摘要
目的:以政策协同为视角,从国家和省级两个层面探究71个DIP试点城市政策协同情况。方法:借助文本挖掘法构建政策评价维度,利用PMC指数模型绘制政策一致性曲面图,通过相关性分析计算各城市与国家政策、同省份各城市之间政策协同程度。结果:各试点城市政策水平不一,在政策公开、核心要素和基础设施方面存在差异;在国家层面,多数城市在政策性质、管理措施、基础建设和政策评价方面与国家保持了较高的一致性,政策时效、政策视角、核心要素等方面仍有待提高;在省级层面,20个省份的城市均呈现出低水平完全协同、高水平紧密协同和差异化部分协同3种不同的政策特征。结论:71个DIP试点城市初步建立了政策体系,但许多城市仍存在政策缺失、协调不足的问题。未来工作应集中于推动政策制定、完善政策体系,促进各试点城市在政策实施中的协调。
Objective:To explore the policy synergy of 71 Diagnosis-Intervention Packet(DIP)pilot cities from the perspective of policy synergy at both the national and provincial levels-Methods:Policy evaluation dimensions were constructed by text mining method,and the surface plots of policy consistency were drawn by the Policy Modeling Consistency Index(PMC),and the degree of policy synergy between each city and national policies and with cities in the province were calculated by correlation analysis.Results:Different levels of policy in pilot cities and the policy differences among pilot cities mainly focus on policy disclosure,core elements,and infrastructure,at the central level,most cities maintain a high degree of consistency with the state in terms of policy nature,management measures,infrastructure,and policy evaluation,and the policy timeliness,policy perspective,and core elements still need to be improved;at the provincial level,cities within the 20 provinces show characteristics in low level of complete synergy,high level of close synergy and differentiated partial synergy.Conclusion:The 71 DIP pilot cities have established a preliminary policy system,but there are still more cities with missing policies and a lack of coordination.In the future,efforts should be made to advance the policy development process,promote the improvement of the policy system,and promote coordination among pilot cities in policy implementation.
作者
李祥飞
韩一冰
杨威
Li Xiangfei;Han Yibing;Yang Wei(School of Economics and Management,Tiangong University,Tianjin,300387,China;School Administration and Policy,Renmin University of China,Beijing,100872,China)
出处
《中国卫生经济》
北大核心
2024年第5期37-42,共6页
Chinese Health Economics
基金
国家社会科学基金项目(22BGL223)。
关键词
按病种分值付费
医保支付方式改革
政策协同
试点城市
Diagnosis-Intervention Packet(DIP)
medical insurance payment reform
policy synergy
pilot cities
