Text analysis of China′s family physicians contracted service policy based on policy tools
10.3760/cma.j.issn.1000-6672.2019.08.008
- VernacularTitle:政策工具维度下的家庭医生签约服务政策文本分析
- Author:
Ziqiang WANG
1
;
Qianqian YU
;
Wenqiang YIN
;
Dongmei HUANG
;
Kui SUN
;
Zhongming CHEN
;
Hongwei GUO
Author Information
1. 潍坊医学院公共卫生与管理学院 "健康山东"重大社会风险预测与治理协同创新中心
- Keywords:
Family physicians;
Contracted service;
Policy tool;
Text analysis
- From:
Chinese Journal of Hospital Administration
2019;35(8):647-651
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the policy texts related to the contracted service of family physicians, and probe into the key points and existing problems of the policy in the process of promoting the contracted service of family physicians in China, for the purpose of providing references for the optimization and perfection of the system. Methods A total of 54 relevant policy texts issued by the Central Government from 2011 to 2019 were selected, for establishing a two-dimensional analysis framework based on policy tools and stakeholders.By means of quantitative analysis of policy text and literature research method, we analyzed the relevant policy texts. Results Study of the 54 texts found 52.8% (124/235)mentioned commands and regulatory tool use, 27.2% (64/235) mentioned capacity building tool use, 13.2% (31/235) mentioned information and exhortation tool use, 5.1% (12/235)only mentioned incentive tool use, and 1.7% (4/235) only mentioned system change tool use; while most of them(34.3% and 32.7% )mentioned government and physicians, and only a few(17.6% and 15.4% )mentioned patients and medical entities. Conclusions It is suggested to optimize the policy tools mixture, and increase the use of incentive tools to physicians, and explore new forms of system change tools.It is also proposed to pay more attention to resource allocation of primary medical institutions, and to patient awareness and satisfaction.
