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      Health policies at provincial level for the Construction of Healthy China

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          Abstract

          Objective To discuss concerns, similarities and differences of provincial health policies for the implementation of 'Healthy China 2030' Plan and to provide considerations for future health policy development.

          Methods We searched 21 health policy documents issued by governmental agencies of provincial level regions from October 2016 to August 2018 and performed word frequency, cluster, and reference point analysis for the documents using NVivo 11.0 qualitative software.

          Results The cluster analysis for the 21 documents and 'Healthy China 2030' Plan resulted in the Pearson correlation coefficients of 0.73 – 0.97. The local governments concentrated their efforts mainly on the construction tasks of optimizing health services and building a healthy environment; totally 17, 14, and 10 indicators were proposed by the policy documents for assessing healthy environment, health service and support, and healthy living.

          Conclusion All provincial health policy documents are in line with the guiding principles of 'Healthy China 2030' Plan but emphasize concerns on various aspects; efforts on innovation and responsibility assignment should be promoted in health policy making at provincial level.

          Abstract

          【摘 要】 目的 地方政府制定的健康政策文本是落实《“健康中国 2030”规划纲要》(以下简称《纲要》)的主要载体,本研究主要探讨各地方政府在制定省域健康政策的关注点及异同点,为日后健康政策的制定提供一些思路。 方法 以 2016 年 10 月 — 2018 年 8 月收集的 21 篇省域健康政策文本为研究对象,借助 NVivo 11.0 质性软件词频分析、聚类分析、参考点等功能进行文本分析。 结果 通过聚类分析 21 份政策文本和《纲要》得出 Pearson 相关系数为 0.73~0.97;地方政府主要集中精力在“优化健康服务”与“建设健康环境”的建设任务上,在“健康环境、健康服务与保障、健康生活”领域分别新增 17、14、10 个指标。 结论 省域健康政策文本以《纲要》为指导且在不同领域各有侧重,虽立足实际但创新不足,层级清晰但权责不明。地方政府要制定具有针对性和可实践性的健康政策,为推进卫生事业发展贡献更多新思路、新模式。

          Author and article information

          Journal
          CPH
          Chinese Journal of Public Health
          Chinese Journal of Public Health (China )
          1001-0580
          01 September 2019
          21 July 2019
          : 35
          : 9
          : 1105-1109
          Affiliations
          [1] 1Institute of Health Research, Fujian Medical University, Fuzhou, Fujian Province 350122, China
          Author notes
          *Corresponding author: Li Yueping, E-mail: fmulyp@ 123456163.com
          Article
          zgggws1124696
          10.11847/zgggws1124696
          dcb298c9-a350-4bd1-b562-aba7b3d09465
          © 2019 China Public Health Editorial Department

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          History
          Categories
          Journal Article

          Medicine,Nutrition & Dietetics,Occupational & Environmental medicine,Health & Social care,Infectious disease & Microbiology,Public health
          Healthy China 2030,NVivo software,health policy

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