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二维分析框架下中国抗生素耐药文本量化分析OA

Quantitative analysis of Chinese antimicrobial resistance policy texts under a two-dimensional analysis framework

中文摘要英文摘要

目的 从二维分析框架出发,梳理2016-2025年中国抗生素耐药的国家政策.剖析政策工具的使用情况与特点,为我国遏制AMR政策制定及优化提供参考.方法 以"抗菌药物""抗生素耐药"等为核心检索词,系统搜集2016-2025年国家卫生健康委、中央政府官网发布的抗菌药物耐药性相关政策文件,通过文本编码与内容分析法,解析政策工具的使用现状与特点,进而为我国抗生素耐药性治理政策的完善提供循证依据.结果 共纳入24份政策文件,提取149项政策编码.分析表明,环境型政策工具占据主导地位(46%),供给型政策工具次之(39%),而需求型政策工具应用相对不足(15%).结论 未来应统筹优化三类政策工具的组合效能,加强跨部门协同机制,尤其需提升环境型政策工具的精准配置,科学制定目标规划,完善联防联控与应急预案管理机制;强化供给型政策工具支撑,明确人力资源、资金及基础设施等资源的投入规模与配置方式;拓展需求型政策工具应用,创新科普宣传形式,深化国际交流与合作.

Objective Based on a two-dimensional analytical framework,this study reviewed China's national policies on antimicrobial resistance(AMR)from 2016 to 2025.It analyzes the usage and characteristics of policy tools,providing a refer-ence for the formulation and optimization of AMR containment policies in China.Methods Using'antimicrobial agents'and'antibiotic resistance'as core search terms,this study systematically collected policy documents related to antimicrobial resist-ance released by the National Health Commission and the official website of the Central People's Government of China between 2016 and 2025.Through textual coding and content analysis,it analyzed the current status and characteristics of policy tools us-age,thereby providing evidence-based references for the improvement of China's antibiotic resistance governance policies.Re-sults A total of 24 policy documents were included for analysis,and 149 policy codes were extracted.The analysis shows that environmental policy tools accounted for the largest proportion(46%),followed by supply-side policy tools(39%),while de-mand-side policy instruments were used less frequently(15%).Conclusion In the future,the combined application of the three types of policy instruments should be systematically optimized,and cross-departmental coordination mechanisms should be strengthened.In particular,the precise allocation of environmental policy instruments should be enhanced,strategic planning should be scientifically formulated,and joint prevention and control as well as emergency management mechanisms should be im-proved;the support of supply-side policy tools should be strengthened,by clarifying the scale and allocation of resources such as human resources,funding,and infrastructure;and the application of demand-side policy tools should expanded,innovative forms of public education should be developed,and international exchanges and cooperation should be deepened.

王福兰;谢宇捷;韩冰宁;刘恩泽;邱祉睿;王琼

贵阳林东医院 贵州贵阳 550081西南医科大学人文与管理学院 四川泸州 646000西南医科大学人文与管理学院 四川泸州 646000西南医科大学人文与管理学院 四川泸州 646000西南医科大学人文与管理学院 四川泸州 646000西南医科大学人文与管理学院 四川泸州 646000

医药卫生

政策工具抗生素耐药抗菌药物

Policy toolsAntimicrobial resistanceAntimicrobial agents

《现代医院》 2026 (8)

1288-1291,1297,5

国家级大学生创新创业计划项目(202510632090)四川省哲学社会科学重点研究基地-四川医院管理和发展研究中心课题(SCYG2022-16SCYG2025-19)四川省教育厅人文社会科学重点研究基地-四川医院管理和发展研究中心资助项目(SCYG2024-6)泸州市-西南医科大学联合项目(2025LZXNYDSK09)

10.3969/j.issn.1671-332X.2026.08.013

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