Study on the Diffusion Path and Spatiotemporal Characteristics of Family Doctor Policy
DOI:
https://doi.org/10.54097/xb2qcp88Keywords:
Family Doctor, Contract Services, Policy Diffusion, Characteristic, AgentAbstract
Drawing upon the theoretical framework of policy diffusion, this study employs policy text analysis to conduct a comparative study of the temporal and spatial characteristics, diffusion capacity, and influencing factors of the policy diffusion of the family doctor contract service. This analysis is conducted for the initial 31 provinces in China where the policy was implemented. The analysis reveals that the diffusion of the provincial family doctor contract policy exhibits a discernible clustering effect in terms of time, a notable neighbour effect in geographical proximity, a top-down hierarchical effect, and an evolution from east to west. The diffusion of the family doctor contract service policy is influenced by multiple factors. The predominant factors influencing the diffusion of this policy include economic considerations, governance issues, technical constraints, and horizontal and vertical pressures. To accelerate policy diffusion, it is imperative to enhance regional coordinated development and elevate the government's information level. A dialectical consideration of the driving effect of higher pressure on policy diffusion is recommended, alongside the rational utilisation of the coercive mechanism and the optimisation of the learning and competition mechanism among governments at the same level.
Downloads
References
[1] Wang Bo, YUE Lin-Lin, GUO Zhao-Xian. Analysis on Influencing factors of community residents' medical treatment behavior in the context of family doctor contract service [J]. Journal of Health Economics, 2019, 40(4) : 52-55.
[2] Fan Zhuan, Liu Yuanyuan, Yang Qian, et al. Research on the existing problems of family doctor contract service in China [J]. Health Economics Research, 2018(11) :54-56.
[3] Huang Liping, Pu Chuan, He Yuxin, et al. Analysis of contract service status and influencing factors of resident family doctors in Chongqing [J]. Chinese Journal of Public Health Administration, 2019, 38 (6) : 413-416,476.
[4] Wang Fang, Deng Hongyue, Cao Guili, et al. Study on effect and influencing factors of family doctor contract service in Dongcheng District of Beijing [J]. Chinese Journal of General Medicine, 21, 24 (22) : 2805-2809.
[5] Zhang Jingyu, Liu Lixia, Wang Xiaogang, et al. Research on the construction of internal examination index system of family doctor contract service team [J]. Chinese Journal of General Medicine, 201, 24(25) : 3244-3249.
[6] Gong Chao, Yang Siqiu, Liu Chunyu, et al. Research on fairness of contract service resource allocation for family doctors in Tianjin [J]. Chinese Health Policy Research, 2019, 15 (12) : 60-66.
[7] Xu Pingping, Zhao Jing, Li Chunxiao, et al. Quantitative evaluation of family doctor contract service policy at central level in China: based on PMC index model [J]. Chinese Journal of General Medicine, 2019, 26(4) : 440-446.
[8] Chen Haoyang, Li Xiangyi, Yan Ruyu, et al. Study on the problems affecting family doctor contract service and their severity from the perspective of literature analysis [J]. Chinese Journal of General Medicine, 2020, 23(7) : 789-794.
[9] Yang Shuiguang, Ma Ke. Retarding factors and optimization path of family doctor contract service policy implementation [J]. Journal of Health Economics, 2002, 39(3) : 56-59.
[10] Chang Yuanyuan, Xu Hongbin, Qiao Yan, et al. Contract service of foreign family doctors and its implications for China [J]. Chinese Health Policy Research, 2020,13 (5) : 50-53.
[11] Xu Hang, Ma Xiaojing, Dai Tao. Research on community health management service policy diffusion in China from the perspective of innovation diffusion theory [J]. Chinese Journal of General Medicine, 2002, 25 (16) : 1995-2002.
[12] Sun Caixia, Liu Tingfang, Jiang Feng, et al. Research on the development history and implementation of family doctor related policies in China [J]. Chinese Journal of General Medicine, 21, 24(7) : 765-774.
[13] Lu Lanting, Hu Qiu Rubidium, Guo Minjiang. Study on policy evolution and innovation diffusion mechanism of drug negotiation in China [J]. Chinese Health Policy Research, 2019, 15(9) : 47-55.
[14] Liu Zhihui, Liu Santan. Spatio-temporal characteristics and content analysis of government service purchase policy diffusion in China [J]. Administration and Law, 2023(1) : 19-26.
[15] Liu Chang, Du Hongmei. Research on the diffusion of graded diagnosis and treatment policy based on the perspective of diffusion theory [J]. Chinese Hospital Administration, 2020,40 (8) : 14-16.
[16] Wu Kaisong, Liu Lu. The diffusion effect of the policy of building Chinese People's community consciousness [J]. Journal of Central South University for Nationalities (Humanities and Social Sciences Edition), 202, 42(9) : 36-47, 182-183.
[17] Lu Xuanru, Zhang Xiaoyi. Study on policy diffusion of government purchase of home care services from multiple logic perspectives: An event history analysis based on Chinese provincial data [J]. Journal of Northeastern University (Social Sciences Edition), 202, 24(4) : 54-63, 117.
[18] Xue Yang, Li Manzhu, Gao Yunhong, et al. Study on the diffusion mechanism of China's carbon Emission Trading System -- An event history analysis based on macro-micro interaction logic [J]. Urban Problems, 2023(7) : 43-52.
[19] Chen Tan, Li Yike. Influencing factors of public policy innovation diffusion: A data analysis based on 31 provincial residence permit systems [J]. Journal of Central South University (Social Science Edition), 2019, 26(5) : 107-118.
[20] Luo Dan, Li Jiangping, Zhang Qingzhi. Research on factors affecting the diffusion of municipal solid waste classification policy -- Based on the event history analysis of 261 prefecture-level cities [J]. Science of Resources Science, 2002, 44(7) : 1476-1493.
[21] Li Yan, Su Yidan. Study on the diffusion mechanism of local government Big data policy in China [J]. Soft Science, 2002, 36(3) : 1-8.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Academic Journal of Management and Social Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
