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专家账号密码找回目的 分析我国日间医疗政策体系的结构与特征，为我国日间医疗政策的编制与优化提供参考。方法 对我国2012—2023年颁布的日间医疗相关政策文件进行梳理，基于政策工具理论与结构⁃过程⁃结果（SPO）模型理论，构建基本政策工具类型（X维度）、SPO模型（Y维度）与政策文本清晰度（Z维度）三维分析框架，并对我国日间医疗政策文件进行分析。结果 X维度中，供给型、环境型、需求型政策工具的使用比例分别为19.2%、63.4%、17.4%；Y维度中，结构、过程、结果层面政策工具的使用比例分别为43.0%、35.5%、21.5%；Z维度中，政策工具表述清晰、相对清晰、模糊三个等级的政策工具使用比例分别为23.3%、35.5%、41.3%。结论 X维度内需求型政策工具使用不足，环境型政策工具应用较多；Y维度内结构层面需求型政策工具缺失，结果层面政策工具使用不足；Z维度内政策文本总体清晰度较为模糊。建议对三类基本政策工具框架进行科学配比，补充结果层面政策工具的使用，对政策具体细则及时进行补充，提高政策文本明确性。
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论著·调查与研究
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更新时间：2026-01-30
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基于“工具—SPO模型—效力”的我国日间医疗政策研究
Daytime medical policies research in China based on “instrument⁃SPO model⁃efficacy”
广西医学 页码：115-121
作者机构：吴彦龙，硕士，实习研究员，研究方向为公立医院改革、卫生政策等。
基金信息：广西壮族自治区卫生健康委员会自筹经费科研课题（Z⁃A20232064）
- 中文简介
- 英文简介
- 参考文献
Objective To analyze the structure and characteristics of China's daytime medical policy system, providing references for the formulation and optimization of daytime medical policies. Methods Relevant daytime medical policy documents issued in China from 2012 to 2023 were reviewed. Based on policy instrument theory and the structure⁃process⁃outcome (SPO) model theory, a three⁃dimensional analytical framework comprising basic policy instrument types (X⁃dimension), SPO model (Y⁃dimension), and policy text clarity (Z⁃dimension) was constructed to analyze China's daytime medical policy documents. Results In the X⁃dimension, the usage proportions of supply⁃side, environmental, and demand⁃side policy instruments were 19.2%, 63.4%, and 17.4%, respectively. In the Y⁃dimension, the usage proportions of policy instruments at the structure, process, and outcome levels were 43.0%, 35.5%, and 21.5%, respectively. In the Z⁃dimension, the usage proportions of policy instruments with clear, relatively clear, and vague text clarity were 23.3%, 35.5%, and 41.3%, respectively. Conclusion There is insufficient use of demand⁃side policy instruments within the X⁃dimension, while environmental policy instruments are applied more frequently. Within the Y⁃dimension, demand⁃side policy instruments at the structural level are lacking, and the use of outcome⁃level policy instruments is insufficient. The overall clarity of policy texts in the Z⁃dimension is relatively vague. It is recommended to scientifically balance the application of the three basic policy instrument categories, supplement the use of outcome⁃level policy instruments, promptly refine specific policy provisions, and enhance the clarity of policy texts.
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