Research on the capacity and improvement path of home-and community-based integrated health and social care:A fuzzy-set qualitative comparative analysis based on 39 cases
10.3969/j.issn.1674-2982.2024.09.005
- VernacularTitle:居家社区医养结合服务能力及提升路径研究:基于39个案例的模糊集定性比较分析
- Author:
Si-Qi LIU
1
;
Jun ZHAO
;
Nan LIU
;
Hao-Yan DENG
;
Qi CHEN
;
Fang WANG
Author Information
1. 中国医学科学院医学信息研究所/卫生体系与政策研究中心 北京 100020
- Keywords:
Population aging;
Home-and community-based;
Integrated health and social care;
Service capability;
Qualitative comparative analysis
- From:
Chinese Journal of Health Policy
2024;17(9):28-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Empirical analysis of the multiple driving paths of service capabilities of home-and community-based integrated health and social care in China,for providing useful reference for promoting the system improvement.Methods:Based on the World Health Organization's Integrated Care for Older People(ICOPE)implementation framework,an analysis framework for service capabilities of home-and community-based integrated health and social care was constructed.39 districts(counties)in Wuxi,Jiaozuo,Changsha,Chengdu,and Chongqing were included.The fuzzy-set qualitative comparative analysis(fsQCA)method was used to analyze the configuration paths of high or non-high-level service capabilities of home-and community-based integrated health and social care.Results:The service capabilities of home-and community-based integrated health and social care is improved by the configuration of various factors.Four path configurations might contribute to the development of service capabilities of home-and community-based integrated health and social care,and three path configurations might hinder the development.Institutional support,financing mechanism and the demand level of regional aging population are the key factors.Conclusions:Service capabilities of home-and community-based integrated health and social care are affected by the interaction and interrelation between multiple factors.Strategies should be jointly implemented from different aspects to improve service capabilities.
