基于政策一致性指数模型的人体器官移植政策评价研究  

Policy evaluation of human organ transplantation based on policy modeling consistency index model

作　　者：吴勤德 赵梓钧 谢贤宇 张尉[1] 徐本华[1] Wu Qinde;Zhao Zijun;Xie Xianyu;Zhang Wei;Xu Benhua(Fujian Medical University Union Hospital,Fuzhou 350001,China;不详)

机构地区：[1]福建医科大学附属协和医院,福州350001 [2]福州大学人文社会科学学院

出　　处：《器官移植》2023年第3期435-441,共7页Organ Transplantation

基　　金：福建省科技厅创新战略研究项目(2022R0038);福建医科大学启航基金项目计划(2021QH1053)。

摘　　要：目的对我国人体器官移植政策进行评价,为进一步优化人体器官移植政策提供理论依据。方法基于文本挖掘与统计分析法,通过构建政策一致性指数模型(PMC),并通过10个一级变量和35个二级变量对2000年至2022年国家政府层面制定的7项人体器官移植规范性政策进行量化评价。结果在7项政策中,6项为优秀型政策,1项为完美型政策,平均PMC指数达8.476。除X_(8)政策受体外,P5其他二级变量得分都高于或等于均数;P1各项二级变量得分都低于或等于均数。P1和P5在X_(3)政策时效、X_(4)政策规范和X_(6)政策工具方面均有显著不同,P5在这些方面都更加具体且相对全面,因此得分显著高于P1。结论我国人体器官移植政策总体上优秀且科学合理,建议今后各级卫生健康行政部门在出台器官移植相关政策时,应注意政策时效的把握,注重政策工具的组合,充分调动各政策受体参与器官移植管理的工作主动性和积极性。Objective To evaluate the policy of human organ transplantation in China,aiming to provide theoretical basis for further optimizing the policy of human organ transplantation.Methods Based on text mining and statistical analysis,seven normative policies of human organ transplantation formulated by national government from 2000 to 2022 were quantitatively evaluated by constructing policy modeling consistency(PMC)with 10 first-level variables and 35 second-level variables.Results Among the seven policies,six were graded as excellent policies and one as perfect policy,with an average PMC index of 8.476.Except X_(8) policy audience,the scores of other second-level variables of P5 were higher than or equal to the mean.The scores of all second-level variables of P1 were lower than or equal to the mean.P1 and P5 significantly differed in X_(3) policy timeliness,X_(4) policy norms and X_(6) policy tools.P5 was more specific and relatively comprehensive in these aspects,and its score was significantly higher than that of P1.Conclusions Human organ transplantation policies in China are generally excellent,scientific and rational.Health administrative departments at all levels should pay attention to the grasp of policy timeliness,the combination of policy tools,and fully mobilize the initiative and enthusiasm of all policy audience to participate in organ transplantation management when formulating organ transplantation policies.

关 键 词：器官移植 器官捐献 政策一致性指数模型(PMC) 文本挖掘 政策评价 多投入产出表 曲面图 雷达图 

分 类 号：R617[医药卫生—外科学] R19[医药卫生—临床医学]