JIANGHAN ACADEMIC ›› 2024, Vol. 43 ›› Issue (2): 58-68.doi: 10.16388/j.cnki.cn42-1843/c.2024.02.006

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Structural Characteristic and Optimization of Chinese Local Governments’Policy Networks for Combining Medical and Elderly Cares:Based on Provincial Government Policy Texts from 2014 to 2022

LI Wenjun,XU Xinyu   

  1. School of Politics and Public Administration,Guangxi Normal University,Guilin Guangxi 541004
  • Received:2023-07-01 Online:2024-04-15 Published:2024-04-01

Abstract: Promoting the combination of medical and elderly care is an important measure to optimize the supply of elderly health and elderly care services in China. It is also an important way to actively respond to the aging of population and bolster the sense of gain and satisfaction of the aged people. The Ucinet6.0software is used to build a two-mode network and a one-mode network. A whole network analysis is done for every region of China and an ego-centered network analysis is done for their policy tools;the purpose is to explore the structure and characteristic of regional overall policy network combining medical and nursing policies formed by the local governments at different stages,as well as the network and characteristic oftheir use of policy tools at different stages. The results show that in the provincial governments’policies on the combination of medical and elderly care, mandatory tools are dominant and mixed tools are supplementary,while the function of voluntary tools is gradually weakened;inter-provincial government links are declining year by year;the policy network center is not unique,and the network power position is not unique;the late adjustment and innovation of policies combining medical and elderly cares are insufficient in some provinces;“family and community”occupy the central position of network in different stages;and the network power status of policy instruments presents phased characteristics. Therefore,in order to optimize the combination of medical and elderly-care policies in China,the use of voluntary policy tools can be increased and the use of policy tools can be better balanced;inter-regionally,policies can be formed for cooperation and the linkage of medical and nursing resources;and the construction of a longterm policy system should be strengthened to integrate local medical and nursing cares.

Key words: combination of medical and elderly cares, elderly-care policy, policy tool, policy network

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