我国中央层面家庭医生签约服务政策量化评价
itle Quantitative Evaluation of China's central family doctor contract service Policy
背景 我国人口老龄化形势日益严重,家庭医生签约服务对助推分级诊疗制度建设、建立合理有序就医秩序发挥了重要作用,目前学者对家庭医生签约服务政策的研究主要集中于定性评价,没有学者利用工具聚焦到具体某几篇政策对各篇政策进行定量评价。目的 本研究对我国中央层面的6篇家庭医生签约服务相关政策进行逐一评价,以定量研究的方法客观分析政策优劣,在此基础上,提出促进我国家庭医生签约服务高质量发展的对策和措施,助力健康中国战略建设。方法 本研究对32篇政策文本进行文本挖掘,然后利用PMC指数模型构建量化评价指标体系对6篇政策文本进行量化评价。结果 政策排名为P1>P3>P2>P6>P4>P5;3篇政策为优秀等级,3篇政策为可接受等级;在政策内容、政策性质、政策评价、政策领域、作用方式等方面,各维度的得分比较高。结论 我国家庭医生签约服务政策内容的覆盖面较为广泛,政策比较成熟。建议注重政策时效长期、中期与短期的有机结合,多角度完善激励方式,提升家庭医生职业荣誉感,运用多种政策工具与政策作用方式。
Background Signing the situation of population aging in our country is becoming increasingly serious, the family doctor service for booster grading diagnosis system construction, establish a reasonable and orderly order has played an important role, the scholars to the family doctor service contract to policy research mainly focused on qualitative evaluation, no scholars use tools on specific policy articles for quantitative evaluation of each policy. Objective This study evaluated 6 policies related to family doctor contract service at the central level of China one by one, objectively analyzed the advantages and disadvantages of the policies by quantitative research method, and put forward countermeasures and suggestions to promote the high-quality development of family doctor contract service, and help the strategic construction of healthy China. Methods In this study, 32 policy texts are mined, and 6 policy texts are quantitatively evaluated by using PMC index model to construct quantitative evaluation index system. Results The policy ranking was P1>P3>P2>P6>P4>P5. 3 policies are rated as excellent, and 3 policies are rated as qualified. Policy content, policy nature, policy evaluation, policy field, and mode of action scored higher. Conclusion The coverage of family doctor contract service policy in China is more extensive and mature. It is suggested to pay attention to the organic combination of long-term, medium-term and short-term policy prescription, improve incentive methods from multiple perspectives, enhance the professional sense of honor of family doctors, and use a variety of policy tools and policy action modes.
刘森元、李春晓、赵静、徐萍萍、李林峰
医药卫生理论医学研究方法预防医学
家庭医生签约服务PMC指数模型政策评价量化评价中央层面
Family doctor contract servicePMC index modelPolicy evaluationQuantitative evaluationhe central level
刘森元,李春晓,赵静,徐萍萍,李林峰.我国中央层面家庭医生签约服务政策量化评价[EB/OL].(2022-07-22)[2025-08-11].https://chinaxiv.org/abs/202207.00177.点此复制
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