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Seeking policy solutions in a complex system: experimentalist governance in China’s healthcare reform

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  • Alex Jingwei He

    (The Hong Kong University of Science and Technology)

  • Yumeng Fan

    (The Education University of Hong Kong)

  • Rui Su

    (Sun Yat-Sen University)

Abstract

The proliferation of “wicked” policy problems in complex systems requires an experimental approach of problem-solving. Experimentalist governance offers a conducive framework through which to seek policy solutions amidst high levels of complexity in a multilevel governance structure. This study conceptualizes four distinctive experimental modalities based on varying levels of technical complexity and interest complexity, both of which represent salient constraints for policy reforms in a complex system, the health sector in particular. Trail-blazing pilots, crowdsourcing pilots, managed pilots, and road-testing pilots are all associated with distinct mechanisms of experimentation in a multilevel governance structure. Through four illustrative cases from China’s massive experimental program of public hospital reform, this study demonstrates how experimentalist governance seeks policy solutions in the health sector. Should governance arrangements, policy capacity, pragmatism, and informational devices become aligned in a conducive way, experimentalist governance can play an instrumental role in seeking solutions for difficult problems in a complex policy system. A governance structure capable of policy learning and adaptive management is the key.

Suggested Citation

  • Alex Jingwei He & Yumeng Fan & Rui Su, 2022. "Seeking policy solutions in a complex system: experimentalist governance in China’s healthcare reform," Policy Sciences, Springer;Society of Policy Sciences, vol. 55(4), pages 755-776, December.
    • Handle: RePEc:kap:policy:v:55:y:2022:i:4:d:10.1007_s11077-022-09482-2
    DOI: 10.1007/s11077-022-09482-2
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    References listed on IDEAS

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    Cited by:

    1. Hongshan Yang & Hongtao Yi, 2023. "Frontiers of policy process research in China," Review of Policy Research, Policy Studies Organization, vol. 40(4), pages 484-489, July.
    2. Chi Shen & Qiwei Deng & Sha Lai & Liu Yang & Dantong Zhao & Yaxin Zhao & Zhongliang Zhou, 2024. "New evidence on supplier-induced demand in China’s public tertiary hospitals: is the cost of hospitalization higher in the off-season?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(6), pages 951-962, August.

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