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Policy implementation challenges and the ritualization of public health emergency plans

An investigation of urban communities in Jiangsu Province, China

Bibliographic Data

ID22069736
AuthorsRui Zhang (0000-0003-0194-5295, China University of Mining and Technology), Chengli Wang (0000-0003-1887-8746, China University of Mining and Technology), Changgui Li (0000-0002-9660-0216, China University of Mining and Technology, corresponding author), Yachao Xiong (0000-0003-0867-3368, China University of Mining and Technology)
Year2023
Volume10
Pages1047142-1047142
Publication date2023-01-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1047142
PMID36699936
OpenAlexW4315481734
LanguageEN
Citations received2
References cited20

Introduction: measures. In China, public health emergency plans - the plans expected to drive the response to epidemics or pandemics - demonstrated a concerning tendency towards "ritualization." "Ritualization" denotes the practice of public health emergency plans to be reliably developed so that a formal requirement is met, while being implemented selectively or not at all in the emergency response. Methods: This study explored the phenomenon of ritualization by analyzing data from 1485 questionnaires, 60 in-depth interviews and 85 actual public health emergency plans. It used the Smith Policy-Implementation-Processing pattern as its conceptual framework. Results: The study found that the infeasibility of plans, their ineffective implementation by emergency management agencies, the obstructive behaviors of community residents, and the lack of an appropriate policy environment all contributed to the practice of ritualization. Discussion: As China seeks to better respond to COVID-19 and accelerate the recovery of its health system, it is essential to ensure that its public health emergency plans are effectively developed and implemented

Business · China · Emergency management · Environmental planning · Geography · Medical emergency · Pandemic · Political science · Public health · Ritualization · Sociology · COVID-19 Digital Contact Tracing · Disaster Management and Resilience · Disaster Response and Management · Medicine · Nursing

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    Open Access•Yutao Zhu, Qing Yang et al.•Frontiers in Public Health•2025

  • Analysis of the integrity of district crisis management plans in Poland

    Open Access•Michał Wiśniewski•International Journal of Disaster…•2022

  • Ritualized Law and Livelihood Fragility of Left-Behind Women in Rural China

    Open Access•Chao Wang, Jiayi Tang•International Journal of…•2020

  • Exploring ‘ritualized institutions’

    Chao Wang, Tao Zhang et al.•Journal of Asian Public Policy•2022

  • Integrating Government Silos

    Open Access•Susan Wolf-Fordham•The American Review of Public…•2020

  • The policy implementation process

    Open Access•Thomas B Smith•Policy Sciences•1973

Unique citing works2
Citations per year0,67
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2
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