宁夏紧密型县域医共体研究领域政策量化评价

Quantitative Evaluation of Close County-level Medical Alliance Policy in Ningxia Hui Autonomous Region

目的通过对宁夏紧密型县域医共体相关政策文本内容进行量化评价,总结不同政策主体发布的政策文本异同,发现政策缺陷,为推进宁夏以及全国范围紧密型县域医共体建设提供参考。方法采用ROSTCM 6.0文本分析工具,以宁夏紧密型县域医共体试点地区相关政策文件为对象,建立紧密型县域医共体政策PMC指数评价模型,并通过9个一级指标和37个二级指标对5项政策进行量化评价分析。结果宁夏5项相关政策PMC指数均值为7.017,整体处于良好水平,其中政策工具、政策评价、政策内容等方面优势较大;而政策时效、政策基础以及政策组合等方面得分较低。结论宁夏紧密型县域医共体政策亮点为“互联网+医疗健康”,政策不足体现在政策时效多为短期、缺乏政策保障措施等,应建立宁夏紧密型县域共同体工作的中长期规划以及动态调整的政策保障机制。

Objective By quantitatively evaluating the content of policy texts related to close county-level medical alliance in Ningxia,we summarized the similarities and differences of policy texts issued by different policy bodies and identify policy flaws,with a view of providing references for promoting the construction of close county-level medical alliance in Ningxia and nationwide.Methods The ROSTCM 6.0 text analysis tool was used to text mine the relevant policy documents of Ningxia close county-level medical alliance pilot areas,establish the PMC index evaluation model of close county-level medical alliance policies,and quantitatively evaluate and analyze five policies through nine primary indicators and 37 secondary indicators.Results The average value of the PMC index of the five relevant policies in Ningxia was 7.017,which was at a good level overall,with the advantages of policy tools,policy eva-luation and policy content;while the scores of policy timeliness,policy foundation and policy portfolio were low.Conclusion The highlight of Ningxia's close county-level medical alliance policy is"Internet+health",but the shortcomings of the policy are that the policy is mostly short-term and lacks policy safeguards,etc.A medium and long-term plan for Ningxia's close county-level medical alliance should be established,as well as a policy safeguard mechanism for dynamic adjustment.