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Table of Content

    17 January 2025, Volume 14 Issue 1
    Research on the Cooperativity of Chinese hierarchical Medical System Policy: Based on Quantitative Analysis of Central and Provincial Policy Texts
    FU Liping, DONG Yu, WANG Ruizhen
    2025, 14(1):  4. 
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    Hierarchical medical system is the first of the five basic medical systems and is also the ultimate goal to be achieved by the “strong grassroots” of the new medical reform. The implementation of the hierarchical medical system needs the guidance of the scientific and perfect policy system. The research on hierarchical medical system policy is conducive to analyzing the value orientation and evolutionary logic of the existing policies and ensuring that the top-level design cooperates with the social process. Taking the policy of hierarchical medical system published by the central and provincial governments as the study object, the paper establishes a three-dimensional analysis framework of policy instrument, policy objectives, and policy intensity, and explores the internal collaboration of the policy system of hierarchical medical system in China. The results show that the cooperativity of policy tools “supply-demand-environment” is poor, with strong supply, light environment, and weak demand. The cooperativity of “scale – efficiency” of policy objectives is lacking, and the radiation scale of policy objectives at each stage first expands and then decreases. The cooperativity of the policy intensity “administrative effectiveness - content effectiveness” is good, and there is a large space for coordination among the formulation subjects. The cooperativity of the three elements of “instrument-objectives-intensity” is insufficient, and there is a deviation from reality. Especially in the promotion period and breakthrough period, instrument and intensity may not provide strong support for realizing the objectives value. The text of hierarchical medical system policy clarifies the principal-agent relationship between the parties in the medical benefit transmission chain and restricts and guides policy implementation. Therefore, it is necessary to optimize the structure of policy instrument, rationally grasp the policy intensity, coordinate the three elements, and adjust policies closely with the changes in the real situation. The research has important reference value for improving hierarchical medical system policy, promoting the equalization of basic medical services in China, and realizing double breakthroughs in theory and practice.
    Collaborative Governance Problems and Optimization of Government Service Standardization Reform: An Analysis based on the "SMBI" Framework
    XU Fei, KONG Fanbin
    2025, 14(1):  25. 
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     The standardization of government services is a key issue in building a service-oriented government that people are satisfied with. By introducing the "structure-mechanism-behavior-interaction" (SMBI) framework and combining the process of standardization reform of government service in S province and N city, this paper compares the different attitudes and practices of provinces, cities, districts and counties in the face of standardization reform, and points out that the differentiated allocation of authority of government service departments is one of the important reasons for the cooperative governance problems in the standardization reform of government service. On this basis, the strong correlation between standardization and performance appraisal mechanism can easily lead to reform becoming a tool for organizations to "self-prove", increasing the burden of grassroots government service departments work and causing contradictions in inter-governmental relations. However, the grassroots officials can take the lead in breaking through the authority of the bureaucracy to seek innovation and flexibility through more contact with the public, and promote the development of service-oriented government. In practice, the standardization of government service has both technical tools and administrative processes. It is necessary to coordinate the contradictions between governments and strengthen the contact between government service departments and the outside world based on the principle of "active complementarity". In the process of analyzing the standardization of government service, this paper adds the influence of meso-structure, mechanism, micro-behavior and interaction on reform, and study the relationship between organizational system design and individual behavior, which is helpful to grasp this political process more truly.
    “Hard Coordination” and “Soft Coordination” : The Formation Logic and Coordination Mechanism of the Relationship between County-Level Departments——A Case study of L District in Zhejiang Province#br#
    ZHOU Zhan, TIAN Xianhong
    2025, 14(1):  38. 
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    It is the difficulty of county governance to strengthen the integration and cooperation of inter-departmental relationships. At present, affected by the bureaucracy and Tiao-kuai system, the fragmentation of county-level departments in China is more prominent, which is difficult to meet the comprehensive needs of grass-roots governance affairs. The work carried out focusing on the county-level center and the frequent interaction between the county-level departments provide an observation window for the study of the relationship between the departments. According to the degree of resource domination and dependence of different departments, county-level departments are divided into four types: strong resource control and strong dependence, strong resource control and weak dependence, weak resource control and strong dependence, and weak resource control and weak resource dependence. A stable departmental relationship was established among departments based on the long-term interaction of resources and power, and the superposition of different relationships eventually forms a circular "dominant - marginal" departmental relationship network. The dominant department is the strong department, and the marginal department is the weak department. It was found that there are two coordination mechanisms in departmental relationships, namely “hard coordination” mechanism and “soft coordination” mechanism, which differ greatly in the main body, resource base, means and effect of coordination. The departmental coordination mechanism effectively resolved the contradiction between the grass-roots governance system and the needs of governance affairs, and improved the adaptability of the grass-roots governance system. 
    Activating the Froce of Public Service:Robustness and Variance
    HU Yue, SUN Yufei, CHEN Ziyi
    2025, 14(1):  54. 
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    The wide mobilization of social members' motivations for public service is the core driving force to improve the modernization level of governance through diverse governance paths, and it is also a basic condition for the effective operation of the whole-process people's democratic system. However, existing research has many limitations in terms of sample size, diversity, and representativeness, and is often confined to the examination of the civil servant group. This makes it difficult for existing research to answer questions such as how to stimulate wide-ranging social service motivation, which stimulation mechanisms are more effective, and the cross-group stability of stimulation effects, making it difficult to effectively provide reference for diverse governance practices. In response to the limitations of existing research, this paper conducts theoretical and operational optimization on the classic public service motivation research of Mogens Pedersen, adds new stimulation mechanisms and comparative designs, and replicates and tests the classic research findings based on a nationally representative sample of subjects. The experimental results of this paper show that the policy impact mechanism, which was not included in Pedersen's research, has the best stimulation effect and is significantly better than the altruistic and self-value mechanisms. Regarding stability, collectivism and self-value mechanisms show smaller cross-group differences. In terms of the conditional factors of the stimulation mechanism effect, gender and age factors have an impact that goes beyond social and economic variables such as family income and education level.
    The Motivation and Behavior of Cadres’ “Taking Responsibilities and Actions” in Swift Response to Public Complaints and Their Correlation Patterns
    2025, 14(1):  72. 
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    Being able to take responsibilities and actions is a requirement for the political character and job performance of cadres in the new era. It plays a key role in ensuring work effectiveness and governance efficiency in the context of handling public complaints and suggestions. This study conducted semi-structured interviews with 25 cadres in Beijing to extract the types of motivation and dimensions of behavior exhibited in the practices of “taking responsibilities and actions”. The results revealed that the motivations of cadres fell into five categories: pressure-driven, instrumental-driven, identification-based, mission-oriented, and immersive-oriented. These motivations formed a sequence of progressively increasing autonomy. The behaviors driven by these motivations encompassed four dimensions: work positioning, work style, work methods, and work innovation. Each dimension involved actions at two construal levels: high and low. Furthermore, as the motivations transitioned from controlled to autonomous, cadres exhibited a shift in their actions from low to high construal levels across all four behavioral dimensions. This study provides a refined understanding of motivation types and behavior dimensions related to “taking responsibilities and actions”, highlighting their interrelationship and offering valuable insights for the future cultivation and selection of cadres.
    Melodramatic Persuasion: The Combination and Its Effectiveness of Street-level Bureaucrats’ Law enforcement Strategies
    GAN Tian, Wang Yingying
    2025, 14(1):  88. 
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    This study focuses on how street-level bureaucrats strategize to address the contentious and uncertain nature of law enforcement. Existing research predominantly analyzes this from perspectives of power, behavior, and context, seldom uncovering the psychological mechanisms underlying the transition from resistance to compliance among those being regulated. Approaching from a psychological standpoint and grounded in Hovland’s persuasion theory, this study introduces a “Melodramatic Persuasion Model” for street-level bureaucrats. It does so through participatory observations of the persuasion tactics—encompassing scenarios, behaviors, and discourse—employed by urban management officials on Y Subdistrict in X City towards vendors obstructing the way. The findings reveal that street-level bureaucrats persuade those they regulate by adopting roles, alternating dialogues, and changing scenes; the shift from resistance to compliance is driven sequentially by information learning, congruency mechanisms, emotional transfer, and counterarguing mechanisms. This psychological transformation mechanism is particularly evident in the behaviors of socially disadvantaged groups within open street environments. It highlights the "patience capital" that street-level bureaucrats accumulate through experience, especially in situations characterized by "short-term confrontations" and "mutual awareness." Additionally, it challenges the assumption of homogeneity within street-level bureaucracies, revealing differences based on role (service or regulation), gender (male or female), rank (high or low), and context (new or familiar). The study's findings reflect the adaptive process of discretionary motivation in the enforcement strategies and combinations used by street-level bureaucrats. Furthermore, it provides a "people-centered" psychological reference model to enhance the effectiveness of grassroots law enforcement.
    Entangled: Organizational Rashomon Effect as a Roadblock to Red Tape Reduction
    PENG Peiwen, YANG Yi
    2025, 14(1):  108. 
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    Red tape, as burdensome, unnecessary, and ineffective rules, have been studied extensively by scholars and practitioners. The Chinese government has also repeatedly vouched for red tape reduction in its bureaucracy, but to little avail. Based on participant observation, surveys of 103 junior faculties and subsequent deep interviews with 22 faculties and administrators in R University, we examine a tenure review requirement that calls for extensive teaching skill trainings for junior faculties. We find an organizational Rashomon phenomenon among diverse organizational echelons (junior faculties/deans/university administrators) that acts as a roadblock to red tape reduction efforts. Specifically, members at diverse levels perceive whether this rule constitutes red tape differently and such divergence generates a Rashomon phenomenon that makes red tape a permanent feature in the university: organizational members at varied hierarchical levels give contradictory interpretations to how red tape is formed while shirking their responsibilities or acting inconsistently during institutional efforts to cut red tape.
    Organizational Reputation in the Public Sector with Audience as the Core: A Triple Perspective of Construction, Reshaping, and Perception
    LI Hongxia, CHEN Sicheng
    2025, 14(1):  125. 
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    Organizational reputation is a valuable intangible asset that is pivotal for the government to garner widespread public support and effectively respond to external shocks. Research on organizational reputation, emphasizing the relationship between the government and the public, can provide new ideas for efficient government governance, and has become a cutting-edge field of international public management in recent years. Despite a constant upsurge in research findings on organizational reputation in the public sector over the past decades, most studies merely accentuate reputation mechanisms at the organizational level, neglecting the subjective perception factors of the audience as well as the interactive relationship between the organization and the audience. Consequently, unlike previous reputation reviews that focus on organizational level, this study focuses on the audience for reputation literature review. Firstly, this study reviews Carpenter’s Bureaucratic Reputation Theory, pointing out the main theoretical viewpoints on understanding the reputation of public sector organizations from the perspectives of political science and organizational science. Subsequently, based on the holistic perspective of organization, audience, and interaction between the two, this study systematically analyzes the “construction-reshaping-perception” mechanism of organizational reputation in the public sector. Lastly, the policy implications of organizational reputation theory for public management practices are posited, and three key directions for future research are provided: the construction of organizational reputation within a normalized context, the impact of leaders and interactive relationships on organizational reputation, and the disparity between organizational reputation construction and public reputation perception. This study enriches the organizational reputation theory, and provides reference for reputation management practices and government innovation governance.
    Performance Information, Government Hierarchy, and Budget Allocation Logic: Empirical Evidence from the Budget Fund Allocation of Secondary Vocational Schools in Z Province
    HUANG Zhixiong, FENG Yichen
    2025, 14(1):  140. 
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    Budget Performance Management, as a new field in the modernization of China's governance capabilities in financial governance, is an important component in building a modern fiscal system in the new era. This paper takes the 2021 educational budget fund allocation results of secondary vocational schools in Z Province as a research sample to explore the mechanism of performance information in local government budget decision-making in China, and examines the extent to which different levels of government utilize performance information. The empirical results show: (1) The budget decision-making logic of performance information is consistent with the dialogue theory. That is, performance information can influence government budget decisions, but it is not the only source of information. (2) There is a clear heterogeneity in the use of performance information by different levels of government: compared to district and county governments, the provincial government's use of performance information is more in-depth. That is, the higher the level of government, the more it prefers to use performance information to address the information asymmetry problem in budget allocation, and to exert the reward and punishment function of performance budgeting; whereas grassroots governments are more inclined to balance and compensate for shortcomings, and the concept of performance budget decision-making has not been realized.
    The Structuration and Institutionalization of Social Capital for Community Self-organization—— An Extended Case Study of a Grassroots Mutual-aid Organization in Community Conflict Governance#br#
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    CHENG Xiu Ying, LIU Meng Xiang
    2025, 14(1):  155. 
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    Along with the collapse of work unit system, the living space, social organization and urban management in China have gone through tremendous changes.  How to explain the connection between resident self-organization and government embeddedness in communities became the key to understand the state-society relation in current China.  Based on participant observation and in-depth interview, this article supplied an extended case study on a six-year long community conflict incident.  From the theoretical perspective of social capital construction, this article analyzed the formation process, expansion mechanisms and institutional limits for community grassroots self-organization. The findings are: the intangible capitals of the state, such as rule of law, facilitated the human capital’s conversion to community social capital, which became the foundation of grassroots self-organization.  The interlocking network based on we-chat groups, the online-offline interaction and the rules of democratic negotiation buttressed the structuration of grassroots self-organization based on bonding and bridging social capital, which thus overcome the vulnerability of self-organization. However, the interactions with residents’ committee and home-owners’ association did not gain the grassroots self-organization power and resources through building linking social capital with the state. This indicates the institutional limits to the sustainable development of grassroots self-organization in current governance structure of communities.