情报科学 ›› 2024, Vol. 42 ›› Issue (5): 1-10.

• 专论 •    下一篇

我国医疗健康政府注意力的演变研究
——基于改革开放以来国务院政府工作报告的内容分析

  

  • 出版日期:2024-05-05 发布日期:2024-07-26

  • Online:2024-05-05 Published:2024-07-26

摘要:

【目的/意义】医疗健康是人民群众的基本需求,面对繁多的治理目标以及疫情的冲击,探讨政府如何分配
其有限注意力具有重要意义。【方法/过程】本研究从政府注意力视角出发,以1978-2023年间我国国务院政府工作
报告为研究对象,运用扎根理论形成了符合中国国情的医疗健康公共政策议题编码本,并以此为基础,结合内容分
析法,梳理了我国医疗健康政府注意力在强度、指向及特征三个维度上的演变情况。【结果/结论】研究发现,改革开
放以来,我国医疗健康政府注意力强度经历了“剧烈震荡-波动起伏-高度重视-调整攀升”四个阶段,在指向上
存在着针对不同议题的不均衡分配现象,稳定性相对较高,多样性逐渐丰富。此外,突发公共卫生事件的暴发将显
著提高医疗健康政府注意力的强度与聚焦程度。【创新/局限】本研究拓展了当前医疗政策研究的理论基础、事实依
据及方法范畴,具有一定创新性。同时提出合理分配医疗健康政府注意力的相关建议,对进一步完善我国医疗健
康政策体系有一定启发。

Abstract:

【Purpose/significance】 Healthcare is one of the most fundamental needs of the whole people and an integral part of the
socio-economic development of a country. Due to the fact that there are numerous tasks and unexpected emergency events such as
COVID-19, the overall attention that the government can possess at a time is always limited, thus making how the government allo⁃
cates such limited attention become popularly discussed.【Method/process】 Based on the reports on the work of the government pub⁃
lished during 1978 to 2023, this paper localized a healthcare policy agenda codebook that fits well into China's condition through the
grounded theory, and analyzed the evolution of Chinese government's attention on healthcare using content analysis according to such
codebook.【Result/conclusion】 It was found that the intensity of Chinese government's attention on healthcare went through four devel⁃
oping phases - violently shaking, fluctuating, prioritizing, and climbing. The allocation of the attention regarding various healthcare
policies was quite uneven. The stability of Chinese government's attention on healthcare was found to be relatively high while the di⁃
versity also kept increasing. In addition, this research identified that the outbreak of public health emergencies could significantly
raise the intensity as well as the focus of the government's attention on healthcare.【Innovation/limitation】 This study innovatively ex⁃
panded the theoretical foundation, factual basis and methodological scope of current researches on healthcare policy analysis, and pro⁃
posed several suggestions for further development of Chinese healthcare policy system.