| 引用本文：袁莎莎, 陈嘉琦, 王峥, 张婧彬.基于清晰集定性比较分析的我国医防融合实现路径研究[J].中国卫生政策研究,2024,17(11):60-66 |
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| 基于清晰集定性比较分析的我国医防融合实现路径研究 |
| 投稿时间：2024-10-16 修订日期：2024-11-08 PDF全文浏览 HTML全文浏览 |
| 袁莎莎, 陈嘉琦, 王峥, 张婧彬 |
| 北京协和医学院/中国医学科学院/医学信息研究所/图书馆 北京 100020 |
| 摘要:目的：探讨促进实践中医防融合实现的条件组合路径，为进一步制定针对性的改革策略提供证据支持。方法：检索中文数据库和卫生行政部门官方网站收集医防融合案例，共纳入相关案例35个。运用清晰集定性比较分析法分析医疗联合体、医防机构职责分工、激励措施和信息化建设四个影响因素对我国医防融合实施的条件组合路径。结果：单变量必要性分析结果显示上述四个条件变量的一致性水平均小于0.9，表明促进医防融合需要多种要素组合。本研究进一步揭示了三种实践中促进医防融合的可行路径：路径1是医防职责分工、激励措施、信息化建设并存型；路径2是信息化建设主导型路径；路径3是激励导向型路径。结论：医防融合政策实施过程中应充分重视并利用多要素的组态效应，应尤其注意发挥信息化建设的技术支撑作用，并加强医防融合相关激励机制的设计。 |
| 关键词:医防融合 清晰集定性比较分析 条件组态分析 |
| 基金项目:北京协和医学院中央高校基本科研业务费资助(3332022179);首都卫生发展科研专项(首发2024-2G-4311) |
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| Research on the integration path of medical care and prevention in China based on the Crisp-Set Qualitative Comparative Analysis |
| YUAN Sha-sha, CHEN Jia-qi, WANG Zheng, ZHANG Jing-bin |
| Institute of Medical Information/Medical Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100020, China |
| Abstract:Objective: This study aims to explore the configuration path of promoting the integration of medical care and prevention, providing evidence-based support for further developing targeted strategies. Methods: The cases of integrating medical and prevention were collected through searching three main Chinese databases and official websites of health administrative departments. 35 cases were finally included. The crisp-set qualitative comparative analysis method was adopted to analyze the configuration path of four key factors including medical alliance, responsibility list, incentive strategies, and information system construction during the integration of medical care and prevention in China. Results: The results of univariate necessity analysis show that the consistency level of the four conditional variables was less than 0.9, indicating that a combination of multiple factors was needed to promote the integration of medical care and prevention. This study further reveals three feasible pathways to promote the integration of medical care and prevention. Path one is a coexistence of incentive measures, and information system construction; path two is an information-led pathway; and path three is an incentive-oriented pathway. Conclusion: In the policy implementation of medical care and prevention, it should make full use of the configuration effect of key influencing factors. In practice, special attention should be paid to fully leveraging the technical support role of information system construction and strengthening the design of incentives for the future integration of medical care and prevention. |
| Key words:Integration of medical care and prevention Crisp-Set Qualitative Comparative Analysis Conditional Configuration Analysis |
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