Evidence map›Paper›PMID 42293617›Full record

ArticleFrontiers in public health2026

Replication of central policy or local innovation: a study of the policy reinvention mechanism for sports policies for older adults in China's provincial local governments.

Fangyang Zhang, Ke Zhou, Xiaoqiang Shi

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Fangyang ZhangSchool of Economics and Management, Shanghai University of Sport, Shanghai, China.
Ke ZhouSchool of Economics and Management, Shanghai University of Sport, Shanghai, China.
Xiaoqiang ShiSchool of Economics and Management, Shanghai University of Sport, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study examines how Chinese provincial governments adapt central sports policies for older adults. It aims to measure the degree of local policy reinvention and to identify the combinations of conditions under which substantive local redesign is more likely to occur. Methods: A total of 109 central and provincial policy documents on sports for older adults issued between 2015 and 2024 were collected and systematically analyzed. First, a cosine similarity method based on TF-IDF is used to compare the one-to-one matching central and provincial policy texts to construct a policy reinvention coefficient. Second, fsQCA was applied in a periodized design aligned with the 13th and 14th Five-Year Plan stages to examine how per capita provincial-level sports fiscal expenditure, population aging, public sports service resources, policy salience in aging planning, horizontal pressure, and adoption timing jointly shape high reinvention outcomes within each planning stage. Results: The overall level of policy reinvention is relatively high, with clear provincial variation but no extreme polarization. Reinvention fluctuated in the earlier years and became more stable after 2020. The periodized fsQCA further shows that the mechanisms of high reinvention differ across planning stages. In the 13th Five-Year Plan stage, five configurations were identified and grouped into delayed learning-adjustment, rapid capacity-response, and constraint-compensating types. In the observed 14th Five-Year Plan stage, seven configurations were identified and grouped into fiscal-demand, horizontal-learning, and aging-response types. These results suggest that provincial governments redesign central directives through stage-specific combinations of demographic demand, sports sector fiscal support, service resources, policy attention, adoption timing, and interprovincial learning. Conclusion: The local adaptation of sports policies for older adults in China follows multiple pathways rather than a single uniform model. Policy reinvention is shaped by both stable provincial conditions and stage-specific governance contexts. The periodized results show that early-stage reinvention relied more on learning, adjustment time, and resource preparation, while later stage reinvention was more strongly associated with aging pressure, sports sector fiscal support, and horizontal policy learning. These findings contribute to research on sports policy for older adults and offer evidence for improving the local implementation of healthy aging policies.

Indexed as

Health PolicyLocal GovernmentPublic PolicySportsAgedChinaHumansChinalocal innovationpolicy reinventionprovincial local governmentssports policy for older adults

Identifiers

PMID42293617
PMCPMC13260497

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.