FOCUS OF STUDY This study investigates cross-boundary policy entrepreneurship in China’s health regulatory reform, emphasizing how local innovations can influence national policy. By analyzing a case in Ningxia, it explores the coalition of local government, corporate actors, and public hospitals that catalyzed the development of internet hospitals. The research highlights the motivations and strategies of various policy entrepreneurs, including issue framing, coalition building, and venue shopping. It reveals that while local innovations can lead to significant policy changes, the process requires navigating complex bureaucratic environments and aligning local initiatives with national objectives. The findings underscore the importance of collaborative efforts across sectors in addressing contemporary health challenges. POLICY RECOMMENDATION To enhance policy innovation, governments should foster cross-boundary collaborations among local, corporate, and healthcare sectors. This includes creating supportive regulatory frameworks that enable the scaling of successful local initiatives to national policies, ensuring that innovations effectively address community health needs. FOCUS OF STUDY This paper explores the concept of “epistemic preparedness” in the context of global health, particularly concerning infectious disease outbreaks. It critiques traditional preparedness strategies that emphasize microbial surveillance and healthcare infrastructure, arguing for a broader understanding that incorporates ecological and sociological dimensions. The study identifies three key areas of concern: data collection and sharing, outbreak modeling, and the spatiotemporal framing of interventions. By addressing these issues, the authors advocate for a more inclusive approach to preparedness that integrates insights from social sciences and health humanities, moving beyond the limitations of current “crisis technologies.” This reconceptualization aims to enhance the effectiveness of responses to future outbreaks by fostering equity and inclusivity in public health policy. POLICY RECOMMENDATION To strengthen our response to future pandemics, policy must move beyond technical fixes and embrace a broader, more inclusive approach to knowledge. This means valuing insights from social sciences, humanities, and affected communities alongside biomedical expertise, ensuring that preparedness strategies reflect the full complexity of society and environment. By diversifying who counts as an expert and how we understand health threats, we can build more equitable, effective, and trusted public health systems. Jingwei He, Alex, Hongqiao Fu, and Na Tang. “From local innovation to national policy: Cross‐boundary policy entrepreneurship in China’s health regulatory reform.” Australian Journal of Public Administration. Anderson, Warwick, Kari Lancaster, Sonja van Wichelen, Seye Abimbola, Rachel A Ankeny, Lukas Engelmann, Lyle Fearnley, Tamara Giles-Vernick,Benjamin Hegarty, Freya L Jephcott, Nicolo P Ludovice, Janet Roitman, Jacob Steere-Williams, Mark Stoove, John Noel Viaña, Catherine Waldby, Rachel Yang. “Epistemic preparedness.” BMJ Global Health 10.6 (2025). 30 Scholarly Showcase
RkJQdWJsaXNoZXIy NDk5Njg=