| 引用本文：张礼亮,唐雨莟,韩优莉.基于PMC指数模型的我国医疗服务价格改革政策文本量化分析[J].中国卫生政策研究,2026,19(1):40-48 |
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| 基于PMC指数模型的我国医疗服务价格改革政策文本量化分析 |
| 投稿时间：2025-12-03 修订日期：2026-01-14 PDF全文浏览 HTML全文浏览 |
| 张礼亮，唐雨莟，韩优莉 |
| 首都医科大学公共卫生学院 北京 100069 |
| 摘要:目的 分析医疗服务价格改革政策的演变特征和逻辑，揭示潜在问题，为政策优化提供参考与借鉴。方法 采用PMC指数模型，对2000—2024年我国23项医疗服务价格改革政策进行量化分析。结果 23项政策PMC指数的均值为5.55，整体处于“良好”水平。分阶段来看，政策由初期的制度建设与监管导向，逐步过渡到机制改革与系统深化阶段。一级变量中，政策力度、政策时效、政策工具等维度得分均值偏低，主要问题包括缺乏中长期目标设计、政策层级不高、政策目标较为单一、政策工具使用不均衡等。结论和建议：整体来看，我国医疗服务价格改革逐步形成了较为系统的政策框架，但未来仍需在强化长远规划、拓展政策目标、优化工具配置和扩大受众范围等方面进一步完善。 |
| 关键词:医疗服务价格改革 政策文本 PMC指数 政策一致性 |
| 基金项目:国家社会科学基金重大项目（23ZDA103） |
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| Quantitative analysis of medical service price reform policy texts in China： Based on the PMC index model |
| ZHANG Li-liang, TANG Yu-han, HAN You-li |
| School of Public Health， Capital Medical University， Beijing 100069， China |
| Abstract:Objective To analyze and understand the evolution characteristics and logic of medical service price reform policies， revealing potential issues and providing references for policy optimization.Methods A quantitative analysis of 23 medical service price reform policies in China from 2000 to 2024 was conducted using the PMC index model.Results The average PMC index of the 23 policies was 5.55， indicating an overall "good" level. In terms of phases， the policies transitioned from an initial focus on institutional construction and regulatory guidance to a stage of mechanism reform and system deepening. Among the primary variables， the average scores for dimensions such as policy intensity， policy timeliness， and policy tools were relatively low. Key issues identified include a lack of medium- and long-term goal design， low policy hierarchy， relatively singular policy objectives， and uneven use of policy tools. Conclusions and suggestions： Overall， China's medical service price reform has gradually formed a relatively systematic policy framework； however， further improvements are needed in strengthening long-term planning， expanding policy objectives， optimizing tool allocation， and broadening the scope of beneficiaries. |
| Key words:Medical service price reform Policy text PMC index Policy consistency |
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