摘要
目的 分析我国省级层面县域医共体政策文本中的政策注意力分布,为提升县域医共体的治理效能与服务能力提供参考。方法 基于政策工具理论,运用NVivo 11软件对全国各省(区、市)县域医共体政策文本进行编码与量化分析。结果 政策工具结构失衡,环境型、供给型、需求型工具占比分别为42.2%、36.4%、21.2%,其中组织管理和人力资源支持关注度最高,而创新环境优化和完善绩效考核显著不足;试点地区通过资源整合与制度创新取得成效,发展趋势整体向好。结论 优化政策注意力配置是提升县域医共体建设效能的关键,建议增强政策工具的系统协同性、强化需求型工具的应用,并依据区域异质性制定差异化政策。
Objective Analyzing the distribution of policy attention in policy documents concerning county-level medical community at the provincial level in China,provides insights for enhancing the governance effectiveness and service capacity of these consortiums.Methods Guided by policy instrument theory,it conducted coding and quantitative analysis of county-level medical community policy documents from all provinces(autonomous regions and municipalities)in China using NVivo 11 software.Results The policy instrument structure showed imbalance:environmental,supply-side,and demand-side instruments accounted for 42.2%,36.4%,and 21.2%respectively.Organizational management and human resource support received the highest attention,while innovation environment optimization and performance evaluation mechanisms were significantly inadequate.Pilot regions achieved progress through resource integration and institutional innovation,the overall development trend is positive.Conclusion Optimizing policy attention allocation is key to enhancing county-level medical community effectiveness.Recommendations include strengthening systemic synergy among policy instruments,increasing application of demand-side tools,and formulating differentiated policies based on regional heterogeneity to improve governance capacity and service delivery.
作者
赵明锴
任淑雅
宋元明
Zhao Mingkai;Ren Shuya;Song Yuanming(Henan Medical University,Xinxiang,Henan,453000,China;不详)
出处
《中国医院管理》
北大核心
2025年第12期22-26,共5页
Chinese Hospital Management
基金
河南省科技厅软科学项目(252400410464)
河南省高等教育教学改革研究与实践立项项目(2024SJGLX1083)
新乡市软科学研究计划项目(RKX2024004)
河南省中原文化青年拔尖人才项目。
关键词
县域医共体
政策注意力
政策文本
区域差异
治理逻辑
county-level medical community
policy attention
policy texts
regional disparities
governance logic
