基于PMC指数模型的省级层面公立医院高质量发展政策量化评价

Quantitative Evaluation of High-Quality Development Policies of Public Hospitals at Provincial Level Based on PMC Index Model

目的 对我国省级层面公立医院高质量发展政策进行评价,为制定和优化公立医院高质量发展政策提供理论依据和对策建议。方法 采用ROST CM 6.0软件对11份政策样本进行文本挖掘,并构建政策一致性(Policy Modeling Consistency,PMC)指数模型,对样本政策进行量化评价。结果 纳入研究的11份政策样本PMC指数均值为7.16,其中8项为优秀等级,3项为可接受等级。一级变量X5服务体系(0.82)、X8党的领导(0.91)和X6组织运营(0.94)评分较高,X2政策时效(0.52)、X7文化建设(0.68)和X4服务能力(0.71)评分较低。结论 我国省级层面公立医院高质量发展政策内容基本与国家政策契合,在组织运营、服务体系、党的领导等方面较为优秀,但在政策时效、文化建设、服务能力等方面存在一些薄弱之处,可以从提高服务能力、补充长效性政策、加强医院文化建设等方面重点进行优化与改进。

Objective It evaluates the high-quality development policies of public hospitals at the provincial level in China,and provides theoretical basis and countermeasures for formulating and optimizing the high-quality development policies of public hospitals. Methods The ROST CM 6.0 software was used to conduct text mining for 11 sample policies,and the Policy Modeling Consistency(PMC) index model was constructed to evaluate the sample policies quantitatively. Results The average PMC index of 11 sample policies included in the study was 7.16 points,of which 8 were excellent grades and 3 were qualified grades. The first-level variables X_(5) service system(0.82),X_(8) Party leadership(0.91) and X_(6) organization and operation(0.94) scored higher;X_(2) policy timeliness(0.52),X_(7) cultural construction(0.68) and X_(4) service capability(0.71) scored low. Conclusion The content of the high-quality development policy of public hospitals at the provincial level is basically in line with the national policy,and is relatively excellent in the aspects of organization and operation,service system and party leadership, etc., but there are some weaknesses in the aspects of policy timeliness, cultural construction and service capacity, etc., which can be optimized and improved from the aspects of improving service capacity, supplementing long-term policies and strengthening hospital cultural construction.