| 引用本文：张莹, 钱东福.我国省级层面医保定点药店管理政策量化评价——基于PMC指数模型[J].中国卫生政策研究,2024,17(12):44-51 |
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| 我国省级层面医保定点药店管理政策量化评价——基于PMC指数模型 |
| 投稿时间：2024-09-26 修订日期：2024-11-19 PDF全文浏览 HTML全文浏览 |
| 张莹, 钱东福 |
| 南京医科大学医政学院 江苏南京 211166 |
| 摘要:目的：对省级层面定点零售药店管理相关政策进行量化评价，分析各省政策的优势与不足，为政策制定与优化提供对策建议。方法：通过ROST CM6.0软件，对我国省级层面70项定点零售药店管理政策进行文本内容挖掘，构建定点零售药店管理政策PMC指数评价模型。结果：70项政策中52项政策评级为良好，18项政策评级为可接受，PMC指数得分均值为7.35，样本政策PMC指数得分均≥5.25，总体处于可接受水平，但样本政策在政策时效、政策内容和激励约束三个维度得分较低，PMC得分均值小于0.7，定点零售药店管理政策仍有改进空间。结论与建议：在制定定点零售药店管理政策时，需要合理规划政策阶段目标，构建多方参与机制；完善激励约束制度，强化政策执行力度；探索政策衔接方案，提升药店管理效能。 |
| 关键词:定点零售药店 PMC指数模型 政策评价 |
| 基金项目:南京市医疗保险研究会课题(2024KF0470) |
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| Quantitative evaluation on the management policy of designated pharmacies under medical insurance at the provincial level in China: Based on PMC index model |
| ZHANG Ying, QIAN Dong-fu |
| School of Health Policy and Management, Nanjing Medical University, Nanjing Jiangsu 211166, China |
| Abstract:Objective: To quantitatively evaluate the management policies of designated retail pharmacies at the provincial level and analyze the advantages and disadvantages of the policies of each province, so as to provide countermeasures and suggestions for the formulation and optimization of policies. Methods: The ROST CM6.0 software was used to conduct text content mining on 70 management policies of designated retail pharmacies at the provincial level in China and the PMC index evaluation model for the management policies of designated retail pharmacies was constructed. Results: Among the70 policies, 52 policies were rated as good, 18 policies were rated as acceptable, the average PMC score was 7.35, and the PMC score of the sample policies was ≥5.25, which was generally at an acceptable level. However, the score of sample policies in the three dimensions of policy timeliness, policy content and incentive constraints were relatively low, which means there were still some rooms for optimization in the management policy of designated retail pharmacies. Conclusion and suggestion: When formulating the management policy of designated retail drugstores, it is necessary to rationally plan the policy phased goals and construct multi-party participation mechanism; improve the incentive and constraint system and strengthen the implementation of policies; explore the methods of policy connection to improve the management efficiency of pharmacies. |
| Key words:Designated retail pharmacies PMC index model Policy evaluation |
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