地区间医疗卫生机构资源配置公平性及影响路径分析

Analysis on the Allocation Equity and Improvement Path of Health Care Institutions in China

目的:对我国31个省份卫生机构资源配置的公平性进行测度比较,以期探究地区间医疗卫生机构资源配置的公平性及具体提升路径。方法:采用卫生资源集聚度评价医疗卫生机构资源配置的公平性;运用模糊集定性比较分析方法分析影响我国医疗卫生机构资源配置公平性的具体路径。结果:形成医疗卫生机构资源配置高公平性的路径共有5条,总一致性为0.95,总覆盖度为0.88,模型解释效果较好(一致性>0.8)。结论:我国现阶段地区间医疗卫生机构资源配置的公平性差距较大。影响我国医疗卫生资源配置公平性的因素较多,也有多条路径可以提升医疗卫生资源配置的公平性。

Objective:It attempts to measure and compare the equity of resource allocation in the health care institutions of 31 provinces in China,and explore the equity of the allocation of health care institutions among regions and the specific improvement path.Methods:The health resource agglomeration degree is used to evaluate the equity of resource allocation of health care institutions,and the fuzzy set qualitative comparative analysis method(fzQCA) is used to analyze the specific paths that affect the equity of resource allocation in the health care institutions of 31 provinces in China.Results:There are 5 paths for the formation of high fairness in the configuration of health care institutions,with a total consistency of 0.95 and a total coverage of 0.88,and the model interpretation effect is good(consistency>0.8).Conclusion:There are many factors affecting the equity of health care allocation in China.There are multiple paths that can improve the fairness of medical allocation,and the gap in the allocation of medical institutions between regions is large at this stage.