关键词: 慢性病, 卫生政策, 政策工具, 文本分析

Abstract: Background　The containment of chronic diseases is a systematic project，whose implementation and promotion are due in large part to the government，which plays an important role in organizing various forces to make efforts cooperatively. The application of policy instruments in containing chronic diseases is conducive to extending the using scope of policies，and offering implications for reference. Objective　To perform a text analysis of the policy documents about chronic disease prevention and control in China，with detailed discussions of the highlights and insufficiencies，providing a reference for modifying such policies. Methods　In October 2019，using “慢性病”（chronic diseases in Chinese） as a keyword，policy documents related to chronic diseases issued from January 2009 to December 2018 were searched in the policy documents column of official websites of the State Council，the National Development and Reform Commission，and the National Health Commission of the People's Republic of China. The included documents were coded and study-related information was extracted and described statistically from the perspectives of policy instruments classification and systems theory. Results　Thirty qualified policy documents were finally incorporated. The X-domain perspective（policy instruments classification） analysis screened a total of 133 codes for texts of the policy documents，and the coded documents were classified into directive，incentive，competency，systematic reform，informative and exhortatory types，accounting for 26.3%（35/133），9.0%（12/133），27.8%（37/133），10.5%（14/133） and 26.3%（35/133） of the total，respectively. Among the 112 codes derived from Y-domain perspective（systems theory） analysis，the codes in the internal and external submodules accounted for 58.9%（66/112），and 41.1%（46/112），respectively. Conclusion　Most of these policy instruments are directive types. The implementation of some mandatory instruments causes negative effects，which may be due to inappropriate use. The internal structure of policy instruments is irrational，and some are ignored. Some are partially offset. The incentive and guiding effects of policy documents are not strong. The internal differences between the internal and external submodules are significant，with unbalanced distribution. In view of this，it is suggested to diversify the use of such instruments，modify the internal structure of policy instruments classification，strengthen the use of incentive instruments in combination with guidance instruments and attach great importance to the role of political，economic，social and technical systems（in the external submodule） in the use of such policy instruments.

Key words: Chronic disease, Health policy, Policy tools, Text analysis