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引用本文:胡融淼, 邓世康, 于辰, 王培刚.健康中国行动成功推进的结构要素及组合路径研究——基于全国50个典型案例的清晰集定性比较分析(csQCA)[J].中国卫生政策研究,2023,16(1):2-8
健康中国行动成功推进的结构要素及组合路径研究——基于全国50个典型案例的清晰集定性比较分析(csQCA)
投稿时间:2022-10-26  修订日期:2022-12-10  PDF全文浏览  HTML全文浏览
胡融淼, 邓世康, 于辰, 王培刚
武汉大学公共卫生学院 人口与健康研究中心 湖北武汉 430071
摘要:目的:识别健康中国行动成功推进的关键要素和路径组合,为提升我国居民健康水平、持续深入推进健康中国行动提供理论指导。方法:根据健康中国行动推进委员会办公室公示的50个健康中国行动推进地区典型经验案例,运用清晰集定性比较分析(csQCA)与个案分析相结合的研究方法,探究健康中国行动推进的结构要素及实现路径。结果:通过对所在区域、推动主体、政策保障、多元合作、人才支撑、平台支持、指标建构、市场培育、考核评价等结构要素进行必要性检验,发现多元合作和指标建构为核心条件,通过组态分析得到“区域+人才协同主导型”“实施过程主导型”“统筹兼顾发展型”以及“区域+平台协同主导型”四条健康中国行动成功推进的有效路径。结论:挖掘区域资源要素,实施健康中国行动差异化推动策略,明确以改善人民群众健康为根本目标,多渠道、多主体推动健康中国行动,加速从依靠卫生健康系统向社会整体联动转变是成功推动健康中国行动的有效举措。
关键词:健康中国行动  案例研究  结构要素  组合路径  定性比较分析
基金项目:国家社科基金重大项目(21ZDA104)
Research on the structural elements and combinational paths for the successful promotion of the Healthy China Action: Crisp set qualitative comparative analysis (csQCA) based on 50 typical cases across the country
HU Rong-miao, DENG Shi-kang, YU Chen, WANG Pei-gang
School of Public Health Wuhan University, Center for Population and Health Research, Wuhan Hubei 430071, China
Abstract:Objective: To identify the key elements and combinational paths for the successful promotion of Healthy China Action, so as to provide theoretical guidance for improving the health level of Chinese residents and continuously and strongly promoting the Healthy China Action. Methods:Based on the 50 typical cases of promoting Healthy China Action, announced by the Office of the Healthy China Action Promotion Committee, a research method combining crisp set qualitative comparative analysis (csQCA) and case analysis was used to explore the structural elements and paths of the implementation of Healthy China Action. Results:By performing necessity tests on elements including region, promotion subject, policy guarantee, multi-party cooperation, human resources support, platform support, index construction, market cultivation and evaluation, we found that multi-party cooperation and index construction are the core conditions. Through the configuration analysis, four effective paths for the promotion of Healthy China Actions are obtained: “region+human resources coordination oriented path”, “implementation process oriented path”, “overall planning and development path” and “region+platform coordination oriented path”. Conclusion: Exploring regional resource elements, implementing differentiational promotion strategy for Healthy China Action, clarifying the fundamental goal of improving people's health, promoting Healthy China Action through multiple channels and via multiple subjects, and accelerating the shift from relying on the health system to driving the relay of the whole society are effective measures to promote Healthy China Action.
Key words:Healthy China Action  Case study  Structural elements  Combinational path  Qualitative comparative analysis
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