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重点选题“医院管理”·专题专栏 | 更新时间:2026-08-10
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基于政策建模一致性指数模型的我国药品集中带量采购政策量化分析
Quantitative analysis of centralized drug bulk⁃buying policy in China based on policy modeling consistency index model

广西医学 页码:965-972

作者机构:张秀岚,在读硕士研究生,研究方向为卫生经济政策研究。

基金信息:中国卫生经济学会医药卫生体制改革第二批重点研究课题(CHEATG2502070202);国家社会科学基金(18XZZ013)

DOI:10.11675/j.issn.0253⁃4304.2026.07.05

  • 中文简介
  • 英文简介
  • 参考文献

目的 通过量化评价我国药品集中带量采购政策,探讨现有问题和优化路径。方法 在国务院及相关部门的官方网站、北大法宝数据库中,检索我国政府及有关部门颁布的药品集中带量采购政策文件。利用ROST CM 6.0文本分析软件对搜集到的政策文件进行文本挖掘分析处理并构建语义网络图。基于既往研究成果和语义网络图构建量化评估体系,通过政策建模一致性(PMC)指数模型对政策文本进行量化分析。结果 所构建的药品集中带量采购政策量化评估体系包含10个一级变量和38个二级变量。30项政策文件的PMC指数得分均值为7.53,其中23项政策文件评级为优秀,7项政策文件评级为可接受。30项政策文件在一级变量X9政策评价(0.97)、X10政策公开(1.00)上得分较高,在X1政策性质(0.46)、X3政策时效(0.25)、X4发布机构(0.46)上得分较低。结论 我国药品集中带量采购政策存在政策性质功能导向不全、政策时效性两极分化、政策部门协同不足的现象,建议加强顶层设计,合理制定政策长期、中期和短期目标,加强多部门协同合作,以提升政策执行的协同效率和整体绩效。

Objective To explore the current problems and optimized path of policy through quantitative evaluation of centralized drug bulk⁃buying policy in China. Methods Documents of centralized drug bulk⁃buying policy issued by the Chinese government and relevant departments were retrieved from the official websites of State Council and relevant departments, and from the PKULAW database. Using ROST CM 6.0 text⁃analysis software, text mining analysis and treatment, as well as semantic network graph construction were performed on the collected policy documents. Based on the existing research results and the construction of semantic network graph, a quantitative evaluation system was established, and the policy texts were quantitatively analyzed through the policy modeling consistency (PMC) index model. Results The quantitative evaluation system constructed for the centralized drug bulk⁃buying policy comprised 10 primary variables and 38 secondary variables. The mean PMC index score of the 30 policy documents was 7.53, among which 23 policy documents were rated as “excellent” and 7 as “acceptable”. Across the 30 policy documents, scores were relatively high in the primary variables X9 policy evaluation (0.97) and X10 policy openness (1.00), while relatively low scores were observed in X1 policy nature (0.46), X3 policy timeliness (0.25), and X4 issuing agency (0.46). Conclusion There exist certain deficiencies in China's centralized drug bulk⁃buying policy, manifesting as incomplete functional orientation in terms of policy nature, suboptimal policy timeliness, and insufficient inter⁃departmental synergy. It is recommended that top⁃level design should be strengthened, with long⁃term, medium⁃term, and short⁃term policy objectives being rationally formulated, and multi⁃departmental collaboration should be enhanced, improving the synergistic efficiency and overall performance of policy implementation. 

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