Analysis of the application of policy instruments for close-knit county medical communities based on Hood's classification.

IF 3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Frontiers in Public Health Pub Date : 2025-03-06 eCollection Date: 2025-01-01 DOI:10.3389/fpubh.2025.1552590

Huang Xianlu, Feng Lei

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引用次数: 0

Abstract

Objective: By analyzing the selection and application of policy instruments in the construction of close-knit county medical communities in Dazu District, Chongqing, this study aimed to propose countermeasures to optimize these policy instruments, offering valuable lessons for the construction of close-knit county medical communities.

Methods: Based on Hood's classification, an analytical framework was constructed that incorporated the selection of basic policy instruments (X dimension) and the different phases in the construction process (Y dimension). Nvivo was used to analyze policy documents (2015-2023) related to the construction of close-knit county medical communities in Dazu District.

Results: In the X dimension, the nodality-based instruments accounted for 14.3%, the authority-based instruments accounted for 34.2%, the treasure-based instruments accounted for 16.4%, and the organization-based instruments accounted for 35.2%. In the Y dimension, the total number of policy instruments used in Dazu District across the following three phases-policy initiation, piloting, and promotion-showed an increasing trend, aligning with the number of policies. These statistics indicated several issues such as limited use of nodality-based and treasure-based instruments, an incomplete policy assessment indicator system, insufficient policy synergy and incentives, and a lack of operationalization of strategic measures.

Conclusion: The government should increase the use of nodality-based and treasure-based instruments, improve the assessment indicator system, strengthen policy synergy mechanisms and incentives, and optimize the structure of talent resources to improve the operability of the policies.

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来源期刊

Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

7.70%

发文量

4469

审稿时长

14 weeks

期刊介绍： Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.