基于政策工具理论的上海市国际医疗发展问题与对策研究OA

Objective The study aims to review national and Shanghai municipal policies related to the international medical services and to conduct case studies,thereby providing a reference for optimizing international medical service policies in Shanghai.Methods Relevant policies issued from 2017 to 2025 were systematically reviewed.Using policy instrument theory as the theoretical framework,quantitative analysis of policy texts was applied to conduct a systematic study on international medical policies.Case studies were conducted at representative international medical institutions,supplemented by key informant interviews.Thematic analysis was used to analyze the qualitative findings.Results A total of 55 policies were included,yielding 830 content analysis units.Of these,environmental-oriented,supply-oriented,and demand-oriented policy instruments accounted for 66.5%,30.6%,and 2.9%,respectively.Environmental-oriented policy instruments dominated,accounting for approximately two-thirds of all instruments,while demand-oriented policy instruments were underutilized.The case studies reveal that international medical services in Shanghai face institutional challenges including a shortage of a shortage of skilled professionals,restricted access to drugs and medical devices,distorted pricing mechanisms,obstacles in commercial insurance cooperation,and insufficient promotion efforts.Conclusions Both supply-oriented and demand-oriented policy instruments remain relatively underutilized in the development of international medical services in Shanghai.The study recommends that policies provide more effective support for medical insurance cooperation,human resource development,and investments in drugs and medical devices.It is also crucial to develop a distinctive brand identity for Shanghai's international medical services,strengthen promotion,and develop infrastructure standards aligned with international practices.