Policy text and practice analysis of traditional Chinese medicine DRG reform in general hospitals in Nanjing from the perspective of RE-AIM

Corresponding author: Dengmin, 280721@njucm.edu.cn

DOI: 10.12201/bmr.202606.00024

•  

  Abstract: Objective: To analyze the configuration characteristics and implementation status of DRG reform policy texts in general hospitals of traditional Chinese medicine in China from the perspective of RE-AIM framework, so as to provide reference for policy improvement. Methods: Taking the policy documents of the central government, Jiangsu Province and Nanjing Municipality as the research object, a two-dimensional analysis framework of policy instrument-RE-AIM was constructed, and the content analysis method was used for text coding and quantitative analysis. Results: A total of 31 policy texts were included. The RE-AIM framework mainly focused on the coverage (31.28%), adoption (23.46%) and implementation (20.67%), indicating that the existing policies focused more on the expansion of the scope of reform, organizational adoption guidance and implementation process specification. The persistence (15.64%) and validity (8.94%) accounted for relatively low, suggesting that long-term operation guarantee and reform effect evaluation were still relatively weak. Conclusions: While promoting the coverage expansion, organizational adoption and standardized implementation, the DRG reform policy of traditional Chinese medicine in general hospitals still has insufficient effectiveness evaluation and continuous operation guarantee. In the future, it can be optimized from the aspects of differential incentive, standardized operation and collaborative governance.

  Key words: General hospital; DGR in traditional Chinese medicine; RE-AIM framework; 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

• 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

  mahanbin, Zhao Jing, Guan Yongyi, Zhang Fengyi, Yang Lijin, Liu Senyuan. Policy Analysis of Chinese Medicine Industrialization Based on Policy Tools. 2023. doi: 10.12201/bmr.202304.00006

  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

  ZHOU jian, ZHANG min, YANG xue, SHI Wenhui, SUN Zhiming. Spatial Distribution Characteristics of Tertiary General Hospital in Nanjing: a Geographical Analysis Based on GIS. 2022. doi: 10.12201/bmr.202210.00008

  SHI Shenghui, YOU Mao, LI Rui feng, TIAN Xue qing, REN Ping, ZHENG Qiu ying, WU Lan tao. Analysis of the content of Chinas basic medical insurance policy for Traditional Chinese Medicine from the perspective of policy instrumentSHI Sheng-hui,LI Rui-feng,YOU Mao,TIAN Xue-qing,REN Ping,WU Lan-tao,ZHENG Qiu-ying. 2024. doi: 10.12201/bmr.202405.00004

  zhengxiaoyan, xiasudi, xiejing. Research on the Current Situation of Traditional Chinese Medicine Health and Elderly Care Policies in China-- Analysis based on the three-dimensional framework of topic - tool - effectiveness. 2026. doi: 10.12201/bmr.202601.00075

  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

  GONG Xianhe, HE Minmei▲. Analysis of Payment Policies for Traditional Chinese Medicine Services. 2025. doi: 10.12201/bmr.202501.00077

  YU Miao, SONG Qi, YANG Yansui, TUO Hongwu. Analysis of the Effect of Traditional Chinese Medicine Medical Insurance Payment by the Diagnosis-Intervention Packet: Based on the Medical Insurance Reform Practice in Liuzhou. 2023. doi: 10.12201/bmr.202306.00002

  Li Xinyu, Shao Rong, Bai Mingyu, Li Dashuang, Yan Jianzhou. Text Quantitative Analysis of Pediatric Drug Security policy-- A two-dimensional framework based on policy tools and policy goals. 2022. doi: 10.12201/bmr.202209.00016

• ID	Submit time	Number	Download
  1	2026-01-18	10.12201/bmr.202606.00024V1	Download

• Public  Anonymous  To author only Submit Comments