江汉学术 ›› 2024, Vol. 43 ›› Issue (2): 58-68.doi: 10.16388/j.cnki.cn42-1843/c.2024.02.006

• 社会学 • 上一篇    

地方政府医养结合政策网络结构特征与优化——基于2014—2022年省级政府政策文本

李文军,许馨予   

  1. 广西师范大学 政治与公共管理学院,广西 桂林 541004
  • 收稿日期:2023-07-01 出版日期:2024-04-15 发布日期:2024-04-01
  • 作者简介:李文军,男,广西桂林人,广西师范大学政治与公共管理学院副教授,博士,E-mail:0400510217@163.com;许馨予,女,四川成都人,广西师范大学政治与公共管理学院硕士生,E-mail:2149568962@qq.com。
  • 基金资助:
    国家社科基金西部项目“西南民族地区县级政府社会治理能力困境与提升机制研究”(18XZZ06);广西地方法治与地方治理研究中心研究课题“ 乡村振兴战略背景下广西农村高龄老人养老难题与优化路径研究” (GXFZY202102)

Structural Characteristic and Optimization of Chinese Local Governments’Policy Networks for Combining Medical and Elderly Cares:Based on Provincial Government Policy Texts from 2014 to 2022

LI Wenjun,XU Xinyu   

  1. School of Politics and Public Administration,Guangxi Normal University,Guilin Guangxi 541004
  • Received:2023-07-01 Online:2024-04-15 Published:2024-04-01

摘要: 推进医养结合是优化老年健康和养老服务供给的重要举措,是积极应对人口老龄化,增强老年人获得感和满意度的重要途径。通过Ucinet6.0软件构建二模网络和一模网络,对各地区进行整体网络分析以及政策工具的个体中心网络分析,以探索不同阶段地方政府医养结合政策所形成的区域性整体政策网络结构和特征以及不同阶段政策工具使用网络和特征。研究结果表明:我国省级政府医养结合政策呈现以强制性工具为主,混合型工具为辅,自愿性工具不断弱化;省级政府间联系逐年下降;政策网络中心不唯一,网络权力地位不唯一;部分省级医养结合政策后期调整和创新力度不足;“家庭与社区”占据不同阶段的网络中心位置;政策工具的网络权力地位呈现阶段性特征。因此,为了优化我国医养结合政策,可以增加自愿性政策工具的使用,提高政策工具使用均衡程度;以政策促合作,形成区域间医养资源联动;加强地方医养结合的长期性政策体系建设。

关键词: 医养结合, 养老政策, 政策工具, 政策网络

Abstract: Promoting the combination of medical and elderly care is an important measure to optimize the supply of elderly health and elderly care services in China. It is also an important way to actively respond to the aging of population and bolster the sense of gain and satisfaction of the aged people. The Ucinet6.0software is used to build a two-mode network and a one-mode network. A whole network analysis is done for every region of China and an ego-centered network analysis is done for their policy tools;the purpose is to explore the structure and characteristic of regional overall policy network combining medical and nursing policies formed by the local governments at different stages,as well as the network and characteristic oftheir use of policy tools at different stages. The results show that in the provincial governments’policies on the combination of medical and elderly care, mandatory tools are dominant and mixed tools are supplementary,while the function of voluntary tools is gradually weakened;inter-provincial government links are declining year by year;the policy network center is not unique,and the network power position is not unique;the late adjustment and innovation of policies combining medical and elderly cares are insufficient in some provinces;“family and community”occupy the central position of network in different stages;and the network power status of policy instruments presents phased characteristics. Therefore,in order to optimize the combination of medical and elderly-care policies in China,the use of voluntary policy tools can be increased and the use of policy tools can be better balanced;inter-regionally,policies can be formed for cooperation and the linkage of medical and nursing resources;and the construction of a longterm policy system should be strengthened to integrate local medical and nursing cares.

Key words: combination of medical and elderly cares, elderly-care policy, policy tool, policy network

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