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中国医院工作场所暴力防控政策文本的量化评估:基于PMC-Index模型

Quantitative evaluation of policy texts of hospital workplace violence prevention and control in China: based on the PMC-Index model.

作者信息

Ma Yuanshuo, Huang Yutong, Miao Xin, Zhang Sulin, Gao Jia, Li Heyi, Yuan Meina, Hu Jie

机构信息

School of Public Health, Hebei Medical University, 361 EastZhongshan Road, Shijiazhuang, Hebei, 050017, China.

School of Nursing, Innovation Center of Humanistic Care and Health Management, Hebei Medical University, Shijiazhuang, Hebei, China.

出版信息

BMC Public Health. 2025 Mar 3;25(1):846. doi: 10.1186/s12889-025-22011-z.

Abstract

BACKGROUND

Workplace violence is one of the major public health problems in the world. In China, the problem of hospital workplace violence has been improved, but it remains significant. In order to prevent and punish such adverse events, China has introduced a series of policies and measures, however, there is still a lack of evaluative research on the effectiveness of these policies.

METHODS

This paper, the PMC-Index model was used to establish a policy quantitative evaluation index system based on the high-frequency words in the policy texts in China. The consistency, advantages and disadvantages of 11 policies using a multi-input-output table.

RESULTS

The policy evaluation system included 10 first-level variables and 52 second level variables. Of the 11 policies chosen, 5 exhibited good consistency (B), 6 showed acceptable consistency (C), and none were rated as poor. The average PMC-Index of B-level policies was 7.664, while for C-level policies it was 6.344. Overall, the level of all policies was deemed acceptable.

CONCLUSIONS

By constructing the PMC-Index model, it is evident that the overall design of hospital workplace violence policies in China is relatively rational, displaying a high standard and quality. Strengthening publicity and guidance, implementing coordination mechanisms between the police and medical, coordinating the cooperation of all social departments, and perfecting the construction of the legal system can be the main focus of policy improvement and optimization in the future.

摘要

背景

工作场所暴力是全球主要的公共卫生问题之一。在中国,医院工作场所暴力问题虽有所改善,但仍较为严重。为预防和惩处此类不良事件,中国出台了一系列政策措施,然而,对这些政策的有效性仍缺乏评估研究。

方法

本文运用PMC指数模型,基于中国政策文本中的高频词汇建立政策定量评估指标体系。使用多投入产出表对11项政策的一致性、优缺点进行分析。

结果

该政策评估体系包括10个一级变量和52个二级变量。在所选取的11项政策中,5项表现出良好的一致性(B级),6项表现出可接受的一致性(C级),无政策被评为差。B级政策的平均PMC指数为7.664,C级政策为6.344。总体而言,所有政策的水平均可接受。

结论

通过构建PMC指数模型可知,中国医院工作场所暴力政策的总体设计较为合理,具有较高的水准和质量。加强宣传引导、落实警医协调机制、统筹社会各部门协同合作、完善法制建设可成为未来政策改进与优化的重点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20b6/11877931/6c34596e2037/12889_2025_22011_Fig1_HTML.jpg

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