Quantitative analysis of the total payment policy of county medical community based on PMC index model
10.3760/cma.j.cn111325-20240522-00423
- VernacularTitle:基于PMC指数模型的县域医疗共同体总额付费政策的量化评价
- Author:
Xingyuan YU
1
;
Liangwen ZHANG
1
;
Ya FANG
1
Author Information
1. 厦门大学公共卫生学院卫生经济与政策研究中心 卫生技术评估福建省高校重点实验室，厦门 361102
- Publication Type:Journal Article
- Keywords:
County medical community;
Total payment;
Policy modeling consistency index model;
Quantitative analysis
- From:
Chinese Journal of Hospital Administration
2025;41(3):165-171
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the strengths and weaknesses of the total payment policy in China′s county medical community (CMC), and to provide decision-making basis for the high-quality development of CMC and its medical security system.Methods:Official websites of China′s provincial and prefectural governments, the Health Commission and the Medical Security Bureau were searched for policies related to total payment in CMC (issued from May 2019 to December 2023), and 10 representative sample policies were selected based on the balance of the temporal and spatial distribution and the completeness of the content. The policy modeling consistency (PMC) index model was used to quantitatively evaluate the sample policies by identifying primary and secondary variables.Results:The PMC index model variables for the total payment policies in CMC included 10 primary variables such as policy nature, policy timeliness, and policy receptors, and 54 secondary variables such as prediction, recommendation, and regulation. The average PMC index score for the 10 sample policies is 6.86, which was generally at a good level, with five policies each of excellent and good grades. In terms of the primary indicators, the policy nature (0.77), policy receptor (0.82) and policy content (0.73) scored highly, while the policy timeliness (0.35), policy synergy (0.54) and guarantee mechanism (0.53) scored lowly. A comparison of the two policies with the highest and lowest scores revealed that the main reasons for the low scores were the single setting of policy objectives, the lack of dynamic monitoring of key indicators and the inadequacy of guarantee mechanisms such as multisectoral collaboration.Conclusions:China′s total payment policy in CMC was generally better, but it still needed to be strengthened in terms of policy timeliness, policy synergy and guarantee mechanism. It was recommended that local governments can optimize policies by comprehensively considering the timeliness of long-medium-and short-term policies, giving full play to the synergistic effects of medical security policies, and improving the multi-dimensional co-management and guarantee mechanism.
