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我国省级层面家庭医生签约服务高质量发展政策量化评价

Quantitative evaluation of the high-quality development policies of family doctor contract service at the provincial level in China

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目的 对我国省级层面的家庭医生签约服务高质量发展相关政策进行评价,针对评价结果反映出现有政策存在的不足之处提出政策完善对策.方法 以我国于2022年3月-2023年10月间出台的22项省、自治区、直辖市层面家庭医生签约服务高质量发展政策作为研究依托,选取其中9项政策作为政策评价样本,通过文本挖掘和PMC指数建模方法构建我国省级层面家庭医生签约服务高质量发展政策量化评价体系,并使用该评价体系对样本政策进行量化分析评价.结果 9项样本政策的PMC指数值均≥6.72分,政策评价等级均为良好及以上水平,无可接受及不佳等级政策;样本政策在政策功能、政策内容和政策性质3个维度得分较高,得分均≥0.93分,我国省级层面家庭医生签约服务高质量发展政策整体质量较高,能有效促进家庭医生签约服务在省级层面高质量发展;政策创新、责任主体、保障激励、发文机关、政策工具和政策评价6个维度得分较低,均≤ 0.84分,6个维度下属部分指标在样本政策中存在不同程度且较为明显的缺失,我国省级层面家庭医生签约服务高质量发展政策整体仍存在一定的优化空间.结论 建议相关政策有效充实政策内容,重视政策创新内化;积极调动各方力量,共筑良好发展氛围;健全保障激励机制,保障政策实施效力.
Objective To evaluate the policies related to the high-quality development of family doctor contract services at the provincial level in China,and put forward policy improvement countermeasures to promote the high-quality develop-ment of family doctor contract services at the provincial level given the shortcomings reflected in the evaluation results.Methods Based on the 22 policies related to the high-quality development of family doctor contracted service at the pro-vincial level,the municipality level,or the autonomous region level in China from March 2022 to October 2023,9 of these policies were selected as policies evaluation samples,and a quantitative evaluation system was constructed through text mining and PMC index modeling methods.To conduct quantitative analysis and evaluate the selected sample policies by this evaluation system.Results The PMC index values of the 9 sample policies were all ≥6.72 points,the policies evaluation grades were all good grades or above,and there were no policies for acceptable and poor grades.The sample policies scored higher in the three dimensions of policy function,policy content and,policy nature,with scores ≥0.93,the overall quality of the high-quality development policies of family doctor contract services at the provincial level in Chi-na was relatively high,which can effectively promote the high-quality development of family doctor contract services at the provincial level in China.However,the scores of the sample policies in the dimensions of policy innovation,responsibili-ty subjects,guarantee incentives,issuing agencies,policies tools,and policy evaluation were relatively low,with scores ≤0.84 points,some indicators subordinated to these six dimensions had different degrees and relatively obvious deficiencies in the sample policies,which means there was still some room for optimization in the high-quality develop-ment policies of family doctor contracted services at the provincial level in China.Conclusion It is necessary to enrich the policy content and attach importance to the internalization of policy innovation;actively mobilize the efforts of all par-ties to create a sound environment for development;and improve the guarantee incentive mechanism to ensure the effec-tiveness of policy implementation.

Family doctor contract serviceHigh-quality developmentPMC index modelPolicy evaluation

李林峰、赵静、李春晓、徐萍萍、刘森元

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北京中医药大学管理学院,北京 102488

家庭医生签约服务 高质量发展 PMC指数模型 政策评价

北京市社会科学基金

18GLB044

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(4)
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