The Chinese Reconstruction of the Two-Factor Theory: A Grounded Study of Incentive Factors in the Pharmaceutical Industry

Abstract

Against the backdrop of frequent policy fluctuations and the continuous tightening of compliance boundaries, the explanatory power of the classic two-factor theory in China's pharmaceutical market is limited. From the methodological perspective of grounded research, this paper proposes a new two-dimensional model of "policy adaptive rewards" for health care and incentives, and further constructs a dual-driven framework of "policy and culture" : defining the ability to interpret policies as the core of health care factors and the exposure to academic conferences as the key of incentive factors; At the same time, the "dynamic incentive combinator" is proposed, that is, during the period of change, the focus is on the construction of psychological capital, and during the stable period, the focus is on the innovation of the dividend sharing mechanism. The research provides operational variables and mechanism paths for the localization of the incentive system of medical organizations, and puts forward several testable theoretical propositions and measurement suggestions.