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我国医疗服务价格改革政策量化研究OA

Quantitative research on Chinese medical service price reform policies

中文摘要英文摘要

目的 基于 PMC 指数模型对我国医疗服务价格改革政策进行量化评价,为政策制定和完善提供参考.方法 以2021 年医疗服务价格改革试点方案颁布后的43 项代表性政策为文本库,通过 ROST CM6 软件进行文本挖掘,围绕核心词建立由9 个一级变量和40 个二级变量组成的PMC 指数模型,对样本政策展开全面评价.结果 根据评价标准,样本政策中2 项属于完美政策,25 项属于优秀政策,16 项属于可接受政策,样本政策的 PMC 指数总体均值为 7.41,属于优秀等级,现阶段医疗服务价格政策框架较为完备,但仍有优化空间.结论 持续深化医疗服务价格改革应建立健全科学长效的政府投入机制,加强医疗服务价格法律保障,综合应用各种政策工具,强化地方政府主体责任,同时兼顾各方利益.

Objective To quantitatively evaluate China's medical service price reform policies based on the PMC index model,so as to provide references for policy formulation and optimization.Methods Taking 43 representative policies issued af-ter the promulgation of the Pilot Plan for Medical Service Price Reform in 2021 as the text database,text mining was conducted via ROST CM6 software.A PMC index model consisting of 9 primary variables and 40 secondary variables was established around core terms to conduct a comprehensive evaluation of the sampled policies.Results According to the evaluation criteria,2 of the sampled policies were rated as"Perfect",25 as"Excellent",and 16 as"Acceptable".The overall average PMC index of the sampled policies was 7.41,which falls into the"Excellent"grade.The current policy framework for medical service prices is rel-atively sound but still has room for optimization.Conclusion To continuously deepen the medical service price reform,it is nec-essary to establish and improve a scientific and long-term government investment mechanism,strengthen legal support for medical service price policies,comprehensively apply various policy tools,and consolidate the main responsibilities of local governments while balancing the interests of all stakeholders.

安垿钊;马雷;贺晓玲;姚锡昊;汪曦

天津医科大学肿瘤医院 天津 300060天津医科大学肿瘤医院 天津 300060南昌大学公共政策与管理学院 江西 南昌 330038天津医科大学肿瘤医院 天津 300060天津医科大学肿瘤医院 天津 300060

医药卫生

医疗服务价格改革卫生政策PMC指数模型政策评价

Medical service price reformHealth policyPMC index modelPolicy evaluation

《现代医院》 2026 (9)

1409-1414,6

国家社会科学基金一般项目(21BGL202)天津医科大学医院管理创新研究项目(2025YG15)

10.3969/j.issn.1671-332X.2026.09.001

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