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基于fsQCA配置视角的广西医疗保健资源分配效率和改进途径的分析
Shangyuhui Huang1, Jingwen Liang2, Lin Wan1
1School of Humanities and Management, Guilin Medical University, Guilin, China.
Frontiers in health services
|November 17, 2025
概括
由于复杂的相互作用,广西的医疗保健资源分配效率低下. 需要定制政策来解决差异,特别是在少数民族地区,以获得更好的健康结果.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 医疗保健资源分配差异是中国欠发达地区 (如广西) 的一个主要挑战.
- 以前的分析往往侧重于孤立的因素,忽视了影响分配效率的协同作用.
研究的目的:
- 调查社会经济,政府和需求侧条件对广西医疗保健资源配置效率的复杂,协同相互作用.
- 用混合方法方法识别导致高或低分配效率的条件配置.
主要方法:
- 这是一个两阶段的方法,结合了数据包围分析 (DEA) 和模糊集定性比较分析 (fsQCA).
- 美国毒品管理局评估了14个县级城市的效率,使用医疗人员和病床作为输入,访问和出院作为输出.
- fsQCA确定了与效率结果相关的社会经济 (人均GDP,城市化),政府 (支出) 和需求侧因素的配置.
主要成果:
- 广西的整体医疗保健资源分配效率低于最佳 (平均得分:0.364),区域差异很大.
- 四种条件配置与高效率有关,通常需要强大的社会经济发展.
- 七种配置导致效率低,经常与政府支持或社会经济发展不足有关,尽管卫生需求很高.
结论:
- 医疗保健资源分配效率来自多种疾病的协同相互作用,而不是单一因素.
- 配置分析解释了区域差异,突出了少数民族地区的脆弱性.
- 建议制定量身定制的,以地方为基础的政策,以优化资源配置并创造协同效应.
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