Research on theequity of primary healthcare human resources allocation and its driving path:A qualitative comparative analysis based on Fuzzy Set Qualitative Comparative Analysis
10.3969/j.issn.1674-2982.2025.04.008
- VernacularTitle:我国基层卫生人力资源配置公平性及其驱动路径研究:基于模糊集定性比较分析
- Author:
Xiao-chen FENG
1
;
Yong-qiang WANG
;
Ran WANG
;
Xin WANG
;
Sheng LUO
;
Yu-qing MI
Author Information
1. 山东第二医科大学管理学院 山东 潍坊 261053
- Publication Type:Journal Article
- Keywords:
Primary healthcare;
Human resources;
Equity;
Health Resource Density Index;
Fuzzy Set Qualitative Comparative Analysis
- From:
Chinese Journal of Health Policy
2025;18(4):59-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the equity and driving path of primary healthcare human resource allocation across 31 provinces in China,providing references for optimizing such allocations.Methods:Using data from the 2022 primary healthcare human resources in 31 provinces in China,the Health Resource Density Index(HRDI)was used to measure the equity of primary healthcare human resource allocation.The fuzzy-set Qualitative Comparative Analysis(fsQCA)was applied to construct configurational pathways influencing on allocation patterns.Results:In 2022,the HRDI for primary healthcare human resources in China was 2.349 0 in the East,1.198 6 in the Central region,and 0.775 2 in the West.Configurational analysis revealed three paths that promote high equity:the internal-external balance-driven model(H1),the government-led model(H2),and the economic-demand combined model(H3),with overall consistency and coverage of 0.955 and 0.794,respectively.Seven paths lead to low equity:internal-external constraint models(L1,L2),economic constraint models(L3),and demand constraint models(L4,L5,L6,L7),with overall consistency and coverage of 0.967 and 0.795,respectively.Conclusions:Significant regional disparities exist in the equity of primary healthcare human resource allocation in China.Population density is a critical factor influencing allocation equity.The collaboration of various factors contributes to enhancing the equity of primary healthcare human resources distribution.Therefore,future efforts to enhance equity should focus on promoting inter-regional mobility and resource sharing,while precisely addressing regional shortcomings to achieve high equity in primary healthcare human resource allocation.
