Centered Structures and Trend Changes in Academic Narratives of 10-year Development of Hierarchical Medical System in China

BackgroundThe narratives of hierarchical medical sytem are generally classified into two patterns, one is the policy narrative, which is used to persuade the target audience to gain their support in practice, and the other is the academic narrative, which describes the thinking process of researchers to explore problems and enhance perceptions using words. The narratives of the hierarchical medical system are rich and diverse, but have been rarely systematically reviewed and summarized.ObjectiveWe explored the evolution process, focuses and characteristics of academic narratives of 10-year development of hierarchical medical system in China using social network analysis, aiming to provide a reference for improving the implementation of hierarchical medical system.MethodsOn March 21, 2021, we searched the database of CNKI for studies regarding hierarchical medical system in China published in academic journals in Chinese during January 1, 2009 to March 21, 2021 using "hierarchical medical system" "seeking heal