Research on The Construction of a Policy Implementation Mechanism of Healthcare Improvement Based on Realism Evaluation
Zhu Tuodong
Wu Hao
Abstract：Objective By exploring the role of patient experience in policy implementation of healthcare improvement,this paper aimed to construct a policy implementation mechanism of healthcare improvement from the perspective of patient experience.Methods To adopt a realist evaluation method,we first proposed an initial program theory(PT)for policy implementation of healthcare improvement,guided by the Smith policy-implementation-process framework and policy feedback theory.Secondly,it collected interview and literature data,iteratively tested and refined the initial PT,profoundly analyzing the context-mechanism-outcome of the sustainable implementation of healthcare improvement policies.Finally,it arrived at a refined PT and constructed the policy implementation mechanism.Results The refined policy implementation mechanism included seven realist theoretical elements involving the context-mechanism-outcome elements of four main stages:evaluation and design,feedback collection,feedback processing,and improvement action.Conclusion In the future,it is necessary to further use mechanisms such as policy guidance,patient participation,improvement-oriented evaluation,organizational coordination,accountability and incentives,talent development,and health literacy improvement to ensure the smooth implementation path of improving medical service policies.
Keywords：healthcare improvement policypatient experiencepolicy implementationrealist evaluation
Publication Date：2025-03-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 36-39 )