我国健康村镇建设政策演变的文本分析与建议OA

Objective To analyze the policy documents on healthy villages and towns in China for the problems,evolution trends and status quo of the existing policy system to provide reference for optimizing the de-velopment policies of healthy villages and towns.Methods Based on the Text mining technology of ROST CM6 software and the theory of policy tools,we used content analysis to conduct a statistical analysis of policy docu-ments with 54 relevant policies of healthy villages and towns issued at the national and provincial(autonomous re-gions and municipalities directly under the Central Government)levels since 2012.Results In terms of policy ef-fectiveness,policy documents included four administrative regulations(7.41％),four departmental regulations(7.41％),two party regulations and systems(3.7％),17 local normative documents(31.48％),and 27 local working documents(50％),with no laws,local regulations or local government regulations involved.The content of policy documents mainly covered the development areas,contents,mechanisms and subjects of healthy villages and towns,with gradual evolution in the content subjects,number of publications and form of policies.Among pol-icy tools,environmental policy tools were used most frequently,accounting for 60.70％of all the policy tools,fol-lowed by supply-based policy tools(31.38％)and demand-based policy tools(7.92％).Conclusions China's healthy villages and towns system has been constantly improved,from a local government's responsibility to multi-lateral participation,from loose-expansive management to refined and prevision development.However,building healthy villages and towns still faces many challenges,including a limited number of policy guidelines from the governments,insufficient promulgation of core policies and operational policies,poor policy authority,low policy uptake implementation,and uneven use of policy tools.Therefore,recommendations for improving the policy sys-tem of healthy villages and towns in China include strengthening the coordination of multiple stakeholders and opti-mizing the structure of policy tools to build a new model for the development of healthy villages and towns and em-power the comprehensive and in-depth implementation of the Healthy China Initiative.