Applying policy network theory to policy-making in China: the case of urban health insurance reform.
In this article, we explore whether policy network theory can be applied in the People's Republic of China (PRC). We carried out a literature review of how this approach has already been dealt with in the Chinese policy sciences thus far. We then present the key concepts and research approach in policy networks theory in the Western literature and try these on a Chinese case to see the fit. We follow this with a description and analysis of the policy-making process regarding the health insurance reform in China from 1998 until the present. Based on this case study, we argue that this body of theory is useful to describe and explain policy-making processes in the Chinese context. However, limitations in the generic model appear in capturing the fundamentally different political and administrative systems, crucially different cultural values in the applicability of some research methods common in Western countries. Finally, we address which political and cultural aspects turn out to be different in the PRC and how they affect methodological and practical problems that PRC researchers will encounter when studying decision-making processes.
Zheng
Haitao
H
Harbin Institute of Technology, Harbin, China.
de Jong
Martin
M
Koppenjan
Joop
J
D002681:China / Q000208:ethnology; D003466:Cultural Characteristics; D003695:Delivery of Health Care / Q000191:economics / Q000266:history / Q000331:legislation & jurisprudence; D006078:Government Programs / Q000191:economics / Q000193:education / Q000266:history / Q000331:legislation & jurisprudence; D018166:Health Care Reform / Q000191:economics / Q000266:history / Q000331:legislation & jurisprudence; D049673:History, 20th Century; D049674:History, 21st Century; D007348:Insurance, Health / Q000191:economics / Q000266:history / Q000331:legislation & jurisprudence; D011050:Policy Making; D011634:Public Health / Q000191:economics / Q000193:education / Q000266:history / Q000331:legislation & jurisprudence; D012924:Social Conditions / Q000191:economics / Q000266:history / Q000331:legislation & jurisprudence