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ORIGINAL RESEARCH article

Front. Med.
Sec. Regulatory Science
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1496836

Exploration of policy feedback mechanism for healthcare improvement in China: a grounded theory model

Provisionally accepted
  • 1 Southwest Hospital, Army Medical University, Chongqing, China
  • 2 Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Chongqing Medical University, Chongqing, Chongqing Municipality, China
  • 3 First Affiliated Hospital of Chongqing Medical University, Chongqing, Chongqing Municipality, China

The final, formatted version of the article will be published soon.

    Background: Despite increasing governments' endeavors to improve the quality of medical services focused on patient experience, it has been difficult due to a lack of systematic and replicable theories to guide healthcare improvement. This study aimed to construct a theoretical model of a policy feedback mechanism for guiding healthcare improvement based on healthcare improvement in China’s context.Methods: We constructed a theoretical model of policy feedback mechanism for improving healthcare using a grounded theory approach to collect and analyze textual data on healthcare improvement in China.Results: In this study, the theoretical model of policy feedback mechanism for healthcare improvement contained five core modules: multi-level objects, policy context, policy tools driven, policy feedback process, and policy feedback results. At the theoretical level, we innovatively constructed the module of “patient feelings,” including “patient sense of gain,” “patient happiness,” and “patient sense of safety.” Practically, we generated a list of ways through the “medical organization behavior” module to enhance patient feelings.Conclusion: This model elaborated a policy feedback mechanism for healthcare improvement. This research provided theoretical and practical support for health authorities to formulate and apply various policies or initiatives to improve healthcare. Theoretically, the model innovated the development of patient feelings in the policy feedback for healthcare improvement. On the practical level, we generated specific strategies for hospitals to enhance healthcare and patient experience.

    Keywords: Health Policy, Quality in Health Care, Hospital, Patient, qualitative research

    Received: 15 Sep 2024; Accepted: 15 Jan 2025.

    Copyright: © 2025 Zhu, Yang and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Hao Wu, Southwest Hospital, Army Medical University, Chongqing, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.