The perspective of policy feedback theory: the pendulum change of Chinas health policy and its logic analysis

Corresponding author: zhang shengjie, 15001118909@139.com

DOI: 10.12201/bmr.202107.00027

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  Abstract: Since the founding of the Peoples Republic of China, the Party and the state have been constantly strengthening the construction of medical and health care. The evolution of medical and health policies over the past 70 years has been characterized by a pendulum change, that is, from the commonweal oriented welfare medical and health policy to the efficiency-oriented marketization, and then to the commonweal oriented peoples livelihood with both efficiency and public welfare as the priority. This paper analyzes the internal logic of pendulum change with the help of policy feedback theory, found in the process of the policy change original or old policy through resource effect, explain the effect, the evolution effect and learning effect influence the formulation of the guidance, make the new policy with the imprint of the original policy, presents the oscillating change rather than violent or paradigm change. From the perspective of policy feedback theory, it is necessary to pay attention to the historical influence of policies in the formulation of medical and health policies, guide medical insurance and medical policies with public values, and improve the quality of health services with fine management, optimizing health policy development from the perspective of multiple policy feedback effects.

  Key words: Medical and health policy; Policy feedback; The pendulum change; Public value

  Submit time: 2 November 2021

  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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