Yuan S S, Wang F, Qiu W Q
Institute of Medical Information and Library, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100020, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Oct 6;55(10):1181-1185. doi: 10.3760/cma.j.cn112150-20201116-01371.
To analyze the related polities about disease control and prevention system in China from 2000 to 2020, and to provide implication for the policy formulation of disease control and prevention system in the future. Policy documents were searched in the official websites of relevant government departments including the State Council, National Health Commission, National Development and Reform Commission, Ministry of Human Resources and Social Security, and Ministry of Finance by using the keywords related to disease control and prevention from 2000 to 2020. Thematic framework and content analysis were performed to analyze the eligible policy documents based on the theory of policy instruments. A total of 37 policy documents were included in this study. The application of single policy instrument was common (81.1%), of which the capacity building instrument was the most frequently used (32.4%), followed by mandate instrument (21.6%) and inducement instrument (13.5%), while system-changing instrument (8.1%) and symbolic and hortatory instrument were less used (5.4%). The main policy themes were personnel system (15.2%) and system construction (15.2%), followed by personnel development (13.0%) and information construction (2.2%). In the policy formulation process, the government should strengthen the comprehensive application of multiple policy instruments. Particularly about the inducement instrument and symbolic and hortatory instrument to further stimulate the internal motivation of disease control and prevention system and institutions in China.
分析2000年至2020年中国疾病预防控制体系相关政策，为未来疾病预防控制体系政策制定提供启示。通过使用2000年至2020年与疾病防控相关的关键词，在国务院、国家卫生健康委员会、国家发展和改革委员会、人力资源和社会保障部、财政部等相关政府部门的官方网站上检索政策文件。基于政策工具理论，采用主题框架和内容分析法对符合条件的政策文件进行分析。本研究共纳入37份政策文件。单一政策工具的应用较为常见（81.1%），其中能力建设工具使用最为频繁（32.4%），其次是强制工具（21.6%）和诱导工具（13.5%），而制度变革工具（8.1%）以及象征与劝诫工具使用较少（5.4%）。主要政策主题为人事制度（15.2%）和体系建设（15.2%），其次是人员发展（13.0%）和信息化建设（2.2%）。在政策制定过程中，政府应加强多种政策工具的综合应用。特别是诱导工具以及象征与劝诫工具，以进一步激发中国疾病预防控制体系及机构的内在动力。
