{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T06:12:38Z","timestamp":1788502358469,"version":"build-2803163510"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study examined the characteristics of Chinese policy documents on fertility-friendly hospital development using a policy-tool lens, identified patterns of policy emphasis and areas receiving comparatively less attention, and provided evidence for further policy improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A three-dimensional analytical framework encompassing policy tools, stakeholders, and policy objectives was developed and applied to a quantitative content analysis of 52 national- and provincial-level policy documents on fertility-friendly hospital development issued between April 2016 and February 2026.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The distribution of policy tools was uneven, with supply-side and environmental tools accounting for 53.29 and 34.69% of policy-tool coded references, respectively, whereas demand-side tools accounted for 12.02%. Maternity care institutions were the most frequently represented stakeholder group, accounting for 42.12% of stakeholder-related coded references. Among the policy objectives, the promotion of institutional friendliness and the establishment of supportive mechanisms received the greatest emphasis, accounting for 36.44% of policy-objective coded references.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The included policies were characterized by greater emphasis on supply-side and environmental tools, maternity care institutions, and selected policy objectives, whereas demand-side tools and broader stakeholder participation received comparatively less attention. Future policy development may consider broadening the use of demand-side tools, increasing explicit policy attention to primary healthcare institutions and social organizations, and promoting broader stakeholder participation. Such changes may support a more comprehensive, multidimensional, and collaborative governance framework spanning the continuum of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1953541","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:29:16Z","timestamp":1788499756000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A quantitative content analysis of Chinese policies on fertility-friendly hospital development: a three-dimensional framework"],"prefix":"10.3389","volume":"14","author":[{"given":"Zichao","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Nursing, Chengde Medical University","place":["Chengde, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhensheng","family":"Guo","sequence":"additional","affiliation":[{"name":"Graduate School of Hebei North University","place":["Zhangjiakou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruixiang","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengde Medical University","place":["Chengde, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaoyang","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengde Medical University","place":["Chengde, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guiyun","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Nursing, Affiliated Hospital of Chengde Medical College","place":["Chengde, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"111","DOI":"10.13262\/j.bjsshkxy.bjshkx.241210","article-title":"The theory logic and approach to achieve long-term balanced population 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