Study on the Co-evolution of Chinas Health Workforce Policies and the Objectives of the New Healthcare Reform: Based on Cross-referencing and Content Analysis of 196 Policy Documents

Corresponding author: Wang Jingyu, daniela@pku.edu.cn

DOI: 10.12201/bmr.202505.00017

•  

  Abstract: Objective: To analyze the evolutionary patterns of Chinas health workforce policies following China’s healthcare system reform and assess their alignment with reform objectives. Methods: This study examined health workforce-related policies implemented during Chinas healthcare system reform. Cross-referencing analysis and content evaluation were conducted within Health Worker-Centered Framework. Results: A total of 196 policies were analyzed, revealing two evolution patterns: (1) alignment with systemic reform goals, ensuring integration with broader healthcare transformation; (2) incremental optimization within the health workforce domain, emphasizing continuity and phased development. Thematic priorities included education/training, performance incentives, and human resource mobility, which closely coordinate with key reform targets such as strengthening primary care, reforming public hospitals, and establishing hierarchical diagnosis and treatment system. Conclusion: This study maps the evolution of Chinas health workforce policies since the healthcare system reform, revealing their dynamic alignment with reform goals. Policy evolution closely synergizes with reform objectives, providing institutional support for health talent development. However, fragmented policy coordination hinders implementation effectiveness. Future efforts should strengthen policy integration and dynamic adjustment mechanisms to achieve high-quality development of health human resources.

  Key words: Health workforce policies; Content Analysis; Policy Evolution

  Submit time: 19 May 2025

  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

• ZhangJinsui, Humin, ChenWen, GongYichun, LI Jian-mei. Exploration and enlightenment of the content design of credit management for the basic medical insurance participants in China——Based on the content analysis of the text of credit management policy of 18 regions. 2022. doi: 10.12201/bmr.202207.00025

  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

  Wang Lian, Yuan Yongxu, Chen Junye, Yin Caiming, Sun Yifan. Analysis of the Evolution of Themes in Chinese Medicine Policies in China Based on the LDA Model. 2024. doi: 10.12201/bmr.202404.00039

  Zhao Jun, Liu Siqi, Yuan Shasha, Lu Haiying, Huang Jie, Wang Yudong, Wang Fang. Analysis of workforce policy about community-dwelling integrated medical and elderly care in ChinaZHAO Jun 1, LIU Si-qi1, YUAN Sha-sha 1, LU Hai-ying1 2, HUANG Jie1 2, WANG Yu-dong1 2, WANG Fang1. 2023. doi: 10.12201/bmr.202304.00010

  Li Wei, Shen li, Wu qing, liu wei. Research on the Readability and Content Analysis of Privacy Policy of Mobile Medical Apps. 2021. doi: 10.12201/bmr.202109.00012

  Li Zhiyuan, Ji Huibin, Li Shan, Wu Huazhang. Theme identification and evolution analysis of the reform policy of compensation mechanism in public hospitals since the new medical reform. 2025. doi: 10.12201/bmr.202508.00042

  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

  qiaojiahui, lubei, yangchenxiao, yinwenqiang, songjia, liqiusha, chenzhongming. Quantitative Analysis of Chinas Community-Based Rehabilitation Policies for the disabled from the Perspective of Policy Tools. 2023. doi: 10.12201/bmr.202301.00003

  Zhou lifang, Lv Haiyuan, Shao Jiaxian, Yin Wenqiang, Yu Yuncong, Ma Dongping, Chen Zhongming. A quantitative study of Chinas village clinic doctor policy since the new medical reform: based on policy tools, targets and strength. 2022. doi: 10.12201/bmr.202203.00011

  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

• ID	Submit time	Number	Download
  1	2025-04-04	bmr.202505.00017V1	Download

• Public  Anonymous  To author only Submit Comments