通讯作者: 陈婷, 15822109062@163.com

DOI：10.12201/bmr.202412.00001

A quantitative analysis of Chinas Diabetes Prevention and Treatment Service Policies from the Perspective of policy instrument and Tertiary Prevention

• 摘要：目的 分析中国糖尿病防治服务政策的内容与不足，为完善中国糖尿病防治服务政策提供建议。方法：从三级预防和政策工具两个维度出发，通过内容分析和定量分析方法，构建“政策工具类型—三级预防（含服务类别）”二维框架，对国家层面糖尿病防治服务政策条目进行分析。结果：本研究共纳入88份糖尿病防治服务相关政策文件，政策工具维度编码 181条，从政策工具维度看，多以强制型政策工具保证服务的有效落实，强制型、混合型、自愿型政策工具占比分别为74.6%、19.3%、6.1%，分布差异性显著；从三级预防维度看，各级别预防策略覆盖广泛，三级预防、二级预防、一级预防占比分别为38.7%、36.5%、24.9%，内部子工具待优化；从服务类别维度看，患者分级与随访管理、健康教育类目居多，疾病基线调查居少，不同类别的防治服务政策工具缺乏针对性。结论：提高政策工具精准性，强化糖尿病不同防治服务特性与政策工具的有效结合；优化政策工具结构，重视政策工具与三级预防策略的协同运作。

  关键词： 糖尿病防治; 政策工具; 三级预防; 二维框架

   

  Abstract: Objective: This study aims to analyze the policy tools used in Chinas diabetes prevention and control services and provide recommendations for improving the diabetes policy system in China. Method: From the perspectives of the three levels of prevention and policy tools, a two-dimensional framework of Policy Tool Types – Three Levels of Prevention (including service categories) was constructed through content analysis and quantitative analysis methods. This framework was used to analyze the national-level diabetes prevention and control service policy entries. Results: A total of 88 policy documents related to diabetes prevention and control services were included in this study. There were 181 codes for the policy tool dimension. From the perspective of policy tools, mandatory policy tools were mainly used to ensure the implementation of services, with the proportions of mandatory, mixed, and voluntary policy tools being 74.6%, 19.3%, and 6.1% respectively, showing significant distribution differences. From the perspective of the three levels of prevention, strategies at all levels were covered broadly, with the proportions of the three levels of prevention being 38.7%, 36.5% and 24.9% respectively, and internal sub-tools needing optimization. From the perspective of service categories, patient classification and follow-up management, and health education were the most common, while baseline disease surveys were less frequent. There was a lack of targeted policy tools for different types of prevention and control services. Conclusion: Enhance the precision of policy tools and strengthen the effective combination of different diabetes prevention and control service characteristics with policy tools; optimize the structure of policy tools and emphasize the coordinated operation of policy tools with the three levels of prevention strategies.

  Key words: Diabetes prevention; Policy tools; Two-dimensional framework; Diabetes control

  提交时间：2024-12-02

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-08-07	bmr.202412.00001V1	下载

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