中国全科医学

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我国基于PMC指数模型的卫生信息化政策评价

范天昊,赵雪莲,胡尚英,赵方辉,张勇   

  • 收稿日期:2024-02-12 接受日期:2024-03-29
  • 通讯作者: 张勇
  • 基金资助:
    中国医学科学院医学与健康科技创新工程重大协同创新项目(2021-I2M-1-004)

Health Informatization Policy Evaluation Based on PMC Index Model in China

FAN Tianhao,ZHAO Xuelian,HU Shangying,ZHAO Fanghui,ZHANG Yong   

  • Received:2024-02-12 Accepted:2024-03-29
  • Contact: ZHANG Yong
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摘要: 背景 我国卫生信息化处于高速发展阶段,政策支持对卫生信息水平的快速提升起到了重要作用。当前关于卫生信息化政策量化评价研究较少,需开展相关研究促进政策提升以推动卫生信息化高效高质发展。目的 对我国卫生信息化政策进行梳理和量化评价,为政策的制定和完善提供策略与思路参考。方法 通过检索筛选获取2014-2023年政府出台的卫生信息化相关政策,运用ROST内容挖掘系统(ROST Content Mining System,ROST CM)质性分析软件进行文本挖掘,构建政策建模一致性(Policy Modeling Consistency,PMC)指数模型评价相应政策,并通过设置一级指标和二级指标对卫生信息化政策的基本情况和政策整体性进行量化评估分析。结果 共检索筛选出11份政策文件。通过PMC建模方法及多源流理论确立PMC评价体系及评价标准。在选取的11项政策样本中,PMC平均分数(6.77)处在良好水平,在一级指标中政策工具(0.39)和政策级别(0.56)有较大提升空间,在二级指标中政策性质的预期变量(0.55)和政策实施的技术支持变量(0.09)有较大提升空间。结论 卫生信息化政策需要更多关注供给型政策和需求型政策、积极形成效力高的正式标准规范文件提升政策级别,同时提出合理可操作的目标方便未来衡量预期目标,注重考核评估与技术支持助力政策实施。通过科学的政策体系推动卫生信息化事业的快速发展。

关键词: 卫生信息化, 政策评估, 文本挖掘, PMC指数模型, 文本量化

Abstract: Background  China's health informatization is in the stage of rapid development, and policy support plays an important role in the rapid improvement of health information level. At present, there are few researches on the quantitative evaluation of health informatization policy, so it is necessary to carry out relevant researches to promote the policy upgrading to promote the efficient and high-quality development of health informatization. Objective  To sort out and evaluate the policy of health informatization in China, and to provide reference for the formulation and improvement of the policy. Methods  The relevant health informatization policies issued by the government from 2014 to 2023 were obtained through retrieval and screening, and the text Mining was carried out using the ROST Content Mining System (ROST CM) qualitative analysis software. The Policy Modeling Consistency (PMC) index model was constructed to evaluate the corresponding policies, and the basic situation and policy integrity of health informatization policies were quantitatively evaluated and analyzed by setting primary and secondary indicators. Results  A total of 11 policy documents were selected. PMC evaluation system and evaluation criteria are established through PMC modeling method and multi-source flow theory. Among the 11 selected policy samples, the average score of PMC(6.77)is at a good level, and there is a large room for improvement in the first-level indicators of policy tools (0.39)and policy level(0.56), and there is a large room for improvement in the second-level indicators of the expected variables of policy quality(0.55)and the technical support variables of policy implementation(0.09). Conclusion  Health informatization policies need to pay more attention to supply-oriented policies and demand-oriented policies, actively form formal standards and specifications with high effectiveness to upgrade policy levels, and propose reasonable and operational goals to facilitate future measurement of expected goals, focusing on assessment and technical support to help policy implementation. Promote the rapid development of health informatization through scientific policy system.

Key words: Health informatization, Policy evaluation, Text mining, PMC index model, Text quantization