| 摘要: |
| 目的：医疗服务价格关系着人民群众的切身利益，探究我国医疗服务价格的政策扩散特征，进一步推进医疗服务价格改革。方法：在政策扩散理论基础上，对我国 2000—2022 年 440 份国家和省级政策进行文本计量和内容分析，从时间、空间和内容 3个维度分析医疗服务价格政策的扩散情况，利用关键词时序分析法深入解释医疗服务价格政策的扩散模式和扩散机制。结果：在时间维度上，我国医疗服务价格政策扩散整体上遵从速度“慢—快—慢—快”交替的“阶梯型”轨迹；在空间维度上，我国各省级政府政策采纳积极性存在差异且政策扩散具有临近效应；在内容维度上，我国医疗服务价格政策重点涵盖制度规范、具体规定、外部环境 3个方面。结论：我国医疗服务价格在政策扩散模式上具有自上而下层级扩散的模式、同一层级部门和区域间平行扩散模式的特征。 |
| 关键词: 医疗服务价格 政策扩散 量化分析 政策文本 |
| DOI： |
| 投稿时间：2023-09-12 |
| 基金项目:国家自然科学基金项目 （72204251）：玉溪市医疗保障局委托项目 （2023K20133） |
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| Study on Policy Diffusion Characteristics of Medical Service Price in China |
| Li Lele,Gao Yixuan |
| (School of Labor and Human Resources, Renmin University of China, Beijing, 100872 , China) |
| Abstract: |
| Objective: The price of medical services is related to the vital interests of the people. It aims to explore the policy dif- fusion characteristics of medical service prices in China, and promote the reform of medical service prices. Methods: Based on the theory of policy diffusion, it conducts text measurement and content analysis on 440 central and provincial policies in China from 2000 to 2022. The diffusion of medical service price policies is analyzed from three dimensions: time, space, and content. Keyword temporal analysis was used to deeply explain the diffusion mode and mechanism of medical service price policies. Results: In terms of time dimension, the diffusion of medical service pricing policies in China generally follows a “ladder shaped” trajectory of “slow-fast-slow-fast alternation”in speed; in terms of spatial dimension, there are differences in the enthusiasm of policy adoption among provincial governments in China, and policy diffusion has a proximity effect; in terms of content dimension, China’s medical service pricing policy focuses on three aspects: institutional norms, specific regulations, and external environment. Conclusion: The price of medical services in China has the characteristics of a top-down hierarchical diffusion model in policy diffusion, as well as a parallel diffusion model between departments and regions at the same level. |
| Key words: medical service price the diffusion of policy quantitative analysis policy text |
