Analysis of the Policy Texts on Public Welfare First-class Guarantee and Public Welfare Second-class Management for Primary Medical and Health Institutions in China from the Perspective of Policy Tools.

Corresponding author: jiangyan, jy_ftn@163.com

DOI: 10.12201/bmr.202606.00022

•  

  Abstract: Objective　To analyze the differences in tool combinations, goal matching, and regional structures of the series of policies on public welfare first-class guarantee and public welfare second-class management , so as to provide a basis for the continuous optimization of policies. Methods　Taking primary medical and health institutions and other terms as the title terms, and public welfare first-class guarantee and public welfare second-class management and other terms as Keywords, relevant policies issued from 2016 to 2024 were retrieved. A quantitative analysis of 74 policy texts was conducted based on the three-dimensional analytical framework of policy tools - policy goals - economic regions. Results　The current policy tools present a structural characteristic dominated by demand-side tools (41.33%), followed by supply-side tools (36.66%), with environment-side tools being the least (22.02%). Meanwhile, significant differences exist in the application of sub-tools within each type of policy tool. The proportions of policy goals were as follows: improving the attractiveness of grassroots positions (26.13%), balancing resource allocation (19.93%), promoting sustainable development (19.65%), stimulating the operational vitality of institutions (16.89%), ensuring basic operation (12.95%), and clarifying the responsibilities of various subjects (4.45%). Different policy goals relied on a single tool for achievement. The policy goals of ensuring basic operation and clarifying the responsibilities of various subjects received insufficient attention in all regions. In central and western regions, demand-type tools were mainly used to achieve the goal of improving the attractiveness of grassroots positions (41.52% and 43.11% respectively), while in the northeast region, there was a high dependence on supply-type policy tools (30.38%) to achieve the goal of ensuring basic operation. Conclusion There are differences in policy tool and goal matching among the four major economic regions. In the next step, efforts should be made to strengthen weak policy links, increase regional attention to basic operational guarantee and the clarification of responsibilities of all stakeholders, and optimize the portfolio of policy tools based on actual regional needs.

  Key words: Public welfare first-class guarantee and public welfare second-class management; Primary medical and health institution; Policy tools

  Submit time: 8 June 2026

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

• 图表

• xiamian, gao yi ning, chen zhi ling, wang ming ou, Zhang liang. Analysis of Public Hospital Compensation Policy Texts in China from the Perspective of Policy Tools. 2023. doi: 10.12201/bmr.202312.00007

  XU Mingyao, LIU Hongwei, LI Ruifeng. Analysis of the development of Chinese medicine policies at the grassroots level in China from the perspective of policy tools. 2023. doi: 10.12201/bmr.202304.00005

  HE HONG, JIAO JUN, YU WEIWEI, DENG CHE. Policy research on equalization of basic public health Services from the perspective of policy tools: Based on analysis of policy texts since 2009He Hong1,2,3*, Jiao Jun2,3, Yu Weiwei2,3. 2024. doi: 10.12201/bmr.202405.00002

  zhengwenyi, deng qing wen, xiayu, liuliu, chengyingyao, yangyi. Study on policy texts in the field of medical insurance payment system and treatment in China from the perspective of policy tools. 2024. doi: 10.12201/bmr.202402.00006

  ZHU Xiaoli, Huang Xinyue, WANG Yuheng. Policy text analysis of prefectural-level health insurance risk pooling in China from the perspective of policy tools. 2024. doi: 10.12201/bmr.202406.00020

  YE Xuchun, TANG Siqi, XI Xiaoling, LIU Yafang, WU Jing. Analysis of mental health policy for medical staff from the perspective of policy tools. 2025. doi: 10.12201/bmr.202501.00019

  Wu Zhuocun, Zhang Chongyang, Hu Hongpu, Wan Yanli. Research on the Construction Path of an Intelligent Reporting Model for Primary Healthcare Institutions Based on Data Integration Patterns. 2024. doi: 10.12201/bmr.202404.00005

  JiangMingzhu, Ying Xiaohua. Quantitative research of vaccine management policy in China - Text analysis based on policy instruments, policy subjects and policy points. 2022. doi: 10.12201/bmr.202212.00005

  Li Yilin, Xiong Zi-hui, Fang Hui-yan, Ye Ting. Analysis of medical and preventive integration policy in China: policy evolution and policy tool application. 2023. doi: 10.12201/bmr.202302.00014

  tongxiyang, lihongyu, sujun, zhangjinxin, zhaoshichao, sunxiaojie. Comparison of Patient Trust Patterns between Tertiary Hospitals and Primary Healthcare Institutions: A Mixed Research Based on Interviews and Survey Experiments. 2024. doi: 10.12201/bmr.202405.00005

• ID	Submit time	Number	Download
  1	2026-03-24	10.12201/bmr.202606.00022V1	Download

• Public  Anonymous  To author only Submit Comments