中国卫生事业管理2025，Vol.42Issue(9)：969-975,1038,8.
数字经济驱动我国医疗卫生服务水平的关键要素及路径研究:基于NCA和fsQCA的混合分析
Research on the Key Factors and Path of Digital Economy Driving China's Medical and Health Service Level Based on the Mixed Analysis of NCA and FsQCA
摘要
Abstract
Objective To explore the effective configuration of medical and health services in China driving by digital econo-my,and provide reference for the construction of digital healthcare.Methods Data enveloping analysis(DEA)was used to meas-ure the level of medical and health services in 31 provinces in China in 2022.The mixed method of NCA and fsQCA was used to analyze the key elements and optimal combination path of the digital economy driving medical and health services in China from the perspective of configuration.Results The DEA analysis results showed that the overall level of medical and health services in 31 provinces of China in 2022 was relatively high,with an average of 0.840,but there were significant inter-provincial differences.The configuration analysis results showed that the realization of high-level medical and health services in various provinces under the background of digital economy was influenced by multiple factors,among which the digital infrastructure is the core necessary condition.There were three paths to achieve high levels of medical and health services,which were digital innovation driven,technology management collaborative driven,and diversified balance driven.There were also three paths for non high medical and health service levels,which were technology-policy dual constraint type,digital industry scarcity type,and digital infrastructure lag type.Conclusion Under the background of digital economy,there are multiple paths to drive medical and health services.Each region should comprehensively consider multiple factors such as local medical and health resource and the development status of digital economy,comprehensively grasp their strengths and weaknesses,transform local advantages into high-quality development advantages,and implement differentiated paths to improve the level of medical and health services.关键词
数字经济/医疗卫生服务/必要条件分析(NCA)/模糊集定性比较分析(fsQCA)Key words
digital economy/medical and health services/Necessary Condition Analysis(NCA)/Fuzzy Set Qualitative Comparative Analysis(fsQCA)分类
医药卫生引用本文复制引用
汤子健,韦柳丝,岳林琳,徐榕泽,黎犇,李青..数字经济驱动我国医疗卫生服务水平的关键要素及路径研究:基于NCA和fsQCA的混合分析[J].中国卫生事业管理,2025,42(9):969-975,1038,8.基金项目
国家社科基金年度项目一般项目"城乡基层社会治理共同体建设的经验、规律与机制设计研究"(20BGL239) （20BGL239）
广西高校人文社科重点研究基地健康与经济社会发展究中心课题"广西医保基金监管运行效率评价及提升策略研究"(2024RWB10) （2024RWB10）
