Abstract: Objective Based on the “National Occupational Disease Prevention and Control Plan(2021-2025)”,the study analyzes the "14th Five-Year Plan" policy for occupational disease prevention and control formulated by various provincial administrative regions in China,identifies differences and advanced practices,and provides a basis for the optimization and improvement of future occupational disease prevention and control policies. Methods Policy documents for occupational disease prevention and control in the "14th Five-Year Plan" formulated by China and various provincial administrative regions were collected. Evaluation indicators were designed through literature review and expert interviews. Text mining was conducted on policy samples using ROSTCM 6.0 software,and a policy tool theory and policy modeling consistency(PMC) index model were constructed. Quantitative comparative research was conducted on sample policies from a provincial comparative perspective. Results A total of 28 policy documents for occupational disease prevention and control at the provincial level in the "14th Five-Year Plan" were included. The average PMC index was 9.43,with 1 document achieving perfect coverage,24 being excellent,and 3 being good. Among the first-level indicators,the PMC index for policy evaluation was 0.60(acceptable level),while the others were all above 0.90(excellent level). All provincial administrative regions basically followed the work guidelines and ideas of the national plan,covering aspects such as hazard prevention and control,small,medium,and micro enterprises,regulatory enforcement,and technological innovation. There were differences in seven second-level indicators,including independent innovation,background description,and indicator quantification. Conclusion The overall quality of policy for occupational disease prevention and control at the provincial level in the "14th Five-Year Plan" is excellent,demonstrating scientific and rationality. In terms of policy content,aspects such as background description,indicator quantification,and clear responsibilities can be further refined to enhance their guidance. Additionally,each region can draw on the good experiences and practices of other provincial administrative regions,identify gaps and breakthrough points,and lay the foundation for optimizing their own occupational health policies and formulating the "15th Five-Year Plan" for occupational disease prevention and control.

Key words: Occupational health, Occupational disease prevention and control, Theoretical and policy consistency index model, Policy documents, Quantitative analysis