通讯作者: 王静宇, daniela@pku.edu.cn

DOI：10.12201/bmr.202505.00017

Study on the Co-evolution of Chinas Health Workforce Policies and the Objectives of the New Healthcare Reform: Based on Cross-referencing and Content Analysis of 196 Policy Documents

• 摘要：目的：分析新医改以来我国卫生人力政策的演化规律，揭示卫生人力政策与医改目标的配合情况。方法：以新医改以来国家层面的卫生人力政策为研究对象，分析政策之间的交叉引用情况，并对政策文本进行演绎编码和内容分析。结果：共纳入196份与卫生人力相关的政策。卫生人力政策演化概括为两种模式：一是从新医改的总体要求出发，注重与新医改整体方向和目标的衔接；二是基于卫生人力领域政策自身的优化和发展，注重政策的连续性和渐进性。教育培训、绩效激励和人力资源流动是卫生人力政策最重视的三个维度，其发展与健全基层运行新机制、推进公立医院改革、建立分级诊疗制度等医改目标密切配合。结论：本研究梳理了新医改以来我国卫生人力政策的演化路径，政策演化与新医改目标紧密协同，为卫生人才队伍建设提供了制度支撑。但政策协同问题仍制约执行效能，未来需强化政策配套衔接与动态调整机制，实现卫生人力资源的高质量发展。

  关键词： 卫生人力政策；内容分析；政策演化; ; 

   

  Abstract: Objective: To analyze the evolutionary patterns of Chinas health workforce policies following China’s healthcare system reform and assess their alignment with reform objectives. Methods: This study examined health workforce-related policies implemented during Chinas healthcare system reform. Cross-referencing analysis and content evaluation were conducted within Health Worker-Centered Framework. Results: A total of 196 policies were analyzed, revealing two evolution patterns: (1) alignment with systemic reform goals, ensuring integration with broader healthcare transformation; (2) incremental optimization within the health workforce domain, emphasizing continuity and phased development. Thematic priorities included education/training, performance incentives, and human resource mobility, which closely coordinate with key reform targets such as strengthening primary care, reforming public hospitals, and establishing hierarchical diagnosis and treatment system. Conclusion: This study maps the evolution of Chinas health workforce policies since the healthcare system reform, revealing their dynamic alignment with reform goals. Policy evolution closely synergizes with reform objectives, providing institutional support for health talent development. However, fragmented policy coordination hinders implementation effectiveness. Future efforts should strengthen policy integration and dynamic adjustment mechanisms to achieve high-quality development of health human resources.

  Key words: Health workforce policies; Content Analysis; Policy Evolution

  提交时间：2025-05-19

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-04-04	bmr.202505.00017V1	下载

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