Objective:This study conducts a text analysis of the policy documents related to Medical Consortium issued at the national level,identify the structural characteristics and utilization of Chinese Medical Consortium policy instruments,evaluate their alignment with policy objectives,uncover the structural contradictions in policy design,and provide a basis for optimizing the Medical Consortium sys-tem.Methods:This study systematically searched national-level Medical Consortium policy documents from the PKU Law Database,CNKI Government Document Database using keyword like Medical Consor-tium.A two-dimensional"policy instrument-policy objective"analytical framework was constructed based on policy instrument theory to quantitatively analyze the frequency,distribution characteristics,and inter-active relationships between policy instruments and objectives.Results:A total of 50 national-level Me-dical Consortium policy documents from 2009 to 2024 were included,with 56％issued solely by single departments.The policy text analysis results showed that the government could use diverse policy instru-ments to achieve objectives,but the structural imbalances existed,environmental policy instruments ac-counted for the highest proportion(46.48％),mainly focusing on institutional safeguards(27.27％)and organizational governance(22.73％),with minimal focus on public awareness guidance(6.82％).Supply-side policy instruments(38.38％)overly relied on IT infrastructure development(24.77％)and rational allocation of medical resources(24.77％),with insufficient attention to workforce capacity building(9.17％)and financial input(4.59％).Demand-side policy instruments constituted only 15.14％,dominated by health insurance payment(37.21％)and pilot program promotion(32.56％),while market-oriented instruments such as service outsourcing(9.30％)were rarely used.Interaction analysis revealed that policy instruments were concentrated on enhancing primary care service capacity but provided inadequate support for optimizing allocation of medical resources,which indicated a mis-alignment between policy instruments and policy objective.Conclusion:Chinese Medical Consortium policies exhibit weak interdepartmental coordination and structural imbalances,characterized by excessive reliance on environmental and supply-side instruments,underuse of demand-side tools,and internal mis-alignment within instrument categories.And policy instruments and objectives are not well matched.To address these issues,future policy formulation should strengthen cross-departmental collaboration,diver-sify policy instruments,optimize their internal structures,and improve the alignment between instruments and objectives.

Objective:This study conducts a text analysis of the policy documents related to Medical Consortium issued at the national level,identify the structural characteristics and utilization of Chinese Medical Consortium policy instruments,evaluate their alignment with policy objectives,uncover the structural contradictions in policy design,and provide a basis for optimizing the Medical Consortium sys-tem.Methods:This study systematically searched national-level Medical Consortium policy documents from the PKU Law Database,CNKI Government Document Database using keyword like Medical Consor-tium.A two-dimensional"policy instrument-policy objective"analytical framework was constructed based on policy instrument theory to quantitatively analyze the frequency,distribution characteristics,and inter-active relationships between policy instruments and objectives.Results:A total of 50 national-level Me-dical Consortium policy documents from 2009 to 2024 were included,with 56％issued solely by single departments.The policy text analysis results showed that the government could use diverse policy instru-ments to achieve objectives,but the structural imbalances existed,environmental policy instruments ac-counted for the highest proportion(46.48％),mainly focusing on institutional safeguards(27.27％)and organizational governance(22.73％),with minimal focus on public awareness guidance(6.82％).Supply-side policy instruments(38.38％)overly relied on IT infrastructure development(24.77％)and rational allocation of medical resources(24.77％),with insufficient attention to workforce capacity building(9.17％)and financial input(4.59％).Demand-side policy instruments constituted only 15.14％,dominated by health insurance payment(37.21％)and pilot program promotion(32.56％),while market-oriented instruments such as service outsourcing(9.30％)were rarely used.Interaction analysis revealed that policy instruments were concentrated on enhancing primary care service capacity but provided inadequate support for optimizing allocation of medical resources,which indicated a mis-alignment between policy instruments and policy objective.Conclusion:Chinese Medical Consortium policies exhibit weak interdepartmental coordination and structural imbalances,characterized by excessive reliance on environmental and supply-side instruments,underuse of demand-side tools,and internal mis-alignment within instrument categories.And policy instruments and objectives are not well matched.To address these issues,future policy formulation should strengthen cross-departmental collaboration,diver-sify policy instruments,optimize their internal structures,and improve the alignment between instruments and objectives.