2009—2020年国家基本药物制度政策文本研究

目的:从政策工具视角分析我国基本药物制度政策体系的特点与结构,为国家基本药物制度后续政策的优化调整提供参考.方法:对我国2009—2020年中央政府层面发布的与基本药物制度密切相关的政策文件进行梳理,基于政策工具视角,采用内容分析法,从基本政策工具(X维度)与政策发展过程(Y维度)对我国颁布的基本药物制度相关政策文件进...

Research on the policy texts of national essential medicine system from 2009 to 2020

Objective:Analyze the characteristics and structure of China''s national essential medicine system from the perspective of policy tools, so as to provide reference for the optimization and adjustment of the follow-up policies of the national essential medicine system. Methods:This paper sorted out the policy documents that are closely related to the essential medicine system issued by the central government from 2009 to 2020. Based on the policy tools, the content analysis was used to analyze the policy documents related to the essential medicine system from the basic policy tools (X dimension) and policy development process (Y dimension). Results:In the X dimension, the usage frequency of policy tools, namely demand-based, supply-based and environment-based, is 12.63%,16.16% and 71.21% respectively. In the Y dimension, the usage frequency of tools of policy planning, policy implementation, policy supervision and policy evaluation is 29.29%, 46.46%, 17.68% and 6.57% respectively. Discussion:In the dimension of basic policy tools, demand-based policy tools are underused, while environment-based policy tools are frequently used. The internal structure of policy tools needs to be further optimized. In the dimension of policy development process, attention is paid to the policy planning and policy implementation, yet the policy supervision and policy evaluation are ignored. Suggestion:Further policy design needs strengthening the application of demand-based policy tools while reducing the use frequency of the environment-based policy tools. The internal structure of policy tools needs to be further optimized. More attention should be paid to the implementation of policy tools in policy supervision and policy evaluation and coordination of the application of policy tools in the process of policy development.