《“十四五”国民健康规划》中健康生活水平领域的组态效应——基于清晰集定性比较分析(csQCA)的研究

The Configuration Effect of Healthy Living Standards in the National Health Plan of the 14th Five-Year Plan——A Study Based on Crisp-set Qualitative Comparative Analysis(csQCA)

明确国民健康生活水平领域的内在作用机理,对于实施《“十四五”国民健康规划》(下称《规划》),提高国民体质素养的水平有着重要的现实意义。以“十三五”时期前后关乎国民健康生活水平的18个案例为研究对象,运用清晰集定性比较分析法(csQCA),将《规划》中提出的5个相关指标作为条件变量,探求促进国民健康生活水平发展的组态效应及其作用路径。研究结果表明:居民健康素养水平、国民体育锻炼参与度、重大慢性病死亡率、婴幼孕死亡率、人均预期寿命单一因素的发展并不能显著提高国民健康生活水平,多因素之间的组合共同作用才能达到《规划》的目的;可通过四种作用路径来促进国民健康生活水平的提升,且各个路径之间作用效果相同,其之间具有可替代性,都可以达到提高国民能健康生活水平的目标。

It is of great practical value to clarify the internal mechanism in the field of national healthy living standard for the implementation of the National Health Plan of the 14th Five-Year Plan and improving the level of national physical literacy.This paper studies 18 cases related to the healthy living standard of the people around the 13 th Five-Year Plan period.Crisp-set qualitative comparative analysis(csQCA)was performed to explore the configuration effect and action path of promoting the growth of people’s healthy living standard by taking 5 relevant indicators provided in the National Health Plan as conditional variables.Findings show that among the factors viz.the health literacy level of residents,participation in physical exercises,the mortality of major chronic diseases,the mortality of infants and pre-school children and the maternal mortality and the average life expectancy,any individual factor alone can not elevate people’s healthy living standard,but only the combination of multiple factors can fulfill the goal of the National Health Plan.There are four action paths that are interchangeable to promote the healthy living standard of the people,each and every capable to achieve the goal of improving the healthy living standard of the people.