains inadequate.It is suggested to optimize regional policy layouts through differentiated configuration and cross-regional coordination,enhance policy adaptability by refining policy tool combinations,strengthen weak segments and vertical coordination,promote the articulation of primary healthcare medication based on tight medical consortium,and finally build a systematic and dynamically adaptive primary healthcare medication continuity and security policy system.
