信息资源管理学报 ›› 2022, Vol. 12 ›› Issue (2): 112-122,137.doi: 10.13365/j.jirm.2022.02.112

• 研究论文 • 上一篇    下一篇

基于PMC指数模型的远程医疗政策评价

翟运开1, 2 郭柳妍1 赵栋祥1,2 路薇1   

  1. 1.郑州大学管理工程学院,郑州,450001; 
    2.国家远程医疗中心·互联网医疗系统与应用国家工程实验室,郑州,450052
  • 出版日期:2022-03-26 发布日期:2022-04-25
  • 作者简介:翟运开,博士,教授,博导,研究方向为医疗信息系统与管理、医疗数据分析;郭柳妍,硕士生,研究方向为远程医疗政策评价;赵栋祥(通讯作者),博士,直聘副研究员,研究方向为在线医疗平台、健康信息服务与管理,Email: zhao_dongxiang@163.com;路薇,博士生,研究方向为医疗信息管理与决策。
  • 基金资助:
    本文系河南省高校科技创新团队支持计划“医疗大数据分析与临床应用”(20IRTSTHN028);国家重点研发计划“精准医学研究”重点专项“基于远程/移动医疗网络的精准医疗综合服务示范体系建设与推广”(2017YFC0909900);国家自然科学基金面上项目“数据驱动的远程医疗资源调度优化”(71972012)的研究成果之一。

Evaluation of Telemedicine Policies Based on PMC Index Model

Zhai Yunkai1,2 Guo Liuyan1 Zhao Dongxiang1,2 Lu Wei1   

  1. 1. School of Management Engineering, Zhengzhou University, Zhengzhou, 450001; 
    2. National Telemedicine Center of China·National Engineering Laboratory for Internet Medical Systems and Applications, Zhengzhou, 450052
  • Online:2022-03-26 Published:2022-04-25

摘要: 对远程医疗政策文本进行评价,可以为远程医疗政策科学制定、有效实施及调整优化提供理论支撑和决策依据。首先,对远程医疗相关政策文本进行收集与预处理,运用文本挖掘法进行高频词提取并生成关键词共现网络,构建了由10个一级指标和48个二级指标组成的PMC指数模型。然后,选取我国七项具有代表性的专项政策文本进行分析,通过计算PMC指数、绘制PMC曲面图来分析各项政策的优劣及优化路径,并利用戴布拉图进行政策对比分析。研究结果发现,当前政策总体设计较为合理,能够有效促进远程医疗发展。最后,提出在远程医疗政策制定过程中,应增加预测性,引入相应的监管机制;在长远规划中设定多阶段的目标,加快制定专门的远程医疗政策技术路线图;丰富激励约束手段,并对采取的激励措施进行细化;强化政策重点、明确政策目标、拓宽政策范围、充实政策内容,提高政策对远程医疗发展的增量效应等政策建议。

关键词: 远程医疗, 政策评价, 文本挖掘, PMC指数模型, 移动医疗

Abstract: The evaluation of the telemedicine policy text can provide theoretical support and decision-making basis for the scientific formulation, effective implementation, adjustment and optimization of telemedicine policies. First, the telemedicine-related policy texts were collected and preprocessed, the high-frequency words were extracted through text mining, the keywords co-occurrence network was generated, and a PMC index model consisting of 10 first-level indicators and 48 second-level indicators was constructed. Then, seven representative telemedicine policies in China were selected as samples for further analysis, by calculating the PMC index and drawing the PMC surface diagram to analyze the pros, cons and optimize path of various policies, and the policy comparison analysis is carried out by radar chart. It is find that the overall design of policy samples are relatively reasonable and can effectively promote the development of telemedicine. Finally, a series of recommendations for telemedicine policies were put forward: ①In the process of telemedicine policy formulation, the predictability should be increased and the corresponding supervision mechanism should be introduced; ②setting multi-stage goals in long-term planning and accelerating the formulation of a dedicated telemedicine policy technology roadmap; ③enriching incentives and restraints means and refining the incentive measures taken; ④the government should strengthen policy priorities, clarify policy objectives, broaden policy scope, enrich policy content, and improve the incremental effect of the policy on the development of telemedicine.

Key words: Telemedicine, Policy evaluation, Text mining, PMC index model, Mobile medical

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