Research on the transmission pathways of policy guidance,innovation diffusion,and health demand:An empirical analysis based on the diffusion of the chest pain center treatment model
10.3969/j.issn.1674-2982.2025.05.004
- VernacularTitle:政策引导、创新扩散与健康需求的传导路径研究
- Author:
Hu-feng WANG
1
;
Yu ZHANG
;
Jia ZHAO
;
Chun-jie LI
Author Information
1. 中国人民大学公共管理学院 北京 100872;中国人民大学医改研究中心 中国人民大学健康与医改政策实验室 北京 100872
- Publication Type:Journal Article
- Keywords:
Policy guidance;
Innovation diffusion;
Health demand;
Emergency care;
Chest pain center
- From:
Chinese Journal of Health Policy
2025;18(5):20-26
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the transmission pathways among empirical policy guidance,innovation diffusion,and health demands,providing theoretical references and policy recommendations for local governments to accelerate the establishment of hierarchical medical system.Methods:Based on the public value theory,and employed policy intensity quantification model and mediation effect validation model to elucidate the specific impact mechanisms of policy guidance and innovation diffusion on health demand.Results:The regression coefficient of local government policy guidance on residents'emergency care demand was 0.677,the regression coefficient of local government policy guidance on treatment model innovation diffusion in hospitals was 0.374,and the regression coefficient of treatment model innovation diffusion in hospitals on residents'emergency care demand was 0.689.The mediating effect of treatment model innovation diffusion in hospitals accounted for 38.1%of the total effect.The mediating effect of treatment model innovation diffusion in municipal administrative divisions accounted for 68.6%of the total effect.Conclusions and Suggestions:Local government policy guidance had a significant positive impact on residents'emergency care demand,innovation diffusion played a mediating role between policy guidance and health demand.It is recommended that local governments should pay attention to the guiding role of public policies and improve the intensity of chest pain center policies,should play the role of innovation diffusion intermediaries and to promote treatment model innovation diffusion in hospitals and administrative divisions two paths.
