摘要
目的 系统梳理我国医院围手术期管理政策特征。方法 运用政策文本内容分析法,构建政策效力模型对我国围手术期管理相关政策进行量化分析。结果 我国现有的44条围手术期管理相关政策各年政策发布数量较不均衡,类别以通知和技术规范为主,政策工具以需求面政策为主,供给面和环境面政策缺乏。全部政策的政策力度、详细程度和协同度分别为1.31±0.47、1.22±0.33和1.92±1.17。2005—2020年,各年政策总效力、平均效力和协同度差别较大,最高值分别出现在2012年、2008年和2008年。政策主要涉及医疗、药事、护理和质量控制,对其他方面涉及较少。结论 我国围手术期管理相关政策的类型较为单一,各政策工具之间的协调性、政策效力和在围手术期各环节分布的均衡性有待提高。
Objective To systematically analyze the policy characteristics of hospital perioperative management in China.Methods Using policy text content analysis method and policy effectiveness model,which quantified the policies related to perioperative management in China.Results There were 44 policies related to perioperative management in China.The number of policy releases in each year was unbalanced with notifications and technical specifications as the main categories.The policy tools was mainly demand-oriented policies.There was a lack of supply-oriented and environmental-oriented policies.The policy degree of intensity,detail and coordination of all policies were 1.31±0.47,1.22±0.33 and 1.92±1.17.From 2005 to 2020,the total intensity,average intensity and coordination of policies in each year were significantly different with the highest values appearing in 2012,2008 and 2008 respectively.The policy mainly involved the medical treatment,pharmacy,nursing and quality control but less involved in other aspects.Conclusion The policy types of perioperative management-related policies in China were relatively single.The coordination,policy effectiveness and distribution balance of various policy tools needed to be improved.
作者
赵娜
张艳丽
Zhao Na;Zhang Yanli(National Institute of Hospital Administration,Beijing,100044,China;不详)
出处
《中国医院管理》
北大核心
2022年第5期21-26,共6页
Chinese Hospital Management
基金
国家重点研发计划(2018YFC0114506)
国家卫生健康委员会医政医管局委托项目。
关键词
围手术期
政策文本
政策工具
perioperative period
policy text
policy tools
