Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (9): 47-56.doi: 10.6040/j.issn.1671-7554.0.2025.0113

• Special Issue on “Big DataEnabled, AI Foundation ModelDriven Multimodal Cohort Design and Analysis” • Previous Articles    

Quantitative analysis of Chinas public hospital salary policy texts based on the two-dimensional framework of policy tools and stakeholders

LI Xinyao1, LI Min2, CHAO Jianqian1, JIN Shengxuan1, CHEN Jianli1, HAO Zeming1   

  1. 1. School of Public Health, Southeast University, Nanjing 210009, Jiangsu, China;
    2. Weifang Municipal Health Development Service Center, Weifang 261044, Shandong, China
  • Published:2025-09-08

Abstract: Objective To provide basis and reference for policy optimization by analyzing the text of compensation policy of public hospitals in China and exploring the distribution characteristics of policy tools and stakeholder dimensions. Methods Using the content analysis, the two-dimensional analysis framework of "policy tools-stakeholders" was constructed to conduct a coding analysis of the salary policies of public hospitals at the national level from 2015 to 2024. Results A total of 49 policy texts was included. A total of 258 policy text codes were extracted for the policy tool dimension, of which command and regulation type tools were used the most with 59.30%(153/258); followed by information and horticulture type tools with 18.22%(47/258); and capacity building type tools were used the least with 6.20%(16/258). A total of 261 policy text codes were extracted for the stakeholder dimension, with the highest percentage of government-related departments at 70.11%(183/261); followed by hospitals at 12.64%(33/261); and patients and social health insurance organizations at the lowest percentage, both at 1.53%(4/261). Conclusion The current remuneration policy of public hospitals needs improvement. It is recommended to optimize the proportion of the use of policy tools and to build a mechanism of synergistic participation by multiple subjects.

Key words: Public hospitals, Salary system, Policy tools, Stakeholders, Content analysis

CLC Number: 

  • R-012
[1] 张潘, 陶红兵, 孙杨. 我国公立医院医生薪酬制度改革的逻辑分析: 以福建省三明市为例[J]. 中国卫生政策研究, 2017, 10(6): 33-37. ZHANG Pan, TAO Hongbing, SUN Yang. A logical analysis of the reform of physicians compensation system in public hospitals in China: a case study of Sanming City, Fujian Province[J]. Chinese Journal of Health Policy, 2017, 10(6): 33-37.
[2] 中共中央关于进一步全面深化改革推进中国式现代化的决定[N]. 人民日报, 2024-07-22(1).
[3] 李建军, 雷志勤, 苗豫东. 新形势下公立医院绩效薪酬制度改革探讨[J]. 中州学刊, 2018(3): 78-81. doi: 10.3969/j.issn.1003-0751.2018.03.014 LI Jianjun, LEI Zhiqin, MIAO Yudong. Discussion on the reform of the performance compensation system in public hospitals under the new situation[J]. Academic Journal of Zhongzhou, 2018(3): 78-81. doi: 10.3969/j.issn.1003-0751.2018.03.014
[4] 冯芮华, 李建, 王溪, 等. 以增加知识价值为导向的我国公立医院薪酬制度改革进展与成效[J]. 中国医院管理, 2023, 43(5): 5-8. FENG Ruihua, LI Jian, WANG Xi, et al. The progress and effect of the public hospital salary system reform oriented by increasing the value of knowledge in China[J]. Chinese Hospital Management, 2023, 43(5): 5-8.
[5] 陈阿敏, 夏冕. 我国公立医院薪酬制度存在的问题分析[J]. 医学与社会, 2023, 36(6): 69-73. CHEN Amin, XIA Mian. Analysis on existing issues of salary system of public hospitals in China[J]. Medicine and Society, 2023, 36(6): 69-73.
[6] 王晓茹, 左一博, 蒋帅, 等. 基于扎根理论的公立医院薪酬分配机制优化策略分析[J]. 中国医院管理, 2024, 44(9): 58-60. WANG Xiaoru, ZUO Yibo, JIANG Shuai, et al. Research on the problem and optimization strategy of salary distribution mechanism in public hospitals based on grounded theory[J]. Chinese Hospital Management, 2024, 44(9): 58-60.
[7] 张浩为, 梁立波, 孙宏, 等. 公立医院薪酬体系利益相关者分析[J]. 中国医院管理, 2017, 37(10): 30-32. ZHANG Haowei, LIANG Libo, SUN Hong, et al. Analysis of the salary system stakeholders in public hospitals[J]. Chinese Hospital Management, 2017, 37(10): 30-32.
[8] 苏敬勤, 李晓昂, 许昕傲. 基于内容分析法的国家和地方科技创新政策构成对比分析[J]. 科学学与科学技术管理, 2012, 33(6): 15-21. SU Jingqin,LI Xiaoang,XU Xinao. Comparative analysis on technology innovation policy of state and local based on content analysis[J]. Science of Science and Management of S.& T., 2012, 33(6): 15-21.
[9] 戚景琳, 韩正彪, 刘璇, 等. 政策工具视角下中国互联网健康医疗信息服务政策分析[J/OL]. 图书馆杂志, 2025: 1-16.(2025-04-16)[2025-04-20]. https://kns.cnki.net/KCMS/detail/detail.aspx?filename=TNGZ20250415001&dbname=CJFD&dbcode=CJFQ QI Jinglin, HAN Zhengbiao, LIU Xuan, et al. Analysis of Chinas Internet health and medical information service policy from the perspective of policy instruments[J/OL]. Library Journal, 2025: 1-16.(2025-04-16)[2025-04-20]. https://kns.cnki.net/KCMS/detail/detail.aspx?filename=TNGZ20250415001&dbname=CJFD&dbcode=CJFQ
[10] 高美香, 朱虹, 陈红微, 等. 基于“政策工具-利益相关者” 框架的我国儿童药物政策文本分析[J]. 医药导报, 2025, 44(7): 1179-1184. GAO Meixiang, ZHU Hong, CHEN Hongwei, et al. Text analysis of Chinas pediatric medication policies based on the framework of “policy instrument-stakeholder”[J]. Herald of Medicine, 2025, 44(7): 1179-1184.
[11] 吴江, 徐雨舒, 郭巧敏, 等. “工具-任务-周期”框架下我国人工智能数据治理政策量化研究[J/OL]. 情报理论与实践,2025:1-15.(2025-05-14)[2025-05-14].http://kns.cnki.net/kcms/detail/11.1762.G3.20250513.1604.004.html
[12] 唐瑶, 陈天然. 政策工具视角下我国长期护理保险政策研究: 基于2012—2022年试点地区政策文本的量化分析[J]. 社会保障研究, 2023, 16(4): 71-84. TANG Yao, CHEN Tianran. Research on long-term care insurance policy in China from the perspective of policy tools: quantitative analysis based on the policy texts of the pilot areas from 2012 to 2022[J]. Social Security Studies, 2023, 16(4): 71-84.
[13] 熊烨, 赵群. 新医改中的政策工具组合结构: 阶段性评估与发展前瞻[J]. 安徽师范大学学报(人文社会科学版), 2021, 49(4): 95-105. XIONG Ye, ZHAO Qun. The structure of policy instruments combination in the new health care reform: staged evaluation and development prospect[J]. Journal of Anhui Normal University(Hum.& Soc. Sci.), 2021, 49(4): 95-105.
[14] 傅利平, 董雨, 王瑞臻. 我国分级诊疗政策的协同性研究: 基于中央和省级政策文本量化分析[J]. 公共管理与政策评论, 2025, 14(1): 4-24. FU Liping, DONG Yu, WANG Ruizhen. Research on the cooperativity of Chinese hierarchical medical system policy: based on quantitative analysis of central and provincial policy texts[J]. Public Administration and Policy Review, 2025, 14(1): 4-24.
[15] 李乐乐, 唐馨怡. 政策扩散理论视角下我国DRG政策演变及扩散机制研究: 基于2009—2022年DRG政策的量化文本分析[J]. 社会保障研究, 2023, 16(2): 62-74. LI Lele, TANG Xinyi. A study on the policy evolution and diffusion mechanisms of DRG in China from the perspective of policy diffusion theory: a quantitative text analysis based on DRG policies from 2009 to 2022[J]. Social Security Studies, 2023, 16(2): 62-74.
[16] 唐颂, 万婉, 顼禹同, 等. 政策工具与区域差异视角下我国公立医院财政补偿政策文本分析[J]. 中国医院管理, 2024, 44(12): 32-37. TANG Song, WAN Wan, XU Yutong, et al. Text analysis of financial compensation policies for public hospitals in china from the perspectives of policy tools and regional differences[J]. Chinese Hospital Management, 2024, 44(12): 32-37.
[17] McDonnell LM, Elmore RF. Getting the job done: alternative policy instruments[J]. Educ Eval Policy Anal, 1987, 9(2): 133-152.
[18] Schneider A, Ingram H. Behavioral assumptions of policy tools[J]. J Polit, 1990, 52(2): 510-529.
[19] 薛天琴, 唐玉清, 胡瑾雯, 等. 基于三维分析框架的药品集中采购政策文本量化研究: 以宁夏回族自治区为例[J]. 中国卫生政策研究, 2023, 16(8): 65-73. XUE Tianqin, TANG Yuqing, HU Jinwen, et al. Quantitative research on centralized drug procurement policy text based on three-dimensional analysis framework: a case study of the Ningxia Hui Autonomous Region[J]. Chinese Journal of Health Policy, 2023, 16(8): 65-73.
[20] 剌媛媛, 祝贺, 王琦琦, 等. 政策工具视角下中国爱国卫生运动政策文本量化研究[J]. 中国公共卫生, 2024, 40(11): 1380-1389. LA Yuanyuan, ZHU He, WANG Qiqi, et al. Policy instrument terms in patriotic health campaign documents issued by Chinese national government agencies from 1952 to 2023: a quantitative textual analysis[J]. Chinese Journal of Public Health, 2024, 40(11): 1380-1389.
[21] 李方晖, 何茄菡, 崔博文, 等. “理想之治” 与“现实之困”: 政策工具视角下我国体卫融合政策的文本特征与优化路径[J]. 南京师大学报(自然科学版), 2024, 47(4): 148-156. LI Fanghui, HE Jiahan, CUI Bowen, et al. The “ideal rule” and the “difficulties of reality”: textual characteristics and optimization path of Chinas physical and health integration policies from the perspective of policy instruments[J]. Journal of Nanjing Normal University(Natural Science Edition), 2024, 47(4): 148-156.
[22] 何强, 陈菲, 王映红, 等. 基于政策工具视角的我国老年健康服务业政策分析[J]. 医学与社会, 2020, 33(6): 47-52. HE Qiang, CHEN Fei, WANG Yinghong, et al. Analysis of Chinas elderly health service industry policies based on the perspective of policy tools[J]. Medicine and Society, 2020, 33(6): 47-52.
[23] 李林, 王向东, 于文谦, 等. 政策工具视角下中国冰雪产业政策文本特征分析[J]. 吉林体育学院学报, 2018, 34(4): 57-63. LI Lin, WANG Xiangdong, YU Wenqian, et al. Features of Chinas ice and snow industry policy from the perspective of policy tools[J]. Journal of Jilin Sport University, 2018, 34(4): 57-63.
[24] Parker EB, Holsti OR. Content analysis for the social sciences and humanities[J]. Am Sociol Rev, 1970, 35(2): 356. doi: 10.2307/2093233
[25] 李本乾. 描述传播内容特征 检验传播研究假设: 内容分析法简介(下)[J]. 当代传播, 2000(1): 47-49. doi: 10.3969/j.issn.1009-5322.2000.01.020 LI Benqian. Describe the characteristics of communication content and test the hypothesis of communication research—A brief introduction of content analysis method(part two)[J]. Contemporary Communications, 2000(1): 47-49. doi: 10.3969/j.issn.1009-5322.2000.01.020
[26] 林楠, 黄丽萍, 谢文珺. 基于利益相关者理论的青年住房政策主体关系研究: 以广东“青年安居计划” 为例[J]. 中国青年研究, 2024(1): 28-35. doi: 10.19633/j.cnki.11-2579/d.2024.0002 LIN Nan, HUANG Liping, XIE Wenjun. Research on the relationship between the main bodies of youth hou-sing policy based on the stakeholder theory: taking Guangdongs youth housing plan as an example[J]. China Youth Study, 2024(1): 28-35. doi: 10.19633/j.cnki.11-2579/d.2024.0002
[27] 夏冕, 高艺宁, 陈芝玲, 等. 政策工具视角下我国公立医院薪酬政策文本分析[J]. 中国卫生政策研究, 2023, 16(12): 1-8. XIA Mian, GAO Yining, CHEN Zhiling, et al. Text analysis of public hospital compensation policy in China from the perspective of policy tools[J]. Chinese Journal of Health Policy, 2023, 16(12): 1-8.
[28] 李玲. 探索中国式医疗保障制度: 三明医改实践[J]. 社会保障评论, 2024, 8(2): 12-23. LI Ling. Pioneering a Chinese style healthcare coverage system: the Sanming healthcare reform[J]. Chinese Social Security Review, 2024, 8(2): 12-23.
[29] 邱艳蕊, 胡志民. 政策工具视角下我国公立医院人事薪酬政策文本量化分析[J]. 中国医药导报, 2024, 21(14): 182-185. QIU Yanrui, HU Zhimin. Quantitative analysis on the personnel and salary policy of public hospitals in China from the perspective of policy tools[J]. China Medical Herald, 2024, 21(14): 182-185.
[30] 詹积富. 以人民至上的理念推进公立医院改革: 以三明医改为例[J]. 行政管理改革, 2021(12): 50-57. doi: 10.14150/j.cnki.1674-7453.2021.12.005 ZHAN Jifu. Promote the reform of public hospitals with the concept of people first: taking Sanming medical reform as an example[J]. Administration Reform, 2021(12): 50-57. doi: 10.14150/j.cnki.1674-7453.2021.12.005
[31] 高艺宁, 陈芝玲, 夏冕. 公立医院薪酬制度改革及执行效果研究: 基于米特-霍恩政策执行系统模型[J]. 卫生经济研究, 2023, 40(10): 32-35. GAO Yining, CHEN Zhiling, XIA Mian. Study on the implementation effect of salary system reform in public hospitals: based on Meter-Horn policy implementation system model[J]. Health Economics Research, 2023, 40(10): 32-35.
[32] 强滟, 张好辰, 牟燕, 等. 基于内容分析法的国家谈判药品落地政策分析[J]. 中国医药工业杂志, 2024, 55(7): 1032-1036. QIANG Yan, ZHANG Haochen, MOU Yan, et al. Analysis on national negotiated drug landing policy based on content analysis methodology[J]. Chinese Journal of Pharmaceuticals, 2024, 55(7): 1032-1036.
[33] 吴为林, 荣海潮, 谈在祥. 公立医院薪酬制度改革难点及其对策研究[J]. 中国医院管理, 2024, 44(4): 5-10. WU Weilin, RONG Haichao, TAN Zaixiang. Research on the difficulties and countermeasures of salary system reform in public hospitals[J]. Chinese Hospital Management, 2024, 44(4): 5-10.
[1] HAN Shuang, TIAN Xiaowei, ZHANG Xinyu, KONG Yang. Research on the optimization of the “Sports-medicine-nursing care integration” policy in Shandong Province from the perspective of policy tools [J]. Journal of Shandong University (Health Sciences), 2025, 63(7): 116-124.
[2] ZHANG Lu, XU Minxuan, YANG Xiaoxue, JIA Liying. An analysis of income compensation of public hospitals based on a quasi-experimental design ——a case study of a first-class hospital in Shandong Province [J]. Journal of Shandong University (Health Sciences), 2019, 57(3): 109-114.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!