Quantitative evaluation and driving path exploration on the level of the tripartite system reform in China
10.3969/j.issn.1674-2982.2025.03.002
- VernacularTitle:我国三医联动水平量化评价及驱动路径探究
- Author:
Ling-yun GUO
1
;
Liu-jie FU
1
;
Yong-yi GUAN
1
;
Liang-ru ZHOU
1
;
Qiu-ying ZHENG
1
;
Rui-feng LI
1
Author Information
1. 北京中医药大学管理学院 北京 102401
- Publication Type:Journal Article
- Keywords:
Tripartite system reform;
Coupling and coordinated development;
Fuzzy-set Qualitative Comparative Analysis(fsQCA)
- From:
Chinese Journal of Health Policy
2025;18(3):9-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To quantitatively evaluate the level of the three medical linkage in China from 2009 to 2022,explore the influencing factors and driving paths of the three medical linkage in China,and provide a new perspective for promoting the development of the three medical linkage.Methods:An optimized coupling coordination degree model was used to calculate the coupling coordination degree between the trinity healthcare systems and different binary systems within the systems in 31 provinces of China(excluding Hong Kong,Macao and Taiwan),and the Fuzzy-set Qualitative Comparative Analysis method was used to explore the condition configurations of multi-factor-driven three medical linkage.Results:From 2009 to 2022,the coupling coordination degree between the trinity healthcare systems in each province of China generally showed an increasing trend year by year.Among the binary systems,the overall coordinated development situation between the medical and medical insurance systems was the best and the regional development was the most balanced.The coupling coordination degree gap between the trinity healthcare system and the internal binary systems among provinces gradually widened,and the multi-polarization trend intensified.The paths to promote high-level three medical linkage can be summarized into two types:internal and external balanced development type(H1)and government-led type(H2,H3),among which the H1 path with per capita GDP and health expenditure as core conditions was the most common.Conclusion:It is suggested to enhance institutional and technological innovation,and integrate resources through a cross-departmental collaboration mechanism and digital technology.Provinces should select high-level optimization paths by leveraging regional endowments to narrow the regional development gap.Meanwhile,under the impetus of high-level policies,the protection and supervision system continues to improve,thereby promoting the three medical linkage.
