Quantitative analysis of policy text on the pilot work of health impact assessment system in Zhejiang province
10.3760/cma.j.cn111325-20240625-00524
- VernacularTitle:浙江省健康影响评估制度试点工作政策文本量化分析
- Author:
Zhaohua WANG
1
;
Ziyue HUANG
;
Zeng LIN
;
Bo XU
;
Xingyu ZHU
;
Yumei FANG
;
Luxia YU
;
Shuai GUAN
;
Meng ZHANG
Author Information
1. 杭州师范大学公共卫生学院卫生管理与政策系 健康治理与公共政策协同发展研究中心，杭州 311121
- Publication Type:Journal Article
- Keywords:
Health impact assessment;
Public policy;
Policy instruments;
Policy objectives;
Policy actors
- From:
Chinese Journal of Hospital Administration
2025;41(1):8-14
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct analytical dimensions for policy texts related to the pilot work of Health Impact Assessment (HIA) system in Zhejiang Province and conduct quantitative analysis, thereby providing references for improving the pilot work.Methods:Policy texts issued by Zhejiang Province between February 11, 2018, and February 29, 2024, which involved HIA content, were selected. The policy instruments theory was employed to construct an analytical framework around the dimensions of policy instruments, policy objectives, policy actors, and the interactions between policy instruments and policy objectives, and between policy instruments and policy actors. Based on this framework, a combination of literature analysis and content analysis was used to conduct a multi-dimensional quantitative analysis of the policy texts related to the pilot work of HIA system in Zhejiang Province.Results:Fifty core policy texts were included and 1 588 codes were obtained. In terms of policy instruments, environmental-type instruments were the most widely used (852 items), with internal responsibilities and methodological measures being the most frequently used; supply-type instruments were the second most used (459 items), with mechanism improvement being the most frequently used; demand-type instruments were the least used (277 items), with multi-stakeholder participation being the most frequently used. In terms of policy objectives, the objective of system construction dominated (701 articles, accounting for 56.45%), while the proportion of policy coverage, evaluation technology, and effectiveness evaluation was relatively low. In terms of policy subjects, the Party committee and government were the main policy subjects (434 articles, accounting for 39.20%), followed by health departments and public policy-making departments, while the proportion of public health institutions and social forces was extremely low. In the interaction between policy instruments and policy objectives, policy coverage, system construction, and effectiveness evaluation objectives all responded most frequently to environmental-type instruments, while the evaluation technology objectives responded more frequently to supply-type instruments. In the interaction between policy instruments and policy subjects, the Party committee and government played a dominant role in the use of policy instruments, with the health department and public policy-making department in the middle.Conclusions:The pilot work of the HIA system in Zhejiang Province presented a " environment-driven, system-construction-priority, Party-committee-and-government-led" policy characteristic. The main challenges were the imbalanced structure of policy instruments, insufficient synergy among policy objectives, and the need for greater participation of multiple stakeholders.
