Battle to Survive: The Association Between Accountability and Chinese Local Government Response to COVID-19

China’s ability to sustain the zero-COVID strategy over three years has garnered global attention, but little is known about the factors contributing to its long-term adherence. Based on the political promotion tournament model, this article theorizes that China’s strict administrative accountabilit...

Full description

Saved in:
Bibliographic Details
Main Authors: Bingqing Guo, Karen Ann Grépin
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Health Systems & Reform
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/23288604.2024.2400725
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846118400944766976
author Bingqing Guo
Karen Ann Grépin
author_facet Bingqing Guo
Karen Ann Grépin
author_sort Bingqing Guo
collection DOAJ
description China’s ability to sustain the zero-COVID strategy over three years has garnered global attention, but little is known about the factors contributing to its long-term adherence. Based on the political promotion tournament model, this article theorizes that China’s strict administrative accountability system, which tied local officials’ career prospects to their performance in crucial policy goals, incentivized local governments to sustain COVID-19 policies. Using data from the Oxford COVID-19 Government Response Tracker and major official Chinese media outlets, we performed interrupted time series analysis (ITSA) to examine whether the accountability events affected the local government’s COVID-19 responses. Noticeably, our analyses found that from May 4, 2020, to September 30, 2022, when an accountability event happened, officials in the affected (local effects) and unaffected (spillover effects) provinces all increased their containment responses and decreased their economic support responses. This is true even for provinces without new localized outbreaks. The effects of accountability events increased with decreasing geographical distance. These findings remain consistent after several robustness checks. The administrative accountability system is a key institutional factor in implementing China’s zero-COVID strategy, which contributed to the global literature about the pandemic policy process in centralized countries.
format Article
id doaj-art-4e209e2ea9194b989a373ce283195e00
institution Kabale University
issn 2328-8604
2328-8620
language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Health Systems & Reform
spelling doaj-art-4e209e2ea9194b989a373ce283195e002024-12-17T20:29:47ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202024-12-0110110.1080/23288604.2024.2400725Battle to Survive: The Association Between Accountability and Chinese Local Government Response to COVID-19Bingqing GuoKaren Ann Grépin0School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, SAR, ChinaChina’s ability to sustain the zero-COVID strategy over three years has garnered global attention, but little is known about the factors contributing to its long-term adherence. Based on the political promotion tournament model, this article theorizes that China’s strict administrative accountability system, which tied local officials’ career prospects to their performance in crucial policy goals, incentivized local governments to sustain COVID-19 policies. Using data from the Oxford COVID-19 Government Response Tracker and major official Chinese media outlets, we performed interrupted time series analysis (ITSA) to examine whether the accountability events affected the local government’s COVID-19 responses. Noticeably, our analyses found that from May 4, 2020, to September 30, 2022, when an accountability event happened, officials in the affected (local effects) and unaffected (spillover effects) provinces all increased their containment responses and decreased their economic support responses. This is true even for provinces without new localized outbreaks. The effects of accountability events increased with decreasing geographical distance. These findings remain consistent after several robustness checks. The administrative accountability system is a key institutional factor in implementing China’s zero-COVID strategy, which contributed to the global literature about the pandemic policy process in centralized countries.https://www.tandfonline.com/doi/10.1080/23288604.2024.2400725Accountability systemChinaCOVID-19 responsepolicy implementationpolitical promotion tournament model
spellingShingle Bingqing Guo
Karen Ann Grépin
Battle to Survive: The Association Between Accountability and Chinese Local Government Response to COVID-19
Health Systems & Reform
Accountability system
China
COVID-19 response
policy implementation
political promotion tournament model
title Battle to Survive: The Association Between Accountability and Chinese Local Government Response to COVID-19
title_full Battle to Survive: The Association Between Accountability and Chinese Local Government Response to COVID-19
title_fullStr Battle to Survive: The Association Between Accountability and Chinese Local Government Response to COVID-19
title_full_unstemmed Battle to Survive: The Association Between Accountability and Chinese Local Government Response to COVID-19
title_short Battle to Survive: The Association Between Accountability and Chinese Local Government Response to COVID-19
title_sort battle to survive the association between accountability and chinese local government response to covid 19
topic Accountability system
China
COVID-19 response
policy implementation
political promotion tournament model
url https://www.tandfonline.com/doi/10.1080/23288604.2024.2400725
work_keys_str_mv AT bingqingguo battletosurvivetheassociationbetweenaccountabilityandchineselocalgovernmentresponsetocovid19
AT karenanngrepin battletosurvivetheassociationbetweenaccountabilityandchineselocalgovernmentresponsetocovid19