RESEARCH SHOWCASE He, Alex Jingwei “Scaling-up through Piloting: Dual-Track Provider Payment Reforms in China’s Health System.” Health Policy and Planning 38.2 (2023): 218-227. This paper puts forth ‘scaling-up through piloting’ as a distinctive pathway for strategically managing scaling-up in the health sector. It analyses the recent development of provider payment reforms in China, focusing particularly on the ongoing pilot programs, with data drawn from extensive documentary analysis and 20 in-depth interviews with key stakeholders, including decision-makers and implementers. It is found that scaling up through piloting helps minimize the vast uncertainties associated with complex payment reforms and maximize the local adaptability of provider payment innovations, forging a phased implementation process, allowing new payment models to be tested, evaluated, compared, and adjusted in a full spectrum of local contexts before a national rollout. Key strategic scaling factors include necessary central steering, a pragmatic piloting design, strong technical capacity, and effective policy learning mechanisms. He, Alex Jingwei, Yumeng Fan, and Rui Su. “Unpack the Black Box of Pilot Sampling in Policy Experimentation: A Qualitative Comparative Analysis of China’s Public Hospital Reform.” Governance (2023). This paper elucidates the logic of selecting pilots in large policy experimentation programs. By focusing on China’s huge public hospital reform program and through a novel research design that combines comparative qualitative analysis and illustrative case studies, the authors seek to explain the strategy for pilot selection. The analyses reveal five distinctive pathways of pilot sampling: piloting for challenge, piloting for advancement, piloting for innovation, piloting for action, and piloting for regional generalization. Each modality represents a specific experimental purpose. It is revealed that piloting is a versatile governance tool that can fulfill multiple functions in complex reforms. Social and Urban Policy 13
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