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Upscaling policy pilots

Four tales in Chinese health governance

Dados Bibliográficos

ID6112838
AutoresYunpeng Song (0000-0002-4186-0408, Qingdao University), Yanwei Li (0000-0002-6928-2478, Shandong University, autor correspondente)
Ano2024
Volume41
Fascículo2
Páginas202-222
Data de publicação2024-04-18
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Policy and Administration (JOURNAL)
Identificadores do periódicoISSN: 0952-0767 • E-ISSN: 1749-4192
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/09520767241247987
OpenAlexW4394933214
IdiomaEN
Referências citadas19

Governments have widely applied policy pilots to test new policy initiatives before their full rollout. However, little is known about their upscaling styles. In this contribution, in relation to two attributes of the issues that policy pilots attempt to resolve – ambiguity and salience – we construct an analytic framework consisting of four policy-pilot upscaling styles: command replication, refinement by doing, waiting by doing, and putting on hold. Four representative cases in Chinese health governance, namely, the Sanming healthcare reform, the New Rural Cooperative Medical Scheme, medical staff’s salary reform in public hospitals, and income–expenditure two-line management in primary healthcare institutions, have been investigated to exemplify them. Our study contributes to the existing governance and policy literature by adding new building blocks to the upscaling of policy pilots

Corporate governance · Economics · Management · Political science · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Public Administration

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