Objective Policy documents on higher medical education in China were systematically reviewed to identify key policy topics and analyze their evolutionary trajectories, thereby providing novel perspectives for policy research in this field. Methods A total of 159 representative policy texts spanning 1978-2023 were retrieved from the Peking University Fabao Database and official government archives. Latent dirichlet allocation (LDA) topic modeling was applied to extract latent topic structures. Core policy topics and their focal content were determined through systematic analysis of topic-specific keyword distributions and document-topic probability matrices. Results Fifteen potential policy themes were extracted by the LDA and ultimately classified into eight categories of policy themes: medical postgraduate education, grassroots medical workforce development, regulatory frameworks for medical education governance, quality assurance mechanisms in medical education, support systems for medical education infrastructure, ideological and political education in medical training, Traditional Chinese Medicine (TCM) talent cultivation, and standardized residency training programs. Each topic exhibited distinct temporal emphases across policy periods, reflecting evolving priorities. Conclusions China′s higher medical education policies are characterized by comprehensive and systematic topic coverage, addressing multi-tiered dimensions of medical workforce development. The evolution of topics demonstrates both phased progression and adaptive recalibration, indicating policy responsiveness to societal demands and systemic reforms.
Chen Haoyang
,
Liu Jianan
,
Duan Yanhan
,
Wang Sifan
,
Wu Haijiang
,
Zhang Xinping
. Analysis of policy topics and their evolution in China′s higher medical education[J]. Chinese Journal of Medical Education, 2025
, 45(5)
: 344
-349
.
DOI: 10.3760/cma.j.cn115259-20240305-00216
[1] 曾亮. 1992-2020年我国高等医学教育政策历史进程的文本分析[J].医学与社会,2022,35(12):120-125. DOI: 10.13723/j.yxysh.2022.12.022.
[2] 黄琼. 1978～2018年中国高等医学教育政策变迁——基于历史制度主义分析框架[J].中国卫生事业管理,2019,36(12):942-945,955.
[3] 郭海臣, 张敏, 李庆林, 等. 政策工具视角下我国医学教育政策文本分析[J].中华医学教育杂志,2021,41(9):769-774.DOI:10.3760/cma.j.cn115259-20210223-00238.
[4] 张东鑫, 张敏. 图情领域LDA主题模型应用研究进展述评[J].图书情报知识,2022,39(6):143-157. DOI: 10.13366/j.dik.2022.06.143.
[5] 张建娥. 基于TFIDF和词语关联度的中文关键词提取方法[J].情报科学,2012,30(10):1542-1544,1555.
[6] 何天文, 王红. 基于语义语法分析的中文语句困惑度评价[J].计算机应用研究,2017,34(12):3538-3542,3546. DOI: 10.3969/j.issn.1001-3695.2017.12.004.
[7] 王静茹, 陈震. 基于隐含狄利克雷分布的文本主题提取对比研究[J].情报科学,2018,36(1):102-107. DOI: 10.13833/j.issn.1007-7634.2018.01.018.
[8] 王婷婷, 韩满, 王宇. LDA模型的优化及其主题数量选择研究——以科技文献为例[J].数据分析与知识发现,2018,2(1):29-40. DOI: 10.11925/infotech.2096-3467.2017.0715.
[9] 肖娜, 阳剑兰. 我国高校心理健康教育政策发展历程与主题演进分析[J].黑龙江高教研究,2024,42(10):128-136. DOI: 10.3969/j.issn.1003-2614.2024.10.019.
[10] 国务院学位委员会,国家教委,卫生部.关于培养临床医学硕士和博士学位研究生的试行办法 [EB/OL].(1983-12-01)[2023-06-01].https://www.pkulaw.com/chl/31e5174acdc5a38ebdfb.html?isFromV5=1.
[11] 国务院学位委员会,国家教委.关于七年制高等医学教育授予医学硕士学位的几点意见[EB/OL].(1993-02-15)[2023-06-01].https://www.pkulaw.com/chl/49d01955e3b5f7f8bdfb.html.
[12] 国务院办公厅.关于改革完善全科医生培养与使用激励机制的意见[EB/OL].(2018-01-14)[2023-06-01].https://www.gov.cn/gongbao/content/2018/content_5264866.htm.
[13] 卫生部,国家发展和改革委,财政部,等.关于加强卫生人才队伍建设的意见 [EB/OL].(2009-12-31)[2023-06-01].https://www.pkulaw.com/chl/5ba336b353a41e2cbdfb.html.
[14] 卫生部.关于印发《医药卫生中长期人才发展规划(2011-2020年)》的通知[EB/OL].(2011-02-12)[2023-06-01].https://www.gov.cn/gongbao/content/2011/content_1933719.htm.
[15] 国家教育委员会高等教育司.关于印发《关于加强医药院校德育工作的意见》、《高等医药院校教师职业道德规范》(试行)、《高等医药院校学生行为规范》(试行)、《医学生誓言》(试行)的通知[Z].1991-09-02.
[16] 国家卫生计生委, 国家中医药局, 财政部.关于做好住院医师规范化培训基地有关工作的通知[EB/OL].(2014-12-25)[2023-06-01].http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=93162d05c9344c19ac75edf0ed9eb031.
[17] 国家卫生计生委办公厅.关于印发住院医师规范化培训招收实施办法(试行)和住院医师规范化培训考核实施办法(试行)的通知[EB/OL].(2015-09-14)[2023-06-01].https://www.gov.cn/xinwen/2015-10/09/content_2944203.htm.
[18] 于晨, 侯建林, 王丹, 等. 我国本科医学院校布局及其区域差异性研究[J].中国卫生政策研究,2021,14(7):74-79. DOI: 10.3969/j.issn.1674-2982.2021.07.011.
[19] 易梦春, 吴红斌. 我国高质量高等医学教育体系建设的成效评价及推进策略[J].高等教育研究,2023,44(9):74-88.
[20] 赵婷婷, 李广平. 从内涵式到高质量:我国高等教育发展政策的演进及转向[J].高等教育研究,2023,44(5):8-18.
