The Spillover Effects of County Medical community: Behavior, Time, and Situation - An Analysis of 8 Rural Counties in 6 Cities of A Province

Corresponding author: wang hufeng, wanghufeng616@ruc.edu.cn

DOI: 10.12201/bmr.202501.00035

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  Abstract: Under the same policy, how can the interests of different regional medical communities be integrated? Why are the effects of country medical community construction uneven in different regions? Previous studies mostly evaluated policy effects based on outcome indicators, and rarely discussed the internal mechanism of policies based on Chinas practical scenarios. This paper, starting from the perspective of policy spillover, built a spillover framework of behavior, time and situation based on the cases of country medical community in 6 cities and 8 rural counties in A province, and explored the reasons for the promotion or block of medical community construction in China. It is found that the realization of the policy objectives of the medical community is deeply affected by the spillover of benefits. The key to the realization of the efficiency advantage of the medical community policy lies in how to deal with the positive and negative spillovers between hospitals at different levels. The basic behavior overflow can effectively realize the bidirectional adjustment of multilevel hospital attitude and behavior. Cross-time and cross-context spillover can explain how the same behavior provides positive spillover to patients medical treatment and hospital development in different time and space. Negative spillovers may bring moral hazard. According to the research, it is necessary to use hierarchical and classified governance thinking to solve the problem of blocking the construction of the medical community. Based on the case analysis under the Chinese scenario and the dialogue spillover effect theory, this paper provides theoretical reference and selection basis for the construction of the country medical community and the improvement of primary medical service ability.

  Key words: County Medical community、Spillover effect、Policy options、Case study; ; ; 

  Submit time: 14 January 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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