时生辉, 游茂, 李瑞锋, 田雪晴, 任平, 郑秋莹, 吴澜涛. 政策工具视角下我国中医药基本医疗保险政策文本量化研究. 2024. biomedRxiv.202405.00004
政策工具视角下我国中医药基本医疗保险政策文本量化研究
通讯作者: 郑秋莹, zhengqy@bucm.edu.cn
DOI:10.12201/bmr.202405.00004
Analysis of the content of Chinas basic medical insurance policy for Traditional Chinese Medicine from the perspective of policy instrumentSHI Sheng-hui,LI Rui-feng,YOU Mao,TIAN Xue-qing,REN Ping,WU Lan-tao,ZHENG Qiu-ying
Corresponding author: ZHENG Qiu ying, zhengqy@bucm.edu.cn
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摘要:目的:总结分析我国各省份中医药基本医疗保险政策的构成特点与问题,为中医药基本医疗保险政策的完善和优化提供参考。方法:从政策工具视角出发,结合政策工具-政策发展过程两个维度,采用内容分析法对2011-2023年间省级颁布的中医药基本医疗保险政策进行量化研究。结果:对纳入的93份政策文件进行编码整理,累计编码487条。从政策工具维度来看,内部子工具涵盖主题丰富,但对子类政策工具的关注程度存在差异,整体运用呈不均衡状态;从政策发展过程维度来看,各环节也呈现出离散态势,显示出以政策规划和政策实施占主导的特征。结论:优化政策工具运用组合,构建协调平衡的政策工具架构;统筹规划中医药医保政策发展过程,彰显中医药特色优势;重视维度间政策协同性,强化中医药医保政策执行力度。
Abstract: Objective: To summarize and analyze the composition characteristics and problems of basic medical insurance policies for traditional Chinese medicine in various provinces of China, providing reference for optimizing and improving subsequent basic medical insurance policies for traditional Chinese medicine. Methods: Based on the perspective of policy instrument, combined with two dimensions of policy instrument types and policy development process, the content analysis method is used to quantitatively analyze the content of the basic medical insurance policies for traditional Chinese medicine released at the provincial level from 2011 to 2023. Results: The 93 included policy documents were coded and sorted, with a cumulative total of 487 codes. From the perspective of policy instrument dimensions, subcategories of policy instruments involve diverse themes, but there are differences in the level of attention paid to each policy tool, resulting in an overall imbalanced application. From the perspective of policy development process, each link also presents a discrete trend, indicating a dominant feature of policy planning and implementation. Conclusion: To improve the basic medical insurance policy system of traditional Chinese medicine in China, it is necessary to optimize the combination of policy instrument and construct a coordinated and balanced policy instrument framework; Overall planning of the development process of traditional Chinese medicine medical insurance policies, highlighting the unique advantages of traditional Chinese medicine; Emphasize policy synergy between dimensions and strengthen the implementation of traditional Chinese medicine medical insurance policies.
Key words: traditional Chinese Medicine;basic medical insurance;policy instrument;content analysis method; ; ;提交时间:2024-05-21
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序号 提交日期 编号 操作 1 2024-02-27 bmr.202405.00004V1
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