Zhang Huiqin, Zhu Liping, Zeng Chen, Chen Xudong
College of Management Science, Chengdu University of Technology, Chengdu, China.
Front Public Health. 2021 Jan 8;8:509842. doi: 10.3389/fpubh.2020.509842. eCollection 2020.
Medical service policy plays a prominent role in the development of a "Healthy China." This paper constructs a three-dimensional framework for text mining of medical service policy using the elements of policy instruments, policy strength, and types of medical service activity. Taking Sichuan Province as an example, 221 medical service policy documents, issued by the government and related departments, are selected as the research sample; the policy instruments, policy strength, and medical service activity types are analyzed using ROST and Nvivo 11.0 software. It is concluded that the government needs to optimize the structure of policy instruments, to appropriately reduce the use of environmental policy instruments in particular, while increasing the use of demand-based policy instruments. It is necessary to strengthen the interaction between the various sub-policy instruments, and to increase the use of financial services, fiscal taxes, overseas communications, and strategic measures. An increase in the implementation of government policy assists the acceleration of the policy landing, the further improvement of the supervision system, and the safeguard mechanism of the three medicine policy linkage, which can improve the sustainability of the medical service policy, and further resolve the difficulty and expense of seeing a doctor.
医疗服务政策在“健康中国”建设中发挥着重要作用。本文运用政策工具、政策力度和医疗服务活动类型等要素，构建了医疗服务政策文本挖掘的三维框架。以四川省为例，选取政府及相关部门发布的221份医疗服务政策文件作为研究样本，运用ROST和Nvivo 11.0软件对政策工具、政策力度和医疗服务活动类型进行分析。研究得出，政府需优化政策工具结构，尤其适当减少环境政策工具的使用，同时增加需求型政策工具的使用。要加强各类子政策工具之间的互动，增加金融服务、财政税收、对外交流和战略举措的运用。加大政府政策执行力度有助于加快政策落地、进一步完善监管体系以及三医联动保障机制，从而提高医疗服务政策的可持续性，进一步解决看病难、看病贵问题。
