Objective:It aims to reveal the direct and indirect effects of the configuration of multiple influencing factors on the expansion and downward transfer of high-quality medical resources on medical expenses,providing a scientific basis for formulating differentiated policies based on local conditions.Methods:Based on the policy diffusion theory,combined with qualitative comparative analysis and regression analysis methods,a complex mediation model is constructed to deeply analyze the complex relationship and mechanism between the expansion and downward transfer of high-quality medical resources and the control of per capita medical expenses.Results:(1)There are multiple equivalent configuration paths that can promote the expansion and downward transfer of high-quality medical resources,among which three configuration paths are driven by public demand,government attention,and financial guarantee,and two configuration paths are driven by infrastructure and financial guarantee;(2)The expansion and downward transfer of high-quality medical resources play a complex mediating role in the impact of multiple equivalent configuration paths on per capita medical expenses.Conclusion:In the process of implementing the expansion and downward transfer of high-quality medical resources,localities should scientifically choose implementation paths suitable for local conditions;build a multi-level and multi-dimensional policy combination system;strengthen financial input and fund guarantee to provide a solid economic foundation for the expansion and downward transfer of high-quality medical resources.

Objective:It aims to reveal the direct and indirect effects of the configuration of multiple influencing factors on the expansion and downward transfer of high-quality medical resources on medical expenses,providing a scientific basis for formulating differentiated policies based on local conditions.Methods:Based on the policy diffusion theory,combined with qualitative comparative analysis and regression analysis methods,a complex mediation model is constructed to deeply analyze the complex relationship and mechanism between the expansion and downward transfer of high-quality medical resources and the control of per capita medical expenses.Results:(1)There are multiple equivalent configuration paths that can promote the expansion and downward transfer of high-quality medical resources,among which three configuration paths are driven by public demand,government attention,and financial guarantee,and two configuration paths are driven by infrastructure and financial guarantee;(2)The expansion and downward transfer of high-quality medical resources play a complex mediating role in the impact of multiple equivalent configuration paths on per capita medical expenses.Conclusion:In the process of implementing the expansion and downward transfer of high-quality medical resources,localities should scientifically choose implementation paths suitable for local conditions;build a multi-level and multi-dimensional policy combination system;strengthen financial input and fund guarantee to provide a solid economic foundation for the expansion and downward transfer of high-quality medical resources.