A quantitative study of Chinas village clinic doctor policy since the new medical reform: based on policy tools, targets and strength

Corresponding author: Chen Zhongming, czm3306196@163.com

DOI: 10.12201/bmr.202203.00011

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  Abstract: Objective: To quantitatively analyze Chinas national-level policy documents related to village clinic doctors since the new medical reform. By exploring the focus and shortcomings of the policy system related to rural doctors in China, we provide references for the formulation and improvement of village clinic doctor policies. Methods: Policy documents related to village clinic doctors at the national level were found from relevant websites such as the Chinese government website, the National Health and Wellness Commission, and Pkulaw.com. Using the quantitative analysis method of policy tools, a three-dimensional framework was constructed and analyzed from three perspectives: policy targets, policy tools and policy strength. Results: A total of 19 policy documents were included for the study. Analysis showed that the policy targets related to village clinic doctors were mainly education and training (23.66%), income subsidies (16.79%) and the relationship between village clinic doctors and the health system (14.50%), and the policy tools were mostly used as symbolic and exhortation tools (32.89%) and capacity building tools (28.95%). The overall policy strength needs to be improved. Internal structure of policy dimensions, policy strength for different policy targets, and balance of policy tools for different policy targets all need to be improved. Conclusion: In the policy target dimension, emphasis should be placed on the power to the pension protection and service functions. In the policy tool dimension, the matching degree of command, incentive and capacity building tools with the policy target should be improved.

  Key words: New medical reform; Village clinic doctor; Policy tools; Policy targets; Policy strength

  Submit time: 21 March 2022

  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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