健康联合体政策时间演化分析  

Analysis of the temporal evolution of health consortium policies

作　　者：余洋 王素芬[1] 于昊生 应明幼[1] YU Yang;WANG Sufen;YU Haosheng;YING Mingyou(Glorious Sun School of Business&Management,Donghua University,Shanghai,China;College of Information Technology,Guangxi Police College,Nanning,China)

机构地区：[1]东华大学旭日工商管理学院,上海 [2]广西警察学院信息技术学院,南宁

出　　处：《东华大学学报（自然科学版）》2024年第5期159-167,共9页Journal of Donghua University(Natural Science)

基　　金：上海市经济信息委员会城市数字化转型专项(202301002)。

摘　　要：为探究我国健康联合体(健联体)政策在不同时期的关注主题及其演变特征,构建了健联体政策的多角度多层级组合的主题模型。基于结构主题模型(structural topic model,STM)、潜在狄利克雷分配模型(latent Dirichlet allocation,LDA)和标签潜在狄利克雷分配模型(labeled latent Dirichlet allocation,Labeled LDA),采用无监督学习和有监督检验的双重视角,从文本、主题和单词多个粒度对健联体政策文本进行定量分析。研究发现,在健联体政策的宏观层面,“医联体”受到越来越多关注;中观层面,越来越注重基层服务能力建设等方面的工作;微观层面,供给型和需求型政策工具的运用有局部优化的趋势,但尚未能全面提升。政府、二级及以上医院和基层医院受到的关注逐渐提升,实施细则的数量逐年增加,而规划性的政策则逐年减少。研究结果为评估我国健联体政策的现状提供了参考,同时也有助于推动健联体政策的进一步完善。To investigate the topics and the evolving characteristics across different periods of China s health consortium policies,a multi-faceted and multi-level topic model was constructed.By utilizing structural topic model(STM),latent Dirichlet allocation(LDA)and labeled latent Dirichlet allocation(Labeled LDA),the study quantitatively analyzed the health consortium policy documents from various granularities,including texts,topics,and individual words,through both unsupervised learning and supervised validation.The research revealed that,at the macro level,“health consortium”as a topic has garnered increasing attention.At the meso level,there is a growing emphasis on aspects such as“strengthening grassroots service capabilities”.At the micro level,although it is not yet widely improved there is a trend towards optimizing the utilization of supply-based and demand-based policy tools,though they have yet to achieve widespread enhancement.Additionally,the study found that governments,secondary and higher-level hospitals,as well as primary care facilities,are receiving increasing attention.The number of implementation details is increasing annually,whereas prescriptive policies are decreasing annually.These findings offer valuable insights for assessing the current state of China s health consortium policies,thereby contributing to their further refinement and improvement.

关 键 词：健康联合体 政策分析 主题模型 时间演化 

分 类 号：R197.1[医药卫生—卫生事业管理]