基于PMC指数模型的孕产期营养保健政策的可操作性分析  

Operability analysis of maternal and child nutrition and healthcare policy based on PMC index model

作　　者：孟禹呈 刘晓曦[1] 丁雪[1] 陈永超[1] 王芳[1] MENG Yucheng;LIU Xiaoxi;DING Xue;CHEN Yongchao;WANG Fang(Institute of Medical Information/Medical Library,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing100020,China)

机构地区：[1]中国医学科学院北京协和医学院医学信息研究所,北京100020

出　　处：《中国医药导报》2025年第10期174-179,共6页China Medical Herald

基　　金：联合国儿基会项目孕产妇营养促进项目基线调查。

摘　　要：目的通过PMC指数模型分析国家层面孕产期营养保健政策的可操作性。方法对中国政府网、国家卫生健康委员会官网和北大法宝数据库进行政策检索,梳理2000年1月至2024年8月孕产期营养保健领域的国家政策,并围绕重要性和应具有的可操作性进行分类;基于文献回顾和专家讨论等方法构建PMC指数模型,并进行实证评价。结果整理得到41部政策,其中重要政策12部、应具有较高的可操作性政策28部。构建了包含9个一级指标、15个二级指标的PMC指数模型。实证评价认为我国孕产期营养保健政策的可操作性尚可,46.3%(19/41)的政策评级为高或较高,但其中等级为高的仅3部,且不包含法律、行政法规位阶的政策;职责界定(0.37)、协同推进(0.46)、政策监督和改进(0.45)3个维度得分较低,是造成可操作性较低的主要原因。结论本研究构建了关于我国孕产期营养保健政策可操作性的PMC指数模型,并进行了实证分析,可为后续政策提供参考。Objective To analyze the operability of national-level maternal nutrition and healthcare policies using the PMC index model.Methods A policy search was conducted on the website of the Chinese Government,the official website of the National Health Commission,and the PKU Law Database to collate national policies in the field of maternal and child nutrition and healthcare from January 2000 to August 2024.Policies were categorised based on significance and operational and child feasibility.The PMC index model was constructed through literature review and expert discussions,followed by empirical evaluation.Results A total of 41 policies were identified,including 12 key policies and 28 policies that should possess high operability.A PMC index model comprising nine primary indicators and 15 secondary indicators was established.Empirical evaluation revealed that the operability of China’s maternal and child nutrition and healthcare policies was moderate,with 46.3%(19/41)of policies scoring high or relatively high.However,only three policies scored high,none of which were laws or administrative regulations.Lower scores in three dimensions of responsibility definition(0.37),collaborative implementation(0.46),and policy supervision and improvement(0.45)of were identified as primary reasons for reduced operability.Conclusion This study developed a PMC index model to evaluate the operability of maternal and child nutrition and healthcare policies in China and conducted empirical analysis.The findings provide a reference for future policy formulation.

关 键 词：孕产期营养保健 PMC指数模型 政策评价 政策可操作性 

分 类 号：R19-019[医药卫生—卫生事业管理]