Objective: To explore the characteristics of oral health policies at national government level, thus providing evidence for the ongoing refinement and enhancement of these policies. Methods: This study took the relevant texts reflecting the national government-level oral public health as the research objects, and searched the policy texts on Wanfang Data Knowledge Service Platform and government department websites since 1978. The contents of the policy texts were coded, classified and statistically analyzed. The literature research method, content analysis method and text analysis method were adopted as research tools. From the perspective of policy tools, an analysis framework of X dimension (policy tool dimension) and Y dimension (oral health strategic goal dimension) was constructed to conduct quantitative analysis of the relevant texts of oral public health. Results: A total of 195 policy texts were included in the analysis. From the perspective of the document type, published time and issuing department, notification documents [89.74% (175/195)], documents published at the fourth stage [47.69% (93/195)], documents published by National Health Commission of the People's Republic of China [72.31% (141/195)] accounted for the highest proportion. From the perspective of the X and Y dimension, environment-based policy tools [71.18% (247/347)], as well as oral health promotion and oral disease prevention [40.47% (155/383)] accounted for the highest proportion respectively. Conclusions: Since 1978, the number of oral public health policies issued in China has shown an upward trend, reflecting the strengthening of the coordinated role of various departments, the inclusion of oral health work in the important policies of government health and hygiene, and taking into account the Chinese characteristics of local areas. With the strategic goals of WHO as a reference, it shows that China's policies in terms of health workforce, oral health information system and oral health research agenda are relatively insufficient. The structure of X and Y policy tools in China is unbalanced and needs to be improved.
目的: 探究国家政府层面口腔公共卫生政策文本的特征,为相关政策的持续完善提供参考。 方法: 以国家政府层面口腔公共卫生的相关文本为研究对象,以万方数据知识服务平台和政府部门网站1978年以来的政策文本为对象进行搜索,将政策文本内容进行编码、归类和统计,采用文献研究法、内容分析法和文本分析法作为研究工具,从政策工具视角出发,构建X维度(政策工具维度)和Y维度(口腔卫生战略目标维度)分析框架,对口腔公共卫生相关文本的内容与特征进行量化分析。 结果: 195份纳入研究的政策文件中,从文件发布类型、时间和部门看,以通知类文件[89.74%(175/195)]、2016—2024年期间[47.69%(93/195)]、国家卫生健康行政部门[72.31%(141/195)]发文总数的占比最高。X维度中,环境型政策工具占比最高[71.18%(247/347)];Y维度中,促进口腔卫生和预防口腔疾病政策工具占比最高[40.47%(155/383)]。 结论: 1978年以来,我国口腔公共卫生政策出台数量呈上升趋势,体现出各部门协同作用加强,口腔卫生工作纳入政府卫生健康重要政策,又兼顾地方的中国特色。以WHO的战略目标作为参考,显示我国在卫生人力、口腔卫生信息系统和口腔卫生研究议程方面的政策相对不足。我国X和Y政策工具结构不均衡,需进一步完善。.