政策工具视角下的我国公立医院薪酬政策文本分析

Abstract: Objective: To make a quantitative analysis of the policy tools which is related to the public hospital compensation policy text to reveal the characteristics of different stages in the policy and the use of the policy tools. Methods: Content analysis was performed to construct a two-dimensional framework of “tools(X-dimension)-phases(Y-dimension)”. Based on the statistics of frequency in every dimension, this paper analyzes the use of public hospital compensation policy tools. Results: From the Y-dimension, the use of public hospital compensation policy tools in different stages shows the characteristics of differentiation and diversification to meet the actual needs of health-care reform and medical industry itself. However, according to the X-dimension, there is uneven development rate and poor combination structure of public hospital compensation policy tools. And partial policy sub-tools are seriously missing, and failed to complement each other. On this basis, policy suggestions are put forward: the combination of multiple policy tools should be optimized to form a policy synergy; innovative demand-based policy tools instruments should be used to expand the policy pull; the shortcomings of supply-based policy tools should be made up to strengthen the policy thrust.