| 引用本文：吴江玥, 胡明.结构方程模型应用卫生政策与体系研究的系统综述[J].中国卫生政策研究,2014,7(2):72-78 |
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| 结构方程模型应用卫生政策与体系研究的系统综述 |
| 投稿时间：2013-10-18 修订日期：2014-02-02 PDF全文浏览 HTML全文浏览 |
| 吴江玥, 胡明 |
| 四川大学华西药学院 四川成都 610041 |
| 摘要:目的：分析结构方程模型在国内卫生政策与体系实证研究的现状，为进一步完善结构方程模型在卫生政策与体系研究中的应用提供参考。方法：采用系统综述方法，检索国内卫生政策与体系研究领域内结构方程模型的实证研究文献，分别从研究角度、内容和方法进行分析。结果：共筛选得到121篇文献，包括58篇学位论文和63篇期刊文献。文献分别从个人（全社会）、卫生监督管理机构、医疗卫生机构和相关企业角度，对卫生筹资与人力资源、卫生服务组织及提供、卫生治理与管理等进行实证研究。方法学应用方面，121篇文献在建模理论依据、抽样依据及方法、样本数据特点及所选参数估计方法和模型拟合评鉴各个层面水平不一，研究趋势规范化，但仍有不足。结论：现阶段结构方程模型在卫生政策与体系研究领域的应用研究涉及面广，具有实践意义，但需进一步拓展研究的深度和广度，并重视完善方法学应用的规范性。 |
| 关键词:卫生政策与体系研究 结构方程模型 实证研究 系统综述 |
| 基金项目:国家自然科学基金（71103125） |
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| Applying structure equation model to health policy and systems research：A systematic review |
| WU Jiang-yue, HU Ming |
| West China School of Pharmacy, Sichuan University, Sichuan Chengdu 610041, China |
| Abstract:Objective:To analyze the application status of structure equation model (SEM) in the domestic health policy and systems research to provide suggestions for further research. Methods: The domestic empirical literatures were collected with systematic review. The data was analyzed from aspects of study perspective, contents and methods. Results: 121 literatures were enrolled, including 58 dissertations and 63 journal articles. Research focused on health financing and human resources, health services delivery, health governance and others, from perspectives of individual (the whole society), health organizations, health care institutions and enterprises. In terms of methodology, this paper differed in theoretical foundation of model construction, sampling basis, and characteristics of sample data, parameter estimation and model fitting evaluation. There is still some deficiency. Conclusion: The applications of SEM in health policy and systems research have covered a wide range and proved to be of great significance, but the breadth and depth of research should be further developed and the application of SEM should be further improved. |
| Key words:Health policy and systems research Structural equation model Empirical study Systematic review |
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