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Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2026年10月
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政策评价研究［J］. 创新科技，2023，23（4）：33-43 （本文编辑：姜 鑫）

A quantitative evaluation of integrated medical and child care services

in China based on the LDA⁃PMC index model

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Zhang Can ，Du Yujie ，Wei Zhen ，Liu Wen ，Wang Guowen 5
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
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.
Key words：integration of medical and childcare services；policy evaluation；PMC index model；latent
Dirichlet allocation