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基于PMC指数模型的双向转诊政策定量评估

Quantitative evaluation of two-way referral policies based on PMC index model.

作者信息

Gong Jing, Shi Leiyu, Deng Jinsong, Xie Wanzhen, Liao Shengwu, Xia Oudong, Sun Gang

机构信息

West China Hospital of Stomatology Sichuan University, Chengdu, 610041, China.

Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA.

出版信息

Int J Equity Health. 2025 Jan 10;24(1):8. doi: 10.1186/s12939-024-02373-3.

Abstract

OBJECTIVE

Perfect policy system support is the key to effective work, and policy evaluation can provide theoretical basis for policy revision. This study aims to quantitatively evaluate the two-way referral policy in China and thus improve the policy system of two-way referral.

METHODS

This research focuses on 14 two-way referral policies published from 2007 to 2021. Basing on the focus of the two-way referral policy identified by text-mining methods, we constructed a PMC index model containing 9 primary and 43 secondary variables to conduct a quantitative evaluation of the two-way referral policy.

RESULTS

All document types are work notices. The two-way referral policy issued by relevant departments have gradually increased since 2015.The average PMC index of the 14 documents was 5.84, and the policy with the highest PMC index score was the policy P14 issued by Jiangsu province. There are 6 excellent policies, 8 good policies, and no qualified grade policy. The difference in PMC index scores mainly shows the three dimensions of policy clarity, policy content and policy coverage.

CONCLUSIONS

This study indicates that the quality of two-way referral policy is generally good, which reveals the factors affecting the policy operability and contributes to expand the research perspective of two-way referral policy evaluation.We also analyzed the advantages and disadvantages of the existing policy of two-way referral through policy evaluation, and provided guidance for subsequent policy revisions.

摘要

目的

完善的政策体系支持是有效工作的关键,而政策评估可为政策修订提供理论依据。本研究旨在对我国双向转诊政策进行定量评估,从而完善双向转诊政策体系。

方法

本研究聚焦于2007年至2021年发布的14项双向转诊政策。基于文本挖掘方法确定的双向转诊政策重点,构建了一个包含9个一级变量和43个二级变量的PMC指数模型,对双向转诊政策进行定量评估。

结果

所有文件类型均为工作通知。自2015年以来,相关部门发布的双向转诊政策逐渐增多。14份文件的平均PMC指数为5.84,PMC指数得分最高的政策是江苏省发布的政策P14。有6项优秀政策,8项良好政策,无合格等级政策。PMC指数得分差异主要体现在政策清晰度、政策内容和政策覆盖范围三个维度。

结论

本研究表明双向转诊政策质量总体良好,揭示了影响政策可操作性的因素,有助于拓展双向转诊政策评估的研究视角。我们还通过政策评估分析了现有双向转诊政策的优缺点,为后续政策修订提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b81b/11721596/05955ebe133a/12939_2024_2373_Fig1_HTML.jpg

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