通讯作者: 邓敏, 280721@njucm.edu.cn

DOI：10.12201/bmr.202606.00024

Policy text and practice analysis of traditional Chinese medicine DRG reform in general hospitals in Nanjing from the perspective of RE-AIM

• 摘要：目的：在RE-AIM框架视角下分析我国综合医院实施中医DRG改革政策文本的配置特征与实施现状，为政策完善提供参考。方法：以中央、江苏和南京三级政策文件为研究对象，构建“政策工具—RE-AIM”二维分析框架，采用内容分析法进行文本编码与定量分析。结果：纳入31份政策文本，RE-AIM框架方面主要集中于覆盖度（31.28%）、采纳度（23.46%）和实施度（20.67%），表明现有政策更侧重改革范围扩展、组织采纳引导与执行过程规范；持续度（15.64%）和有效度（8.94%）占比较低，提示长效运行保障和改革效果评价仍相对薄弱。结论：综合医院中医DRG改革政策在推进覆盖扩面、组织采纳和规范实施的同时，对成效评价与持续运行保障仍显不足，未来可从差异化激励、标准化运行与协同治理等方面优化。

  关键词： 综合医院；中医DRG；RE-AIM框架；政策工具; ; ; 

   

  Abstract: Objective: To analyze the configuration characteristics and implementation status of DRG reform policy texts in general hospitals of traditional Chinese medicine in China from the perspective of RE-AIM framework, so as to provide reference for policy improvement. Methods: Taking the policy documents of the central government, Jiangsu Province and Nanjing Municipality as the research object, a two-dimensional analysis framework of policy instrument-RE-AIM was constructed, and the content analysis method was used for text coding and quantitative analysis. Results: A total of 31 policy texts were included. The RE-AIM framework mainly focused on the coverage (31.28%), adoption (23.46%) and implementation (20.67%), indicating that the existing policies focused more on the expansion of the scope of reform, organizational adoption guidance and implementation process specification. The persistence (15.64%) and validity (8.94%) accounted for relatively low, suggesting that long-term operation guarantee and reform effect evaluation were still relatively weak. Conclusions: While promoting the coverage expansion, organizational adoption and standardized implementation, the DRG reform policy of traditional Chinese medicine in general hospitals still has insufficient effectiveness evaluation and continuous operation guarantee. In the future, it can be optimized from the aspects of differential incentive, standardized operation and collaborative governance.

  Key words: General hospital; DGR in traditional Chinese medicine; RE-AIM framework; Policy tools

  提交时间：2026-06-08

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• 序号	提交日期	编号	操作
  1	2026-01-18	10.12201/bmr.202606.00024V1	下载

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