ArticleBMC public health2025
Policy texts and actions: quantitative evaluation of the hierarchical medical system policy in China based on the PMC-Index model.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Temporal-spatial analysis and driving factors of coupling coordination between population and health services systems in China, 2010-2022.BMC health services research · 2026Article
- Quantitative evaluation of the medical resource allocation policy in China: a PMC-index model approach.Cost effectiveness and resource allocation : C/E · 2026Article
- Cross-Border Meteorological Disaster Medical Rescue Policies in the Guangdong-Hong Kong-Macao Greater Bay Area: A Policy Text Quality Evaluation by PMC Index Model.Healthcare (Basel, Switzerland) · 2026Article
- Bridging the perception-practice gap: a mixed-methods study on interprofessional collaboration for diabetes and periodontitis management.BMC oral health · 2026Article
- Comparison of national health planning policies in China and ASEAN: a PMC-index model analysis.Cost effectiveness and resource allocation : C/E · 2026Article
- Internet of Things-Enabled Pulmonary Rehabilitation for Advanced Lung Cancer Patients Receiving Chemotherapy: A Qualitative Study of Healthcare Professional and Patient Perspectives.Journal of multidisciplinary healthcare · 2026Article
- Structural consistency in AI governance: A PMC index assessment with evidence from China's central-level policies.PloS one · 2026Article
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3 authors.
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Abstract
backgroundChina has made significant strides in healthcare, greatly enhancing health outcomes for its large population. However, disparities in medical resource distribution and utilization remain, making healthcare financially burdensome and geographically inaccessible. To mitigate these challenges, the Chinese government has implemented the hierarchical medical system (HMS). However, the effectiveness of HMS policies requires continuous refinement. A comprehensive evaluation of HMS policies is essential to maximize their impact, streamline execution, and ensure the system's sustainability and efficiency.
methodsThis study develops an assessment system for HMS policies using the Policy Modeling Research Consistency Index (PMC-Index) model and then conducts a quantitative analysis of 137 HMS policies from the central government and 30 provinces. Additionally, we use academic attention, media coverage, and joint attention as policy implementation indicators and employ the Logit model to analyze the relationship between policy formulation and implementation.
resultsThe results show that the average PMC index of 137 HMS policies is 6.53 (Good) overall, with potential for improvement in policy tools, issuing subjects, and policy fields. Regional heterogeneity reveals that the PMC index is highest in the East, followed by the Central and Northeast, and lowest in the West. Stage heterogeneity indicates that the PMC index scores highest in the development stage (2015-2017), followed by the breakthrough stage (2021-present), and finally, the exploration stage (2013-2014) and the diffusion stage (2018-2020). Additionally, Logit analysis demonstrates a significant correlation between the PMC index and implementation.
conclusionsThis study indicates that the overall consistency of HMS policies is good and illustrates a significant positive correlation between the policy formulation and implementation of the HMS.
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