中央与地方比较视角下的“互联网+”医疗政策量化评价研究:基于PMC指数模型

Quantitative Evaluation of"Internet+"Medical Policy from the Perspective of Central and Local Comparison:Based on PMC Index Model

目的探索地方与中央层面不同功能类型“互联网+”医疗政策制定的内在关联,为地方政府制定相关政策提供决策依据。方法选取中央和安徽省2017年-2023年出台的21份“互联网+”医疗政策文本,结合“时间—空间—功能—类别”模式构建政策综合分析框架,基于PMC指数模型对政策进行量化评价。结果地方层面政策得分与中央层面政策得分差距较小,且保持在较好水平,在偏重规划型政策上安徽省与中央层面一致性较高,而偏重实施型政策安徽省存在较多不足;偏重规范型政策部分指标趋于一致,但安徽省仍需改进。结论地方政府应加强顶层设计,完善配套监管体系;促进多元主体协同共治,因地施策打破区域屏障;全面覆盖政策重点,积极探索建设路径。

Objective To explore the internal relationship between different functional types of"Internet+"medical policy formulation at the local and central levels,and to provide decision-making basis for local governments to formulate relevant policies.Methods Twenty-one"Internet+"medical policy texts issued by the Central Government and Anhui Province from 2017 to 2023 were selected,and a comprehensive policy analysis framework was constructed based on the"time-space-function-category"mode.The policy was quantitatively evaluated based on the PMC index model.Results The gap between the policy scores at the local level and the central level was small and remained at a good level.Anhui Province had a high consistency with the central level in terms of planning-oriented policies,while there were many deficiencies in Anhui Province in terms of implementation-oriented policies.Some indicators of normative policies tended to be consistent,but Anhui Province still needed to be improved.Conclusion Local governments should strengthen the top-level design and improve the supporting supervision system,promote the collaborative governance of multiple subjects,break the regional barrier according to local conditions,comprehensively cover the policy focus and actively explore the construction path.