Selection of Policy Instruments on Integrated Care in China: Based on Documents Content Analysis

Xin, Yue; Mu, Kaining; Liu, Lihang

doi:10.3390/ijerph17072327

Cited by 22 publications

(19 citation statements)

References 52 publications

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“…However, in the field of elderly care services, most scholars categorize policy instruments into environmental, supply-based, and demand-based policies ( 22 ). Yue divided the integrated care policy for older people into supply-side, demand-side, and environmental policy instruments, and found that environmental policy instruments are the most frequently used, supply-side policies are preferred, while demand-side policy instruments are relatively inadequate ( 23 ). Xiu found that China's local care policies for older people can be classified into supply, demand, and environmental policy instruments ( 24 ).…”

Section: Literature and Theorymentioning

confidence: 99%

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Will the Policy Instruments Mix Promote the Facility Input of Care Institutions for Older People in China?

Zhang

Xiao

et al. 2022

Front. Public Health

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Promoting the facility input of care institutions for older people is the key to the development of the care for older people. With a steady increase in the proportion of older people in China, institutional care services are considered as an important tool for older people. Policies such as government bed subsidies and tax incentives are accelerating the development of institutional care services. However, when the care for older people related policy instrument mixes lacks overall comprehensiveness, consistency and balance, the policy instrument mixes may become a “policy mess”, in turn, affecting the development of care institutions for older people. Studies focusing on the combined effects of different characteristics of a policy instrument mix are scarce. To understand how to better use the policy mix to facilitate the care for older people, it is necessary to analyze the characteristics of care policies for older people and its role in the construction of care institutions for older people. Therefore, this study analyzes the impacts of comprehensiveness, consistency, and balance of policy instruments on the facility input of care institutions for older people. An empirical analysis of related policies from 2011 to 2019 in China shows that a synergetic effect exists between the policy instrument mix and the facility input of care institutions for older people. This study points that the comprehensiveness and consistency of the policy instrument mix positively affect the facility input of care institutions for older people, while the impact of balance is not significant. It not only provides feasible policy suggestions for China's policy-making departments to optimize the care for older people related policies, but also helps care institutions for older people further understand the characteristics of policy portfolios and realize sustainable development.

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Section: Literature and Theorymentioning

confidence: 99%

“…We here took a very commonly used measure to calculate policy quantification ( 12 , 22 , 23 ). Based on the calculation of TS , the comprehensiveness, consistency, and balance of different policy instrument mixes within the same dimension and different policy indicator mixes within the same policy were measured.…”

Section: Policy Instrument MIXmentioning

confidence: 99%

Will the Policy Instruments Mix Promote the Facility Input of Care Institutions for Older People in China?

Zhang

Xiao

et al. 2022

Front. Public Health

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“…In response to the above problems, the government began to launch a new round of health reform in 2009,13–15 aiming at optimising the distribution of health resources, strengthening the capacity of primary care and guiding residents to seek medical treatment from PHIs 16 17. Reconstructing the PHC system is the focus of this reform,13 15 and it is also the key to realising the reform goal.…”

Section: Introductionmentioning

confidence: 99%

Development trend of primary healthcare after health reform in China: a longitudinal observational study

Feng

Gong

et al. 2022

BMJ Open

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ObjectivesReconstructing the primary healthcare system is the focus of the new round of Chinese health reform. Nevertheless, there have been few studies focusing on the strengthening of primary healthcare in Chinese health system.DesignThis study was a longitudinal observational study.Primary and secondary outcome measuresThe data of this study came from China Health Statistical Yearbook (2009–2018). We evaluated the development of primary healthcare based on the absolute values of health resources allocation and health service provision and evaluated the status of primary healthcare throughout the health system based on the composition ratios of the indicators across the health system. The Cochran-Armitage trend test and linear trend test were used to identify the indicators’ trends over time.ResultsFrom 2009 to 2018, the amounts of health resources allocation and health service provision of Chinese primary healthcare institutions showed a significant upward trend (p<0.001). However, compared with the indicators in 2009, excepting that the proportion of grants from the government in the whole health system has an upward trend, the proportions of other indicators had an escalating trend in 2018 by 3.66% for practicing (assistant) physicians, by 2.69% for nurses, by 3.99% for total revenues, by 5.87% for beds, by 8.39% for outpatient visits.ConclusionThe primary healthcare system has developed rapidly, but its development speed lagged behind the entire health system, resulting in the weakening of its actual functions, which is not in line with the goal of health reform. The government should be more aware of the importance of primary healthcare at all levels of local governments and ensure adequate financial input.

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“…In China, CMNC is regarded as an integration of care and medical resources for older adults. It is a new care model that integrates medical care, rehabilitation, life care, elderly care, and other services to provide smooth and coherent services for older adults (Yue et al, 2020 ). Similar services are usually called “long-term care” (LTC) or “integrated care” in other countries.…”

Section: Introductionmentioning

confidence: 99%

Quantitative Evaluation of Policies for combining Medical and Nursing Care based on the LDA–PMC Model: A Comparative Analysis of Typical Chinese Provinces

2022

Public Organiz Rev

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Improving and optimizing the policy system of combined medical and nursing care (CMNC) is an important driving force in the development of China’s pension industry. Using a latent Dirichlet allocation–policy modeling consistency model, this study analyzes 25 key policies related to CMNC to develop a policy evaluation index system and evaluates the CMNC policies of four provinces in China: Shandong, Sichuan, Jiangsu, and Hubei. It highlights issues facing China’s CMNC policy, including the poor use of policy tools, insufficient publicity, lack of insurance protection for employees, and lack of local policies’ pertinence. Finally, a policy optimization path is proposed.

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Selection of Policy Instruments on Integrated Care in China: Based on Documents Content Analysis

Cited by 22 publications

References 52 publications

Will the Policy Instruments Mix Promote the Facility Input of Care Institutions for Older People in China?

Will the Policy Instruments Mix Promote the Facility Input of Care Institutions for Older People in China?

Development trend of primary healthcare after health reform in China: a longitudinal observational study

Quantitative Evaluation of Policies for combining Medical and Nursing Care based on the LDA–PMC Model: A Comparative Analysis of Typical Chinese Provinces

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