Frontiers in public health · 2025
Toward a framework of ambiguity: a qualitative understanding of healthcare policy design and governance mechanism in China.
СтатьяНазвание и аннотация: Перевод в очереди
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Qi Yuanbo, Hu Aijun, Huang Panpan
Аннотация
INTRODUCTION: This study explores the strategic and deliberate usage of ambiguity in Chinese public health policy as a governmental instrument.
METHODS: By analyzing 128 official public policy documents and 30 participant interviews as primary evidence, this study developed a three-tier coding instrument to capture the underlying categorizations, strategic functions, and behavioral responses.
RESULTS AND DISCUSSION: The findings of this study indicate that ambiguity, categorized into five types-"Elasticating," "Generalizing," "Overloading," "Substituting," and "Intensifying"-with "Elasticating" being the most predominant, facilitated the diffusion of accountability, the shifting of responsibility, and the flexibility of interpretation. This research makes a significant contribution to the field of public health governance by redefining policy ambiguity as a complex, integrated mechanism of problem-solving that is rooted in the behavioral, institutional, and bureaucratic contexts of public health operations in China, rather than as a systematic failure.
METHODS: By analyzing 128 official public policy documents and 30 participant interviews as primary evidence, this study developed a three-tier coding instrument to capture the underlying categorizations, strategic functions, and behavioral responses.
RESULTS AND DISCUSSION: The findings of this study indicate that ambiguity, categorized into five types-"Elasticating," "Generalizing," "Overloading," "Substituting," and "Intensifying"-with "Elasticating" being the most predominant, facilitated the diffusion of accountability, the shifting of responsibility, and the flexibility of interpretation. This research makes a significant contribution to the field of public health governance by redefining policy ambiguity as a complex, integrated mechanism of problem-solving that is rooted in the behavioral, institutional, and bureaucratic contexts of public health operations in China, rather than as a systematic failure.