健康发展与政策研究2025，Vol.28Issue(6)：724-730,7.DOI:10.12458/HDPR.202504068
我国基本公共卫生服务均等化政策文本量化研究:基于"政策工具-社会公平-政策客体"三维框架分析
A quantitative study on the text of equalization policy of basic public health services in China:based on the three-dimensional framework analysis of"Policy Instruments-Social Equity-Policy Targets"
摘要
Abstract
Objective The research aims to analyze the application of policy instruments in the current equalization policy of basic public health services in China and the equity dimensions they contain,aiming to provide reference for the formulation and optimization of related policies.Methods Based on quantitative analysis of policy texts,Nvivo 15 was used to code and process the basic public health service equalization policy documents.According to the connotations of the indicators,the coded items were incorporated into a three-dimensional framework of"Policy Instruments-Social Equity-Policy Targets".The high-frequency words and weighted percentage in the policy texts were statistically analyzed to examine the frequency and characteristics of policy instrument usage,followed by a multidimensional cross-analysis.Results A total of 123 policy documents were included.In the word frequency statistics,words with a weighted percentage greater than 1%included"work","management","service","healthcare","health",and"system".Multi-dimensional cross-analysis showed that demand-side policy tools accounted for 16%,while environmental policy instruments accounted for 51.62%.Regarding the equity concepts embodied in the policies,equity of opportunity was the most common,reaching 61.43%,whereas perceived equity was relatively low at only 4.61%.The main targets of the policy instruments were the government and medical institutions,accounting for 45.47%and 26.2%,respectively,while medical personnel and social capital accounted for only 17.74%and 10.59%.Conclusions There are imbalances in the application of existing basic public health service policy instruments,which lean towards environmental policy instruments.The concept of equity within these policies mainly focuses on equity of opportunity on the supply side,with less consideration for residents'perceptions.The government needs to dynamically balance the frequency of policy instrument usage,coordinate adjustments to the equity concepts,and strengthen the public's perceived equity.关键词
基本公共卫生服务/均等化/政策文本/量化分析Key words
basic public health services/equalization/policy text/quantitative analysis分类
医药卫生引用本文复制引用
刘伦昊,程靖逸,李金海,许兴龙,詹祥..我国基本公共卫生服务均等化政策文本量化研究:基于"政策工具-社会公平-政策客体"三维框架分析[J].健康发展与政策研究,2025,28(6):724-730,7.基金项目
国家自然科学基金项目(72204121,72274081) （72204121,72274081）
江苏省高校自然科学研究项目(23KJD520012) （23KJD520012）
江苏高校哲学社会科学研究一般项目(2022SJYB0304) （2022SJYB0304）
大学生创新创业训练计划项目(202410312130Y) （202410312130Y）
