政策工具视角下医养结合政策调适与发展研究——基于2013~2022年山东省政策文本分析

Research on Policy Adaptation and Development of Health Care Integration from the Perspective of Policy Instruments—Based on the Analysis of Policy Texts in Shandong Province from 2013 to 2022

摘要: 本研究基于政策工具视角，运用Nvivo12 plus软件和政策文本内容分析法，选取2013~2022年山东省级政策制定主体颁布的有关医养结合方面的各项规章制度和文件为研究对象，构建政策工具类型和医养结合运行模式二维分析框架，对筛选出的20份政策文本进行分析。分析结果显示，山东省在发展医养结合的过程中，存在政策工具使用结构不协调、政府对各运行模式关注度存在差异以及各模式政策工具配置不合理等问题。因此在未来的政策制定中，应优化政策工具使用结构、促进各运行模式均衡发展、加强政策工具协同使用，从而促进医养结合高质量发展。

Abstract: Based on the perspective of policy instruments, this study used Nvivo12 plus software and poli-cy text content analysis method to select various regulations and documents related to health care integration issued by provincial policy-making bodies in Shandong Province from 2013 to 2022 as the research objects, construct a two-dimensional analysis framework of policy instrument types and health care integration operation modes, and analyze the screened. The analysis was conducted on the 20 selected policy texts. The results of the analysis showed that in the process of developing the integration of health care in Shandong Province, there are problems such as uncoordinated structure of policy tools, differences in the government’s attention to each mode of operation and unreasonable configuration of policy tools in each mode. Therefore, in the future policy formulation, the structure of policy tools should be optimized, the balanced development of each operation model should be promoted, and the synergistic use of policy tools should be strengthened, so as to promote the high-quality development of medical and health care integration.