摘要
目的:探讨紧密型县域医共体服务能力与县域经济水平高度协调发展的主导作用及影响路径,为其深化医改和长效发展提供依据。方法:以2022年广西39个紧密型县域医共体试点为研究样本,从集合与整体的视角出发,运用耦合协调度模型、模糊集定性比较分析法分析其服务能力与县域经济水平的协调发展状况与影响机制。结果:高水平县域经济结构是促进耦合协调发展的必要条件,在影响耦合协调度提升的6条组态路径中,核心条件为县域经济基础稳固以及卫生人力资源或(和)卫生财力资源充足,总体解的一致性为0.996(≥0.8),覆盖度为0.780(≥0.5),模型解释力较强。结论:多要素内外协同是促进紧密型县域医共体服务能力与县域经济协调发展,应重点关注县域经济基础与结构,进一步提高紧密型县域医共体的收入以及注重人才队伍的优化扩容。
Objective:To explore the leading role and infuence path of the coordinated development of the tight medical community service capacity and the high level of county economy,so as to provide a basis for its deepening reform and long-term development.Methods:Taking 39 pilot compact medical communities in Guangxi in 2022 as research samples,from the perspective of set and whole,the coupling coordination degree model and fuzzy set qualitative comparative analysis were used to analyze the coordinated development status and influence mechanism of their service capacity and county economic level.Results:High-level county economic structure is a necessary condition to promote coupling and coordinated development.Among the six configuration paths that afect the improvement of coupling and coordination degree,the core conditions are stable county economic foundation and sufficient health human resources or(and)health financial resources.The overall solution consistency is 0.996(≥0.8),and the coverage is 0.780(≥0.5).The model has strong explanatory power.Conclusion:Muli-factor internal and external cooperation to promote the coordinated development of the service capacity of the compact medical community and the county economy should focus on the county economie foundation and structure,further improve the income of the compact medical community and pay attention to the optimization and expansion of the talent team.
作者
黄凌波
张兴隆
彭蓉
康静
冯启明
覃娴静
Huang Lingbo;Zhang Xinglong;Peng Rong(Health And Poliey Research Center,Guangxi Medical Universily,Nanning,530021,China;Faculty of Information and Management,Guangxi Medical University,Nanning,530021,China;不详)
出处
《中国卫生经济》
北大核心
2024年第8期61-65,共5页
Chinese Health Economics
基金
广西自然基金青年科学基金项目(2020JJB180002)
2023年度广西特色新型智库联盟重大专题研究项目(GXZC2023-C3-001424-GTZX)
广西医科大学优秀博士人才科研基金资助项目。
关键词
紧密型县域医共体
服务能力
经济发展
compact county medical community
service capacity
economic development
