Study on supply-demand differences analysis and equilibrium strategies for chronic diseases continuity services in rural areas
10.3969/j.issn.1674-2982.2025.09.001
- VernacularTitle:农村地区慢病连续性服务供需差异分析与均衡策略研究
- Author:
Rui-bo HE
1
;
Liang ZHANG
;
Zhong LI
Author Information
1. 湖北经济学院财政与公共管理学院 湖北 武汉 430205
- Publication Type:Journal Article
- Keywords:
Rural areas;
Chronic diseases;
Continuity services;
Supply-demand differences;
Equilibrium strategies
- From:
Chinese Journal of Health Policy
2025;18(9):1-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the distribution and differential characteristics of supply and demand preferences for chronic disease continuity services in rural areas,and propose optimization strategies for such continuity services from the perspective of balanced development.Methods:Based on the KANO model,a questionnaire on continuity services was designed,covering 21 functional elements across 3 core dimensions.The survey was conducted in 6 counties in central China from June to December 2024.The Mann-Whitney U test was used to analyze the differences and degrees of discrepancy in supply and demand preferences;a Boston Matrix was constructed to identify distribution characteristics and commonalities;and the Better-Worse coefficient and sensitivity coefficient were calculated to analyze the attributes and priority of the functional elements.Results:There was a significant imbalance between supply and demand,with the matching rate of demand attributes being less than 50%.Both parties had limitations in their understanding of continuity services,which were more pronounced on the demand side.The proportion of high-dimensional attributes was only 23.34%,and the demand side was unaware of the value of information continuity and collaboration with the supply side.Conclusions:The supply-demand differences stem from the combined effects of backward service concepts,insufficient transmission of institutional and mechanism reforms,and underutilization of primary-level functions.Optimization should be implemented in three aspects:internalizing the behaviors of the supply side,enhancing the intention of the demand side,and activating primary-level functions.
