中国全科医学2025，Vol.28Issue(31)：3890-3896,7.DOI:10.12114/j.issn.1007-9572.2024.0552
基于动态主题模型的我国中央层面家庭医生签约服务政策主题热点与演化分析
The Hot Topics and Evolution of Contracted Family Doctor Services Policy at the Central Level in China Based on Dynamic Topic Model
摘要
Abstract
Background In China,the work of contracted family doctor services and its supporting policies have been emphasized.However,research findings on the evolution and trends of the theme of contracted family doctor services are relatively scarce,which is not conducive to understanding its overall development trend.Objective To review and analyze the evolution path contracted family doctor services policy at the central level in China,reveal the key issues and hot areas in policy formulation and implementation,and provide references for the subsequent policy optimization.Methods This study employed the dynamic topic model(DTM)to extract and analyzed 40 central-level contracted family doctor services policy documents from December 2008 to May 2023 and calculates their topic popularity,similarity and topic evolution path.Results The DTM identified 21 policy topics and their distribution acrossed different stages.The study revealed that the policies had distinct phased characteristics,with the focus shifting from improving primary care quality to tiered diagnosis and treatment,and optimizing service outcomes.However,implementation,guidance,and standard-related policies were relatively lacking.Conclusion Policy makers should deepen the collaborative governance of contracted family doctor services policy,strengthen the stage continuity of contracted family doctor services policy,and enhance the national standards,norms,and overall guidance for contracted family doctor services.关键词
家庭医生签约服务/卫生政策/动态主题模型/全科医生/主题演化Key words
Contracted family doctor services/Health policy/Dynamic topic model/Family doctor/Thematic evolution分类
医药卫生引用本文复制引用
高红霞,刘素薇,麻磊,张研..基于动态主题模型的我国中央层面家庭医生签约服务政策主题热点与演化分析[J].中国全科医学,2025,28(31):3890-3896,7.基金项目
教育部人文社会科学基金资助项目(21YJA630017) （21YJA630017）
