首页|基于LDA主题模型的我国医用耗材管理政策文本的量化分析

基于LDA主题模型的我国医用耗材管理政策文本的量化分析

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目的:从国家及省级层面分析医用耗材管理相关政策的主题结构及其差异,为医用耗材管理政策衔接及优化提供参考.方法:系统检索建库至2024 年4 月1 日北大法宝数据库中我国医用耗材管理相关政策,利用文本计量方法和LDA主题模型对国家和省级的相关政策进行量化分析.结果:共收集 77 份国家和省级出台的医用耗材管理政策文本,政策发布数量在2017 年和2019 年迎来2 次大幅提升,国家和省级平均政策力度值分别为2.6 和2.3.对文本进行预处理后,分别从国家和省级政策文本中获取关键词676 个和 2155 个.通过LDA主题建模分析,从国家政策文本中提取出医保与采购管理(占56.3%)和医用耗材的临床使用管理与质量控制(占43.7%)两大主题,东、中、西和东北地区政策围绕上述主题内容分别形成2 个、3 个、5 个和3 个主题.结论:我国医用耗材管理政策偏重医保与采购管理,省级政策总体与国家基本保持一致,但在调整与细化过程中,存在多部门协同不足、缺乏全局观、过度依赖医保与采购管理的问题.地方政府应加强政策合力,注重整体观,加大对临床使用管理与质量控制政策投入,以提高政策落实精准性.
Quantitative Analysis of Policy Texts of Medical Consumables Management in China Based on LDA Topic Model
Objective To analyze the theme structure and differences of medical consumables management policies from the national and regional levels,and provide reference for the convergence and optimization of medical consumables management poli-cies.Methods The policies related to the management of medical consumables in Peking University magic database from the estab-lishment of the database to April 1,2024 were systematically retrieved.The text measurement method and LDA topic model were used to quantitatively analyze the national and provincial medical consumables management policies in China.Results A total of 77 national and provincial medical consumables management policy texts were collected.The number of policies increased significant-ly twice in 2017 and 2019.The average national and provincial policy strength values was 2.6 and 2.3,respectively.After pre-processing the text,676 national keywords and 2155 provincial keywords were obtained.Through LDA theme modeling analysis,two major themes were extracted from the national policy texts,which were medical insurance and procurement management and clinical use management and quality control of medical consumables.The policies of the eastern,central,western and northeast-ern regions formed 2,3,5 and 3 themes around the above theme content,respectively.Conclusion China's medical consumables management policy focuses on medical insurance and procurement management.The provincial policy is basically consistent with the national policy,but there has some problems in adjusted and refined it,such as insufficient cooperation among different de-partments,lack of overall outlook,excessive depending on medical insurance and procurement management.Local government should intensify the policy synergy,value the holistic view,increase the input of clinical use management and quality control poli-cies,to improve the policies'accuracy.

medical consumables managementLDA topic modelpolicy text

陈彦丽、林陶玉、李圆圆、郭薇、郭晓颖、张亚桃

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石河子大学医学院,新疆 石河子 832000

苏州高新区人民医院

石河子大学第一附属医院

医用耗材管理 LDA主题模型 政策文本

2025

中国卫生事业管理
中国卫生事业管理杂志社

中国卫生事业管理

北大核心
影响因子:1.56
ISSN:1004-4663
年,卷(期):2025.42(1)