Analysis of medical and preventive integration policy in China: policy evolution and policy tool application

Corresponding author: Ye Ting, yeting@hust.edu.cn

DOI: 10.12201/bmr.202302.00014

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  Abstract: Objective: To review the evolution of the medical and preventive integration policy in China and explore its structural features, so as to provide reference for improving the policy system. Methods: Word frequency analysis was used to analyze the key contents of medical and prevention integration policy; based on the perspective of policy instruments, a two-dimensional framework of policy tools—service providers was constructed to analyze the characteristics of medical and prevention integration policies. Results: The term integration of medicine and prevention evolved from combination of prevention and cure and coordination of medical and preventive, in this process, the policies showed a trend of enriching the content, expanding the scope, completing the system and tightening the relationship between medical and prevention. In the X dimension，supply-based，environmental and demand-based policy tools respectively accounted for 30.37%, 57.78% and 11.85% of the total；In the Y dimension, primary health care institutions, medical consortia, hospitals, and professional public health institutions respectively accounted for 50.00%, 30.23%, 10.47%, and 9.30%. Conclusions: The medical and preventive integration lacks top-level design；the structure of policy tools is unbalanced, emphasizing environment over demand; at the level of service providers, attention was paid to primary medical and health care institution, but the use of policy tools is not sufficient.

  Key words: integration of medicine and prevention; combination of prevention and cure; medical and preventive coordination; word frequency analysis; policy tools

  Submit time: 28 February 2023

  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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