Theme identification and evolution analysis of the reform policy of compensation mechanism in public hospitals since the new medical reform

Corresponding author: Wu Huazhang, wuhuazhang1962@126.com

DOI: 10.12201/bmr.202508.00042

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  Abstract: Objective: To analyze the thematic distribution characteristics and evolution trends of the compensation mechanism reform policies for public hospitals in China since the new medical reform, and to provide references for correctly understanding the basic connotation and extension of the reform of compensation mechanism. Method: A total of 75 documents issued at the national level were collected. The BERTopic topic model was used for thematic identification.The dynamic topic modeling method of BERTopic was adopted to conduct policy evolution analysis. Result: Since the new medical reform, the reform policy of compensation mechanism in public hospitals can be divided into eight themes, such as strengthening the operation management of public hospitals and adjusting the price of medical services.It shows an evolutionary trend of emphasizing the control of excessive growth of medical expenses and the implementation of government investment responsibilities in the early stage, focusing on the elimination of drug additions and the adjustment of medical service prices in the middle stage, and strengthening the reform of medical insurance payment methods in the later stage. Conclusion: The reform of the compensation mechanism for public hospitals is essentially a systematic reconstruction of the operation mechanism of public hospitals. Adjusting and optimizing medical service prices and reforming the medical insurance payment method are the key and focus of improving the compensation mechanism for public hospitals.

  Key words: Public hospitals；Compensation mechanism reform；BERTopic model；Policy text analysis

  Submit time: 22 August 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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