How can local governmental institutional innovation capture the attention of central policymaking?:A text analysis based on healthcare reform briefings / 中国卫生政策研究

ABSTRACT

The allocation of policy attention is a crucial element in policy process.Under China's administrative system,the policy design pattern based on pilot exploration,experience accumulation,and innovation diffusion in the healthcare sector needs to be interpreted by focusing on the allocation of policy attention and the opening of the policy decision-making agenda in the specific policy context of pilot innovation.This study is based on textual data from the State Council's briefing on deepening medical and healthcare system reform.Utilizing topic modeling analysis techniques,we attempt to analyze the interactive relationship between the national-level medical reform policy framework and local institutional innovation,as well as the structural characteristics of local institutional innovation cases.The study found that the textual content of institutional innovation cases further reveals the goal value and effects of policies from a policy discourse perspective and carries the dual function of addressing the problems of the previous policy agenda setting and opening a new round of policy agenda.