Study on Policy Attention Allocation in County-Level Medical Community Construction Based on Provincial-Level Policy Texts
- VernacularTitle:基于省级层面政策文本的县域医共体建设政策注意力配置研究
- Author:
Mingkai ZHAO
1
;
Shuya REN
;
Yuanming SONG
Author Information
1. 河南医药大学 河南 新乡 453000
- Publication Type:Journal Article
- Keywords:
county-level medical community;
policy attention;
policy texts;
regional disparities;
governance logic
- From:
Chinese Hospital Management
2025;45(12):22-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective Analyzing the distribution of policy attention in policy documents concerning county-level medical community at the provincial level in China,provides insights for enhancing the governance effectiveness and service capacity of these consortiums.Methods Guided by policy instrument theory,it conducted coding and quantitative analysis of county-level medical community policy documents from all provinces(autonomous regions and municipalities)in China using NVivo 11 software.Results The policy instrument structure showed imbalance:environmental,supply-side,and demand-side instruments accounted for 42.2%,36.4%,and 21.2%respectively.Organizational management and human resource support received the highest attention,while innovation environment optimization and performance evaluation mechanisms were significantly inadequate.Pilot regions achieved progress through resource integration and institutional innovation,the overall development trend is positive.Conclusion Optimizing policy attention allocation is key to enhancing county-level medical community effectiveness.Recommendations include strengthening systemic synergy among policy instruments,increasing application of demand-side tools,and formulating differentiated policies based on regional heterogeneity to improve governance capacity and service delivery.