基于LDA-PMC指数模型的我国医育结合政策量化评价研究
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作者单位:

1.山东第一医科大学医药管理学院,山东 泰安 271016 ;2.山东大学附属儿童医院儿童保健所,山东 济南 250022 ;3.山东第一医科大学附属省立医院对外合作与医务社会工作处,山东 济南 250021 ;4.浙江中医药大学人文与管理学院,浙江 杭州 310000 ;5.山东第一医科大学附属菏泽医院科研部,山东 菏泽 274031

作者简介:

张灿(2003—),女,山东济宁人,硕士研究生在读,研究方向为健康政策与社会工作;

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中图分类号:

C924.21

基金项目:

国家自然科学基金“乡—城随迁老人群体数字健康失能困境、生成机制与协同赋能策略研究”(72504256);山东省社会科学规划妇女理论与家庭建设研究专项“生育支持政策视域下‘医育结合’服务供给多主体协同机制研究”(25CFNJ20)


A quantitative evaluation of integrated medical and child care services in China based on the LDA-PMC index model
Author:
Affiliation:

1. School of Pharmaceutical Administration, Shandong First Medical University, Tai' an 271016 ;2. Child Health Care Institute, Children's Hospital Affiliated to Shandong University, Jinan 250022 ;3. Department of External Cooperation and Medical Social Work, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021 ;4. School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou 310000 ;5. Department of Scientific Research, Heze Hospital Affiliated to Shandong First Medical University, Heze 274031 , China

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    摘要:

    以2019—2025年国家层面发布的20份医育结合相关政策文本为研究对象,采用潜在狄利克雷分布(latent Dirichlet allocation, LDA)模型提取出5个主题:托育服务供给与普惠保障、医育结合与健康照护、人才队伍与能力建设、机制体系与综合监管、家庭支持与育儿赋能,构建政策建模一致性(policy modeling consistency, PMC)指数模型(9个一级变量、44个二级变量)进行量化评价。结果显示,20项政策的PMC指数均值为6.12,整体良好(良好10项、可接受10项)。各维度中,政策质量、政策视角和政策对象得分较高(分别为0.99、0.95、0.89),而政策性质、政策文种和政策时效得分较低(分别为0.53、0.36、0.30)。政策注意力集中于服务供给、医育照护和监管规范,对家庭支持与技术赋能关注不足。研究表明,我国医育结合政策已形成初步制度框架,但在时序衔接、内容均衡和多部门协同方面仍需加强。建议完善全周期政策设计,强化家庭支持与技术赋能,健全跨部门协同治理机制。

    Abstract:

    Taking 20 national-level policy documents related to integrated medical and child care services between 2019 and 2025 as the research objects, the latent Dirichlet allocation (LDA) model was used to extract themes, including childcare service provision and inclusive access, integrated medical and child care services, workforce development and capacity building, institutional mechanisms and comprehensive regulation, and family support and parenting empowerment. The policy modeling consistency (PMC) index model comprising 9 first-level variables and 44 second-level variables was then constructed for quantitative evaluation. The results showed that the average PMC index of the 20 policies was 6.12, with an overall good evaluation, with 10 good policies and 10 acceptable policies. Among the dimensions, policy quality, policy perspective, and policy target received relatively high scores of 0.99, 0.95 and 0.89, respectively, while policy nature, policy categories, and policy timeliness received relatively low scores of 0.53, 0.36 and 0.30, respectively. Policy attention was mainly focused on service supply, medical and child care, and regulatory standards, with insufficient emphasis on family support and technical empowerment. China's integrated medical and child care policies have formed a preliminary institutional framework, but still need further improvements in policy coordination, policy coverage balance, and multi-departmental collaboration. The findings suggest improving the policy design across the continuum, strengthening family support and technical empowerment, and establishing a more effective cross-departmental collaborative governance mechanism.

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张灿,杜玉杰,尉真,刘稳,王国文.基于LDA-PMC指数模型的我国医育结合政策量化评价研究[J].南京医科大学学报(社会科学版),2026,26(5):476~482

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  • 收稿日期:2026-05-22
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  • 在线发布日期: 2026-11-02
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