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基于政策工具的安徽省医疗器械政策文本分析OACSTPCD

Analysis of medical device policy text in Anhui province based on policy tools

中文摘要英文摘要

目的:梳理安徽省医疗器械相关政策,分析各政策文本内容分布情况,为后期政策优化提供参考.方法:通过安徽省人民政府及安徽省药品监督管理局等官方网站,以"医疗器械""医疗器械企业""医用耗材"等为关键词,检索2011年1月至2022年12月发布的医疗器械相关政策文件,运用内容分析法对检索到的21份医疗器械相关政策文件按照"政策编号-章节序号-单元序号-句子序号"进行编码,构建"基本政策工具-涉及主体维度"二维分析框架,从政策工具和涉及主体两个维度对医疗器械政策文本进行量化分析.结果:在21份医疗器械相关政策文件中共计编码338条,其中供给型政策工具107条(占31.66%),需求型政策工具40条(占11.83%),环境型政策工具191条(占56.51%);338条编码涉及主体包括政府部门202条(占59.76%)、经营企业62条(占18.34%)、生产企业59条(占17.46%)、医疗机构9条(占2.66%)和行业协会6条(占1.78%).结论:安徽省医疗器械政策以环境型政策工具为主,需求型政策工具使用较少,政策工具内部条目与各参与主体的分布合理性有待提高,各主体与政策工具的交互性存在一定差异,应加强政策工具使用均衡性,提高多方主体参与度,优化主体与政策工具间的协同性.

Objective:To sort out medical device related policies in Anhui Province,to analyze the distribution of content in each policy text to provide reference for policy optimization in the later stage.Methods:The official websites of the People's Government of Anhui Province and the Anhui Provincial Drug Administration were searched by using the keywords of"medical devices","medical device enterprises",and"medical consumables"to search for medical device related policy documents released from January 2011 to December 2022.The 21 medical device-related policy documents retrieved shall be coded using the content analysis method in the sequence of"policy code-chapter number-unit number-sentence number".A two-dimensional analytical framework of"Basic Policy Instruments-Involved Subjects"was constructed to quantitatively analyze the medical device policy text from the two dimensions of policy instruments-involved subjects.Results:A total of 338 items were codes,including 107 supply-based policy tools(accounting for 31.66%),40 demand-based policy tools(accounting for 11.83%),and 191 environmental policy tools(accounting for 56.51%).The 338 codes involved entities including 202 government departments(accounting for 59.76%),62 operating enterprises(accounting for 18.34%),59 production enterprises(accounting for 17.46%),9 medical institutions(accounting for 2.66%),and 6 industry associations(accounting for 1.78%).Conclusion:The medical device policy in Anhui Province is mainly based on environmental policy tools,and demand-based policy tools are rarely used.The rationality of the distribution of internal items and participating entities in policy tools needs to be improved.There are certain differences in the interaction between each entity and policy tools.Therefore,it is necessary to strengthen the balance of policy tool use,increase the participation of multiple entities,and optimize the synergy between entities and policy tools.

顾维波;王汉文;汪卓赟;张晓丽;王英

安徽医科大学卫生管理学院 合肥 230032||安徽医科大学第二附属医院招标采购管理办公室 合肥 230601安徽医科大学卫生管理学院 合肥 230032

预防医学

政策工具医疗器械医疗器械政策医疗器械企业

Policy toolsMedical deviceMedical device policyMedical device enterprises

《中国医学装备》 2024 (001)

166-171 / 6

安徽省科技厅基金资助(202206f01050045) Funded by the Anhui Provincial Department of Science and Technology(202206f01050045)

10.3969/j.issn.1672-8270.2024.01.033

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