政策工具视角下我国村卫生室建设相关政策文本分析
打开文本图片集
【中图分类号】 R127 R197.1 【文献标识码】 ADOI：10.12114/j.issn.1007-9572.2023.074
【Abstract】BackgroundThe village clinics an important part of the rural health care service system，and the sustainabilityofconstructioanddevelopmentisdirectlyrelatedtothequalityndefectivenessofruralhealthcareserices. ObjectiveToconductquantitativeandvsualanalysisonthepolictextsrelatedtotheconstructionofvilageclinis introduced inChina，explorethekeypointsandshortcomingsofthepolicysystemforvilageclinicconstructionandprovidereferencefor theformulationandimprovementoffuturerelevantpolicies.MethodsAcessdfromtheoficialwebsitesoftheStateCouncil， theNationalHealthandWellessCommision，andtheBeidaFaberdatabase，andsearchedwiththekeyords"villagelinic" "villgehealthcenter""ruralhealthcareorganization""primaryhealthcareorganization""ruralhealth"askeywords.Thesearch wassetfrom2009-O1-O1to2023-03-01.Startingfromtheconstructionofananalyticalframework inthreedimensions：typeof policyinstrument，macromodelofhealthsystem，andpolicyfectivenes，codinganalysisasconductedusingtheuantitative analysisoftextcontent，socialnetworkanalysiswasconductedonthesubjectsoftheissueddocumentswiththehelpofUCINET6， andwordfrequencyanalysis wasconductedonthethree periods combining with NVivo.ResultsAtotalof3O04 policycodes were selected for56policydocuments，withthepolicytooldimension havingthehighest proportionofsupply-side policy tools （50.99% ） and relatively low proportion of demand-side policy tools （11.18 % ）， In the macro model dimension of the health system，internal systems account for the most （74.67 % ） and external systems are less used （25.33 % ）; In terms of policy effectiveness，the policy effectivenesswas highestin2O18（15points）andlowestin2012（3points）.Therewerefewerjointdepartmentalpublicationsand more individual departmental publications.The policyfocuses moreontalentconstruction.ConclusionThe internaland extenal structureofpolicyolsisimbalaned，emphasiingsupplyoverdemand;Thtop-levelpolicydsignforteconstructiofile clinicsislacking，andterearetofetargeteddocuments;Themechanismforinterdepamentalcollborationandlinkagenes to be further improved.
【Key words】 Ruralhealth; Village clinic; Health policy;Policy tools;Policy analysis
村卫生室作为农村三级卫生服务网的“网底”，以保护农村居民健康为目标，承担农村地区传染病疫情报告、计划免疫、妇幼保健、健康教育、常见病和多发病的一般诊治和转诊服务。（剩余10381字）
