The logic of change and high-quality development pathways for family doctor contract service policies in China:An analytical framework based on policy integration
10.3969/j.issn.1674-2982.2025.04.002
- VernacularTitle:家庭医生签约服务政策的变迁逻辑与高质量发展路径研究
- Author:
Si-kai HAO
1
Author Information
1. 中国人民大学公共管理学院 北京 100872
- Publication Type:Journal Article
- Keywords:
Policy integration;
Family doctor contract services;
Policy change;
High-quality development
- From:
Chinese Journal of Health Policy
2025;18(4):9-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the multi-level logic of change in China's family doctor contract service policies and propose pathways for their high-quality development.Methods:An analytical framework grounded in policy integration theory was developed.Through content analysis and policy network analysis,346 policy documents on family doctor contract services were analyzed using Nvivo and Gephi software,with cross-text and cross-stage thematic coding to identify patterns of policy change.Results:The policy change process can be categorized into three phases:pilot exploration,nationwide implementation,enhance quality and efficiency.Key trends include:Policy frameworks transitioned from instrumental issue to comprehensive agendas;Policy subsystem participation shifted from unilateral leadership by health departments to multi-stakeholder collaboration;Objectives expanded from healthcare capacity-building to systemic integration across domains;Policy instruments evolved from fragmented trials to structured systems.Conclusion and Recommendations:To advance high-quality development,policymakers should:Strengthen value integration through strategic governance frameworks;Enhance coordination between central and local governments to drive iterative innovation in contract-based service models;Implement feedback integration with multidimensional evaluation mechanisms;Accelerate technical integration via digital transformation.
