中国全科医学 ›› 2023, Vol. 26 ›› Issue (04): 440-446.DOI: 10.12114/j.issn.1007-9572.2022.0522

• 论著·家庭医生签约服务专题研究 • 上一篇    下一篇

我国中央层面家庭医生签约服务政策量化评价:基于PMC指数模型

徐萍萍, 赵静*(), 李春晓, 李林峰, 刘森元   

  1. 102488 北京市,北京中医药大学管理学院
  • 收稿日期:2022-07-14 修回日期:2022-09-06 出版日期:2023-02-05 发布日期:2022-10-28
  • 通讯作者: 赵静
  • 徐萍萍,赵静,李春晓,等.我国中央层面家庭医生签约服务政策量化评价:基于PMC指数模型[J].中国全科医学,2023,26(4):440-446.[www.chinagp.net]
    作者贡献:徐萍萍负责文章的构思与设计、研究的实施与可行性分析、结果的分析与解释、论文撰写,并对文章整体负责;赵静负责文章的质量控制及审校,监督管理;李春晓、李林峰、刘森元负责数据收集与整理、统计学处理。
  • 基金资助:
    北京市社会科学基金项目(18GLB044)

Quantitative Evaluation of Chinese Central Government's Family Doctor Contract Service Policy Based on PMC Index Model

XU Pingping, ZHAO Jing*(), LI Chunxiao, LI Linfeng, LIU Senyuan   

  1. School of Management, Beijing University of Chinese Medicine, Beijing 102488, China
  • Received:2022-07-14 Revised:2022-09-06 Published:2023-02-05 Online:2022-10-28
  • Contact: ZHAO Jing
  • About author:
    XU P P, ZHAO J, LI C X, et al. Quantitative evaluation of Chinese central government's family doctor contract service policy based on PMC index model[J]. Chinese General Practice, 2023, 26 (4) : 440-446.

摘要: 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着重要作用,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,较少有学者利用工具聚焦代表性政策对各篇进行定量评价。 目的 定量评价我国中央层面的6篇家庭医生签约服务相关政策,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,助力健康中国战略实施。 方法 于2022-04-30,以"家庭医生"为关键词在北大法宝数据库进行全文检索,并在国务院网站进行相关内容检索,检索时限为2015-01-01至今。采用ROSTCM 6.0软件进行文本挖掘,然后以其结果为依据选择其中具有代表性的中央层面家庭医生签约服务相关政策,并基于政策一致性评价(PMC)指数模型对其进行量化评价。 结果 依据纳入与排除标准检索获得相关政策32篇,家庭医生签约服务领域排名前5位的高频关键词为"签约服务"(274次)、"健康"(272次)、"医疗"(264次)、"家庭医生"(225次)、"签约"(180次),以其为依据共选择中央层面有代表性的家庭医生签约服务相关政策6篇,分别标记为P1~P6。政策量化评价结果显示:依据PMC指数得分和政策等级,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。

关键词: 家庭医生签约服务, 卫生政策, 政策评价, 量化评价, PMC指数模型

Abstract:

Background

Population aging is getting worse in our country. Family doctor contract service plays an important role in boosting the construction of hierarchical diagnosis and treatment system and establishing a reasonable and orderly medical order. Current research about family doctor contract service policy mainly focus on qualitative evaluation, and there are few researchers use tools to quantitatively evaluate each individual representative policy.

Objective

This study aims to quantitatively evaluate the pros and cons of six Chinese central government policies about family doctor contract service, thus, proposing strategies and measures to promote the high-quality development of our country's family doctor contract service, and helping the construction of healthy China.

Methods

We searched Peking University's PKULAW.com and websites of some relevant ministries of the State Council of China from January 1, 2015 to April 30, 2022. The key word was "family doctor". The software ROSTCM 6.0 was used for text mining. Based on the results, this study selected central government policies about family doctor contract services, then used the PMC index model to quantitatively evaluate these policies.

Results

This study included thirty-two policies based on inclusion and exclusion criteria. The top five high-frequency keywords in the field of family doctor services are "contract service" (n=274) , "health" (n=272) , "medical" (n=264) , "family doctor" (n=225) , and "contract" (n=180) . They were marked as P1-P6, respectively. In terms of methods and other aspects, the scores of each dimension are relatively high. The results of quantitative evaluation showed that the ranking of policies is P1>P3>P2>P6>P4>P5. Three policies were rated as excellent, the other three were rated as acceptable. The scores were relatively high in the policy content, policy nature, policy evaluation, policy field and policy role.

Conclusion

Our country's family doctor contract service policy had a relatively broad content and is relatively mature. It is suggested to pay attention to the combination of long-term, medium-term and short-term validity of the policies, improve incentive approaches from multiple perspectives, enhance the sense of professional honor of family doctors, and use a variety of policy tools and policy action.

Key words: Contracted family doctor services, Health policy, Policy evaluation, Quantitative evaluation, PMC index model