Text quantitative analysis on China’s medical and prevention coordination policy: A three-dimensional framework based on policy tools, coordination levels and coordination mechanisms

Corresponding author: SUN Qiang, qiangs@sdu.edu.cn

DOI: 10.12201/bmr.202209.00007

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  Abstract: Objective: The paper analyzed the focus and deficiency of China’s medical and prevention coordination policies, so as to provide reference for optimizing medical and prevention coordination policy. Methods: A three-dimensional framework of basic policy tools, coordination levels and coordination mechanisms was constructed. Searching the relevant policy texts of medical and prevention coordination at the national level from 2009 to 2021, and multi-dimensional classification analysis the retrieved policy texts by using content analysis methods and policy documents quantitative analysis methods. Results: Among the 20 policies, supply, environment and demand policy tools accounted for 58.62%、33.33% and 8.05%, respectively. The service coordination items were the most (51.43%), followed by professional coordination (27.14%) and system coordination (21.43%). The division of labor and cooperation mechanism accounted for the highest proportion (55.68%), and there was no medical insurance financing payment mechanism involved in policies. Conclusion: Lack of top-level design, imbalanced application of policy tools, unreasonable coordination levels and imperfect coordination mechanisms. It was necessary to accelerate the top-level design of medical and prevention coordination policies, optimize the use structure of policy tools, improve multi-level medical and prevention coordination policies, and accelerate the improvement of diversified medical and prevention coordination mechanisms.

  Key words: Medical and prevention coordination; Text quantitative analysis; Policy tools; Coordination levels; Coordination mechanisms

  Submit time: 2 September 2022

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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