Yuhang Zhang, Yuanyuan Zhang, Chenjian Zhao, Xingjuan Xu, Guoqing Wang, Xuefeng Xie
Against the dual backdrop of the rapid advancement of big data-driven healthcare and the COVID-19 pandemic, China has gradually relaxed restrictions on the online sale of prescription drugs. However, the regulatory framework governing this sector remains in its early stage of development, and existing policy gaps pose substantial risks to public medication safety, highlighting the urgent need for further policy refinement. This study quantitatively analyzed China's policies on the online sale of prescription drugs, thus providing valuable insights for the development and improvement of future policies. Using ROST CM6.0, text mining was conducted on 18 policies governing the online sale of prescription drugs issued between 1999 and 2023. A Policy Model Consistency (PMC) model was established based on 10 primary variables and 35 secondary variables. The analysis yielded an average PMC index of 6.28, resulting in an overall policy rating of "good." Among the 18 policies, 6 were classified as excellent and 12 as good, with no policies rated as perfect or unqualified. Amid the continuous exploration of policy and reforms, China's policy system for the online sale of prescription drugs has been gradually improved. Current policies place strong emphasis on the efficiency of smart approaches and the steady development of an intelligent regulatory system. However, considerable opportunities for optimization remains in key areas, including the whole-process regulatory system for the online sale of prescription drugs, the collaborative participation of medical institutions, and the standardized governance of third-party platforms. Future policies should focus on the regulations governing the online sale of prescription drugs by clarifying the boundaries, rights and responsibilities of each subject while refining and standardizing their code of conduct. Multidepartment collaboration should also be strengthened by encouraging industry associations in the development of an intelligent regulatory team, thereby promoting the establishment of a three-dimensional digital regulatory pattern.