摘要
目的从政策工具分析视角探讨广西慢性病防控政策的科学性,为广西慢性病防控政策的调整与优化提供参考依据。方法选取2016年1月1日—2022年7月31日广西慢性病防控政策文本作为研究对象,基于Rothwell和Zegveld对政策工具分类的方法,采用Nvivo 11.0软件对纳入的文本进行摘录和编码,利用Excel 2019对编码结果进行统计分析。结果纳入分析的政策文本81份。X维度有187个文本编码,环境型政策工具占54.5%(102/187),供给型政策工具占33.7%(63/187),需求型政策工具占11.8%(22/187);在三大政策工具中,策略性措施、服务功能定位和信息化建设等政策子工具使用频率较多,资金投入、社会参与、绩效激励等政策子工具使用频率较少。在Y维度上,政府部门是慢性病防控力量的核心来源。结论广西慢性病防控政策对环境型政策工具依赖性较高,需求型政策工具使用不足,政策工具内部使用偏差较大,社会力量参与防控较为薄弱。建议未来平衡使用各类政策工具,强化各类防控力量的协同作用。
Objective To explore the prevention and control policies of chronic diseases in Guangxi based on policy tools,so as to provide references for adjustment and optimization of prevention and control policies of chronic di-sease.Methods The text of chronic disease prevention and control policy issued in Guangxi from January 1,2016 to July 31,2022 was selected as the research object.Nvivo11.0 software was used to extract and code the included chronic disease policy documents,and Excel 2019 was used for statistical analysis the coding results designed by Rothwell and Zegyeld.Results Eighty-one documents were qualified for study analysis.The X-dimension had 187 text codes,environmental policy tools accounted for 54.5%(102/187),supply-side policy tools accounted for 33.7%(63/187),and demand-side policy tools accounted for 11.8%(22/187).Among the three policy tools,the policy sub-tools such as strategic measures,service function positioning and information construction were used more frequently,while the policy sub-tools such as health fund investment,social participation and performance incentive were used less frequently.In the Y dimension,the government department was the core source of chronic disease prevention and control.Conclusion The environmental policy tools were overused in Guangxi,and the demand-side policy tools were insufficient.The internal use of various policy tools had a large deviation,and the participation of social forces in prevention and control was relatively weak.It is suggested that various policy tools should be used in a balanced manner in the future to strengthen the synergy of various prevention and control forces.
作者
管燕秋
覃蓉
黄芬
GUAN Yanqiu;QIN Rong;HUANG Fen(School of Information and Management,Guangxi Medical University,Nanning,530021,China)
出处
《中国社会医学杂志》
2023年第5期521-525,共5页
Chinese Journal of Social Medicine
基金
广西研究生教育创新计划项目(YCBZ2022088)
国家卫生健康委员会委托课题(03301217008D)。
关键词
慢性病
政策工具
防控力量
政策文本
Chronic disease
Policy tools
Prevention and control force
Policy text
