Policy Anlysis
Policy analysis on the function orientation and development of infectious disease hospitals in China
Meng Yueli, Wang Kun, Du Haiping, Li Yanmei, Mao Ayan, Li Guanglin, Qiu Wuqi
Published 2023-12-02
Cite as Chin J Hosp Admin, 2023, 39(12): 906-911. DOI: 10.3760/cma.j.cn111325-20230613-00470
Abstract
ObjectiveTo analyze the policy tools designed for function orientation and development of China′s infectious disease hospitals, in order to provide references for formulating and optimizing the functional implementation and sustainable development policies of these hospitals.
MethodsConsulting the website of Peking University Law and official websites on health, and using such keywords as " medical institutions, infectious diseases, hospitals for infectious diseases, public health emergencies, specialized hospitals", and searching the national policy texts on the functions and development of infectious disease hospitals issued from December 1991 to January 2023. By means of Rothwell and Zegveld′s policy tool classification method, Nvivo 11 Pro software was used to analyze the text content from the dimensions of demand-type, supply-type, and environmental-type policy tools.
ResultsA total of 41 policy texts were included and 204 codes were obtained through text analysis. Of all the tools, environmental and supply-oriented policy tools were used the most, being 104 (50.99%) and 95 (46.56%) respectively, while demand-oriented policy tools were used the least, only 5 (2.45%). Of all the environmental-oriented policy tools, " goal planning" was the most used, being 34 (16.67%), while " publicity and guidance" was less used, only 4 (1.96%). Among the supply-oriented policy tools, " clarifying the reporting and handling service functions of public health emergencies" was the most widely used, being 34 (16.67%), while " Informationization" and " infrastructure construction" was less used, being 8 (3.92%) and 6 (2.94%) respectively. Few of the demand-oriented policy tools were in use, as " government purchase" and " medical insurance support" were both 2 (0.98% each), and " social medical care" was only 1 (0.49%).
ConclusionsThe distribution of three types of policy tools for function and development of infectious disease hospitals is unbalanced, the use of environmental and supply-oriented policy tools is excessive and internal structure is unbalanced. The proportion of environmental-oriented policy tools needs to be adjusted, and the frequency of use of supporting tools such as relevant standards, norms, incentives, supervision and publicity should be increased. Supply-oriented policies need to be further optimized, especially in terms of personnel training, funding, information technology and infrastructure construction. Demand-oriented policy tools are seriously underused and need to be further developed.
Key words:
Infectious disease hospitals; Function orientation and development; Policy tools; Policy analysis
Contributor Information
Meng Yueli
Institute of Medical Information, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100020, China
Wang Kun
Institute of Medical Information, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100020, China
Du Haiping
Institute of Medical Information, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100020, China
Li Yanmei
Institute of Medical Information, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100020, China
Mao Ayan
Institute of Medical Information, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100020, China
Li Guanglin
Chinese Preventive Medicine Association, Beijing 100062, China
Qiu Wuqi
Institute of Medical Information, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100020, China
