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1997-2023年我国全科医生政策量化分析

马心茹 周妍欣 燕梦雨 李菁 宋淑洁 孙梅

上海预防医学2025,Vol.37Issue(1):4-10,17,8.
上海预防医学2025,Vol.37Issue(1):4-10,17,8.DOI:10.19428/j.cnki.sjpm.2025.24650

1997-2023年我国全科医生政策量化分析

Quantitative research on general practitioner policies in China from 1997 to 2023

马心茹 1周妍欣 1燕梦雨 1李菁 1宋淑洁 1孙梅2

作者信息

  • 1. 复旦大学,公共卫生学院,上海 200032
  • 2. 复旦大学,公共卫生学院,上海 200032||复旦大学,国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海 200032||复旦大学,中国残疾问题研究中心,上海 200032
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摘要

Abstract

[Objective]To understand the development stages and use of policy tools of general practitioner policies in China since it was first proposed,to summarize the experience and explore the shortcomings,so as to provide references for the adjustment and optimization of China's general practitioner policies.[Methods]Content analysis and mathematical statistics analysis were used to conduct a quantitative research on 111 policy documents with 422 policy items involving general practitioners at the national level from 1997 to 2023,through a three-dimensional analysis framework integrating policy tools,human capital process and policy development stages.[Results]Capacity-building policy tools were most frequently used in general practitioner policies,and the policy tools gradually shifted from mandate to inducement.The general practitioner policies paid less attention to the career selection link,but paid full attention to every segment of human capital links,with a comprehensive application of policy tools observed in the integrated development stage,despite the existence of unbalanced internal distribution.[Conclusion]It is suggested to promote the use of incentive policy tools and to explore multiple approaches based on incentive theory;pay attention to the career selection link for guiding the employment of general practitioners;take the appropriateness between the policy tools and human capital process into comprehensive consideration,striking a dynamic balance of the internal structure of general practitioner policies.

关键词

全科医生/政策工具/政策变迁/人力资本/内容分析

Key words

general practitioner/policy tool/policy change/human capital/content analysis

分类

医药卫生

引用本文复制引用

马心茹,周妍欣,燕梦雨,李菁,宋淑洁,孙梅..1997-2023年我国全科医生政策量化分析[J].上海预防医学,2025,37(1):4-10,17,8.

基金项目

国家自然科学基金项目(71974035,72374045) (71974035,72374045)

教育部人文社科基金项目(19YJCZH143) (19YJCZH143)

上海市加强公共卫生体系建设三年行动计划(GWVI-10) (GWVI-10)

上海预防医学

1004-9231

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