基于胡德的分类,对紧密结合的县医疗社区的政策工具的应用进行分析
1College of Public Health, Chongqing Medical University, Chongqing, China.
Frontiers in public health
|March 21, 2025
概括
这项研究分析了在达祖区建立县医疗社区的政策工具. 建议包括增加特定工具的使用和改善政策协同作用,以改善医疗保健的可访问性.
科学领域:
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
- 卫生系统研究 卫生系统研究
背景情况:
- 县医疗社区对于公平获得医疗保健至关重要.
- 优化政策工具是有效发展社区卫生系统的关键.
- 重庆大祖区为分析政策实施提供了一个案例研究.
研究的目的:
- 分析政策工具的选择和应用,以构建紧密结合的县医疗社区.
- 在此背景下,提出针对优化政策工具的对策.
- 为类似的医疗保健系统发展提供教训.
主要方法:
- 利用胡德的分类来创建一个分析框架 (X和Y维度).
- 使用NVivo软件分析了2015-2023年的政策文件.
- 审查了不同建设阶段 (启动,试点,推广) 的政策工具.
主要成果:
- 基于组织 (35.2%) 和基于权威 (34.2%) 的工具是最常见的.
- 基于nodality (14.3%) 和基于宝藏 (16.4%) 的工具未得到充分利用.
- 在启动,试点和推广阶段,政策工具的使用增加了,但发现了不完整的评估系统和不足的协同作用等问题.
结论:
- 更多地利用以节点为基础和以宝藏为基础的政策工具.
- 完善政策评估指标系统,加强政策协同作用.
- 优化人才资源结构,以提高县医疗社区的政策可操作性和有效性.
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