我国中医药人力资源配置公平性及其驱动路径研究——基于fsQCA方法的分析

Research on the equity of Chinese medicine human resource allocation and its driving paths in China:An analysis based on fsQCA method

目的:分析我国31个省份中医药人力资源配置的公平性及其影响路径,以期为优化中医药人力资源配置提供科学的参考依据。方法:采用卫生资源密度指数(HRDI)来测算我国中医药人力资源配置的公平性,并运用模糊集定性比较分析(fsQCA)来探究影响该公平性的条件组态路径。结果:根据2021年的数据显示,我国中医药人力资源密度指数呈现出显著的区域差异,表现为“东高西低”的分布态势。研究发现了3条促进高公平性的路径:内外均衡驱动型(H1)、经济—需求共同驱动型(H2)和政府主导型驱动路径(H3);同时,也识别出3条导致低公平性的路径:经济—需求制约型路径(L1)和内外制约型路径(L2、L3)。结论:我国中医药人力资源配置公平性存在显著区域差异,多种因素共同影响着中医药人力资源的公平性,其中人口密度为核心影响因素。在后续提升公平性的过程中,可考虑优化多因素间的协同效应,并通过对不同地区精准施策,推动中医药人力资源高效配置和均衡发展。

Objective:To analyze the equity of Traditional Chinese medicine(TCM)human resource allocation across 31 provinces in China and explore its influencing pathways,aiming to provide scientific reference for optimizing the allocation of TCM human resources.Methods:The Health Resource Density Index(HRDI)was employed to measure the equity of TCM human resource allocation in China,and the fuzzy-set qualitative comparative analysis(fsQCA)was utilized to explore the configurational pathways influencing this equity.Results:Based on the data from 2021,the HRDI of TCM human resources in China exhibited significant regional disparities,manifesting as a distribution pattern of“high in the east and low in the west.”Three pathways promoting high equity were identified:the internal-external balance-driven pathway(H1),the economy-demand co-driven pathway(H2),and the government-led driving pathway(H3).Meanwhile,three pathways leading to low equity were also recognized:the economy-demand constraint pathway(L1)and the internal-external constraint pathways(L2、L3).Conclusion:There are notable regional disparities in the equity of TCM human resource allocation in China,with multiple factors jointly influencing this equity,among which population density serves as a core factor.In subsequent efforts to enhance equity,it is advisable to consider optimizing the synergies among multiple factors and implementing precise policies for different regions to promote efficient allocation and balanced development of TCM human resources.