Backstaging Street-Level Discretion: Professional Bureaucrats and Organizational Adaptation under Stringent Regulatory Implementation—Evidence from Non-Selected Drug Governance in China’s Centralized Drug Procurement
This study argues that China's stringent centralized drug procurement policies do not eliminate professional discretion but rather relocate it from clinical encounters to backstage organizational routines, a phenomenon termed "backstaged street-level discretion," which transforms how bureaucrats adapt regulations through strategic gatekeeping and documentation.