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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1.山东第一医科大学附属省立医院;2.济南市儿童医院;3.山东第二医科大学管理学院;4.山东第一医科大学医疗保障学院;5.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;6.浙江中医药大学 人文与管理学院;7.山东第一医科大学附属省立医院教学部

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国家自然科学基金资助项目;山东省社会科学规划妇女理论与家庭建设研究专项


A Quantitative Evaluation of Medical-Childcare Integration Policiesin China Based on the LDA-PMC Index Model
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1.Jinan Children'2.'3.s Hospital;4.Shandong Second Medical University;5.Shandong First Medical University;6.Shandong Provincial Hospital Affiliated to Shandong First Medical University;7.‌Zhejiang Chinese Medical University‌

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    摘要:

    摘 要:量化评价我国医育结合政策,为“十五五”时期相关政策优化提供参考。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LDA模型提取政策主题,并构建包含9个一级变量、44个二级变量的PMC指数模型,对政策文本进行量化评价。结果表明,20项政策PMC指数均值为6.12,整体表现良好,其中良好政策10项、可接受政策10项,无优秀和不良政策。经LDA主题分析提取出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5个核心主题。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、0.88),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)。政策注意力主要集中于服务供给、医育结合照护和监管规范,对家庭支持与技术赋能关注相对不足。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存在不足。后续应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:

    Abstract: To quantitatively evaluate the Integrated Medical and Childcare policy in China and provide a reference for the policies during the "15th Five-Year Plan" period. Taking 20 policy documents on Integrated Medical and Childcare issued at the national level from 2019 to 2025 as the research objects, the LDA model was used to extract policy themes, and a PMC index model containing 9 first-level variables and 44 second-level variables was constructed to conduct quantitative evaluation of the policy documents.The results show that the average value of the 20 policy PMC index is 6.12, indicating a generally good performance. Among them, there are 10 good policies, 10 acceptable policies, and no excellent or poor policies. Through LDA topic analysis, five core themes were extracted: childcare service supply and universal guarantee, integration of healthcare and education, talent team building and capacity enhancement, mechanism system and comprehensive supervision, and family support and parenting empowerment. Among all the dimensions, the scores for policy quality, policy perspective and policy target are relatively high(0.99, 0.95 and 0.88 respectively), while the scores for policy nature, policy document type and policy timeliness are relatively low (0.53, 0.36 and 0.30 respectively).The policy attention was mainly focused on service supply, integrated care, and regulatory norms, while there was relatively insufficient attention to family support and technical empowerment.The policy framework for the Integrated Medical and Childcare in China has been initially established, but there are still problems such as insufficient temporal connection, unbalanced content coverage, and insufficient cross-departmental collaboration. In the future, the full-cycle design of policies should be improved, family support and technological empowerment should be strengthened, and multi-departmental collaborative governance should be promoted.

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  • 收稿日期:2026-05-22
  • 最后修改日期:2026-07-12
  • 录用日期:2026-07-13
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