| 引用本文：吴建, 左一博, 蒋帅, 单怡凡, 付航, 王成增.基于PMC指数模型的临床专科建设政策质量评价研究[J].中国卫生政策研究,2023,16(12):17-25 |
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| 基于PMC指数模型的临床专科建设政策质量评价研究 |
| 投稿时间：2023-10-10 修订日期：2023-11-14 PDF全文浏览 HTML全文浏览 |
| 吴建1, 左一博1, 蒋帅2,3, 单怡凡2,3, 付航2,3, 王成增2,3 |
1. 郑州大学公共卫生学院 河南郑州 450001;
2. 郑州大学第一附属医院 河南郑州 450052;
3. 河南省医院管理研究院 河南郑州 450052 |
| 摘要:目的：量化评价临床专科建设相关政策，探究政策现存问题和优化路径，为政策的制定和完善提供参考。方法：对2009年新医改以来国家和部分省级政府出台的临床专科建设政策进行文本挖掘。运用PMC指数模型构建包含9个一级变量和35个二级变量的政策综合评价体系。选取22篇临床专科建设相关政策进行量化分析。结果：22项临床专科政策中，6项为良好型政策、14项为可接受型政策、2项为不良型政策，无优秀型政策；临床专科建设政策总体设计较为合理，但仍有进步的空间。结论：我国临床专科建设政策文本质量有待提升，需要强化顶层设计，优化目标内容，注重临床专科发展均衡性与可持续性，充分发挥需求型政策工具作用，丰富激励约束手段，以调动多主体参与临床专科建设积极性。 |
| 关键词:临床专科 政策文本 质量评价 PMC指数模型 |
| 基金项目:中原医创基金会医院管理研究项目重点项目（23YCG2001）；郑州大学横向重大委托项目（20220518A） |
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| The quality evaluation of clinical specialty constraction policy based on PMC index model |
| WU Jian1, ZUO Yi-bo1, JIANG Shuai2,3, SHAN Yi-fan2,3, FU Hang2,3, WANG Cheng-zeng2,3 |
1. School of Public Health, Zhengzhou University, Zhengzhou Henan 450001, China;
2. The First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan 450052, China;
3. Henan Provincial Institute of Hospital Management, Zhengzhou Henan 450052, China |
| Abstract:Objective: The purpose of quantitatively evaluating policies related to clinical specialties and exploring existing policy problems and paths to optimization is to provide a reference basis for the formulation and improvement of the policies. Methods: Text mining was conducted on the policies related to clinical specialties issued by the national and some provincial governments since the new medical reform in 2009. The PMC index model was used to construct a comprehensive evaluation system of policies containing 9 primary variables and 35 secondary variables. 22 clinical specialty policies were selected for quantitative analysis. Results: Among the 22 clinical specialty policies, 6 policies were good-type policies, 14 were acceptable-type policies, 2 were bad-type policies, and there were no excellent-type policies. The overall design of the policies related to clinical specialties is reasonable, but there is still room for improvement. Conclusion: The quality of China's clinical specialty policy text needs to be improved, and it is necessary to strengthen the top-level design, optimise the content of the objectives, focus on the balanced and sustainable development of the speciality, give full play to the role of demand-based policy tools, and enrich the incentives and constraints, in order to mobilise multi-principal participation in the construction of the clinical speciality enthusiasm. |
| Key words:Clinical specialties Policy texts Quality evaluation PMC index model |
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