通讯作者: 李瑞锋, liruifeng1997@163.com

DOI：10.12201/bmr.202304.00005

Analysis of the development of Chinese medicine policies at the grassroots level in China from the perspective of policy tools

• 摘要：目的：总结党的十八大以来我国基层中医药服务发展情况,发现与讨论该领域政策使用过程中存在的问题,为基层中医药领域发展政策的进一步调整与出台提供参考。方法：采用 Rothwell和Zegveld政策工具分类方法,结合利益相关者维度,对2012—2022年基层中医药发展领域的35份国家及直属部委层面的政策文本进行分析,构建基层中医药领域政策的二维分析框架。结果：政策工具维度中供给型最多(46.68%)、环境型次之(37.91%)、需求型最少(15.40%)；利益相关者维度中政府和医疗机构使用政策工具较多,合计占比超八成；医疗技术人员和人群使用政策工具较少,合计占比不足两成。结论：各类政策工具及其子工具使用结构不均衡；医疗技术人员和居民两利益相关者需求关注不充分,政府和医疗机构内部政策工具结构失衡,各利益主体政策工具效用发挥受限。建议：优化政策工具结构,均衡配置政策工具使用力度；针对性满足医疗技术人员和居民需求,改善政府和医疗机构内部政策工具“倾斜”现象,以发挥政策的最大效用。

  关键词： 基层中医药; 政策工具; 利益相关者

   

  Abstract: Objective: To summarize the development of grass-roots Chinese medicine services in China in the past ten years, find and discuss the problems existing in the use of policies in this field, and provide reference for the adjustment and introduction of development policies in the field of grass-roots Chinese medicine. Methods: Using the classification method of Rothwell and Zegveld policy tools, 35 policy texts at the national and directly subordinate ministries and commissions in the field of grassroots Chinese medicine development from 2012 to 2022 were analyzed combined with the stakeholder dimension to construct a two-dimensional analysis framework for grassroots TCM policies.Results: In the dimension of policy tools, the supply type is the most (46.68%), the environment type is the second (37.91%), and the demand type is the least (15.40%). In the stakeholder dimension, the government and medical institutions use more policy tools which total proportion exceeds eighty percent; Medical technicians and the population use fewer policy tools which accounting for less than 20 percent in total. Conclusion: The use structure of various policy tools and their sub-tools is unbalanced; the needs of medical technicians and residents are not adequately paid attention to, the internal policy tools of the government and medical institutions are unbalanced, and the utility of each stakeholders policy tools is limited.Suggestions: optimize the structure of policy tools and allocate the use of policy tools in a balanced manner; meet the needs of medical technicians and residents in a targeted manner, and improve the “inclined” phenomenon of policy tools within the government and medical institutions to maximize the effectiveness of policies.

  Key words: Grassroots Traditional Chinese Medicine; Policy Tools; Stakeholders

  提交时间：2023-04-10

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• 序号	提交日期	编号	操作
  1	2022-10-08	bmr.202304.00005V1	下载

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