基于PMC指数的省域社区医院政策评价研究

Research on Policy Evaluation of Inter-provincial Community Hospitals Based on PMC Index

目的对国内不同省份社区医院政策文本内容进行量化评价及省域差异性分析,为其政策体系高质量的建设与发展提供参考依据。方法基于PMC指数模型(满分10分,其中≥7分为优秀,≥5分为可接受),通过文本挖掘及内容分析法,以2019-2022年已公布社区医院相关政策的国家级政策及14个省份的政策文本为研究对象,建立社区医院建设政策PMC指数评价模型,通过分级变量指标对已相关的政策进行分析。结果18项政策样本中,12项为优秀,6项为可接受,省级政策PMC指数平均值为7.18,政策设计总体处于可接受水平。结论当前我国社区医院的政策体系建设还处于起步阶段,可以从宏观和微观角度对政策的建议性、监督性、预期性加以完善。在政策内容及激励保障措施方面,各地区应结合实际加强人才培育、完善卫生资源配置,保障基层医疗机构服务质量及持久性。

Objective To quantitatively evaluate the content of community hospital policy texts from different provinces in China,to analyze inter-provincial differences,and to provide reference for the high-quality construction and development of community hospital policy system.Methods Based on the PMC index model(full score of 10,of which≥7 points are excellent and≥5 points are acceptable),the PMC index evaluation model of community hospital construction policies was established through text mining method and content analysis method,and the published national-level community hospital-related policies and the policy texts of 14 provinces during 2019-2022 were stu-died.And the policies that have been related were analyzed through hierarchical variable indicators.Results Among the 18 policy samples,12 were excellent and 6 were acceptable,and the average value of the provincial policy PMC index was 7.18,and the policy design was generally at acceptable level.Conclusion At present,the policy system construction of community hospitals in China is still in its initial stage,and the policy recommendation,supervision and anticipation can be improved from macro and micro perspectives.In terms of policy content and incentive and guarantee measures,each region should strengthen talent cultivation and improve health resource allocation to ensure the service quality and durability of primary care institutions.