医疗机构抗菌药物管理政策文本量化评价研究

Quantitative evaluation of antimicrobial management policy texts in medical institutions

目的 总结我国医疗机构抗菌药物管理政策的优势特征与不足之处,为后续政策制定和完善提供参考。方法 采用政策文本量化研究方法,对2003—2022年我国中央层面出台的医疗机构抗菌药物专项治理政策的政策结构要素、内容要素展开分析,并由此构建基于PMC指数模型的评价体系展开政策评价研究。结果 我国医疗机构抗菌药物管理政策中,各类政策工具均有涉及,但以环境型为主。近5年内的9件政策文本PMC指数均值为6.11分,属于优秀水平。结论 我国已初步建立医疗机构抗菌药物管理体系,各项制度不断完善。但仍存在政策结构发展不均衡,跨部门交流合作有限的问题亟待改善。

Objective This study summarized the advantages and disadvantages of antimicrobial management policy in our country and provided references for making and perfecting the follow-up policy.Methods By using the quantitative research method of policy text,the structural and content elements of the special policy of antimicrobial treatment in medical institutions issued by the central level of our country from 2003 to 2022 were analyzed.Based on this,the evaluation system based on the PMC index model was constructed to carry out policy evaluation research.Results All kinds of policy tools were involved in the management policy of antibacterial drugs in our country,but the environmental type was the main one.In the past five years,the average PMC index of 9 policy documents was 6.11,which was an excellent level.Conclusion Our country initially established the management system of antibacterial drugs in medical institutions,and the various systems have been improved continuously.However,there were still some problems,such as the unbalanced development of policy structures and limited cross-sectoral exchanges and cooperation.