医学教育政策是我国医学教育事业发展的行动准则,医学教育政策工具的选择与运用直接影响着政策的执行效果。本文以2003年1月1日至2020年9月30日国家层面的医学教育政策文件为研究对象,采用内容分析和扎根理论的方法,按照“构建分析框架、样本选择、文本单元编码、归类和数据分析”的逻辑,从政策发布时间和数量、政策工具和政策价值特性等方面,对我国医学教育政策进行整体分析。结果表明,医学教育政策颁发部门较多、文件法律效力不高、政策工具的运用表现为主辅搭配、政策的价值特性分布不均。为此提出建议:明晰政策内容主体,以创新的理念健全医学教育政策体系,灵活运用政策工具,推进医学教育政策价值特性均衡发展。

Medical education policy is the criteria document guiding the development of medical education in China. The choice and application of medical education policy tools have direct impact on implementation the policy. Taking the national medical education policy documents from January 1, 2003 to September 30, 2020 as the research object, using the content analysis method and grounded theory to evaluate following categories by “building analysis framework, sample selection, text unit coding, classification and data analysis”so to make an overall investigation on China's medical education policy from the aspects of policy release time and quantity, policy instruments and policy value characteristics. The results show that there are different medical education policy issuing departments releasing documents with poor legal effect and uneven value characteristics, the use of policy instruments is mainly complementary. Therefore, suggestions are put forward as follows: to clarify the main body of policy content, improve the medical education system with innovative strategy and flexibility in application of policy instruments, so to promote a balanced development of the value characteristics of medical education policy.