Analysis on the Influencing Factors of Primary Medical Resource Mismatch in China Based on EISD Synergistic Empowerment Mechanism and Its Grouping Path
- VernacularTitle:我国基层医疗资源失配度的影响因素及其组态路径分析
- Author:
Zhensheng CHEN
1
;
Warisijiang MAIMAITIMIN
1
;
Liqing LI
1
;
Huiying LIN
1
Author Information
1. 江西科技师范大学健康政策与发展研究中心 江西 南昌 330031
- Publication Type:Journal Article
- Keywords:
primary health care instructions;
medical resource allocation;
mismatch degree;
configuration path
- From:
Chinese Health Economics
2025;44(7):55-60,76
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the underlying issues and root causes of primary healthcare resource allocation in China,to identify the key elements of the current mismatch in primary healthcare resource allocation,and to propose targeted optimization strategies.Methods:Utilizing the fuzzy set Qualitative Comparative Analysis(fsQCA)method to conduct a comprehensive investigation on the fundamental drivers of misallocation in the provision of primary healthcare resources in China,along with the associated grouping patterns.Results:From 2011 to 2021,the overall misallocation of primary medical and health resources in 31 provinces and cities of China showed a downward trend,with the average value decreasing from 0.801 to 0.661.There were 8 configuration paths to improve the optimal allocation of primary medical resources,including 2 biased factors-driven,4"system,society,and population"three-way synergistic types,and 2 multi-factor comprehensive synergistic types.Conclusion:It is recommended that all provinces need to adhere to the principle of government leadership and promote comprehensive reform of the medical and healthcare sector,with particular consideration given to the specific medical needs of the elderly.Furthermore,it is essential to implement the strategic guiding principle of diversified and synergistic development,with the objective of promoting a balanced distribution of high-quality medical resources.
