流动人口卫生服务协同供给的逻辑机制与测度路径——基于扎根探索与复合系统的混合研究  

Logical Mechanism and Measurement Path of Coordinated Supply of Health Services for Floating Population:A Hybrid Study Based on Grounded Exploration and Composite System

作　　者：于海燕 蒋垄源 费铖铖 俞林伟 Yu Haiyan;Jiang Longyuan;Fei Chengcheng;Yu Linwei(School of Public Health and Management,Wenzhou Medical University,Wenzhou 325035)

机构地区：[1]温州医科大学公共卫生与管理学院,温州325035

出　　处：《浙江社会科学》2023年第8期90-100,114,159,共13页Zhejiang Social Sciences

基　　金：浙江省哲学社会科学规划一般课题“新型城镇化背景下进城落户农民工家庭生计转型与实现路径研究”(编号:22NDJC105YB);教育部人文社科青年基金“基于邻里效应的流动人口社区社会融合研究”(编号:20YJC840006);国家社科基金一般项目“新时代进城落户农民工家庭生计转型及实现机制研究”(编号:21BSHO36)的阶段性成果之一。

摘　　要：本文基于2010-2020年流动人口卫生服务供给的相关文本资料,运用扎根理论分析了流动人口卫生服务协同供给的逻辑机制。研究发现:在“协同认知—协同策略—协同效应”这条故事主轴下,既呈现“认知共识—状态现象—互动行动—调节条件—结果产出”的供给侧理论逻辑,也隐含“需求合理性分析—需求满足路径—需求满足结果”的需求侧实现机制。需求合理性分析是对协同认知达成共识的过程,同时围绕流动人口的需求变化与供给中的非协同状态设计需求满足路径,既要通过资源与利益协同解决供给动力问题,也要通过主体协同与流程协同提升供给能力,需求满足结果表现为流动人口借由健康资本真正完成人的城镇化。根据这一理论逻辑与实现机制,本研究从主体协同、资源协同、利益协同、流程协同与目标协同五个维度提取出观测变量,运用复合系统模型测度了流动人口卫生服务供给协同度。结果显示,流动人口卫生服务供给协同度发展呈上升趋势,但仍处于不协同状态,利益协同呈现稳定上升态势,目标协同呈现先上升后下降的趋势,资源协同、主体协同和流程协同是制约协同发展的关键要素。Based on the relevant text data of health service supply of floating population from 2010 to 2020,this paper analyzes the logical mechanism of coordinated health service supply of floating population using grounded theory.Study found:in the“collaborative cognitive-collaborative strategy-synergy”of this article main shaft,the story is both present phenomenon of“cognitive consensus-state-interactive action-regulating conditions-result output”theory logic of the supply side,also implied rationality“demand analysis,demand results meet the demand of path-meet”implementation mechanismof the demand side.Demand rationality analysis is a process of reaching consensus on collaborative cognition.Meanwhile,demand satisfaction paths are designed around the demand changes of floating population groups and the non-collaborative state in supply.The supply power problem should be solved through the collaboration of resources and interests,and the supply capacity should be improved through the collaboration of main body and process.The result of demand satisfaction is the urbanization of floating population through healthy capital.According to the theory of logic and implementation mechanism,this study from the main body coordination,resource synergy,interests coordination,process collaboration with target extraction in five dimensions,variables,and use of composite system model to measure the floating population health service supply coordination degree,result shows that the floating population health service supply coordination degree of development is on the rise,but still in a state of not together,The synergy of interests is rising steadily,while the synergy of objectives is rising first and then falling.Resource synergy,main body synergy and process synergy are the key factors restricting the development of synergy.

关 键 词：流动人口 卫生服务 协同度 测度路径 

分 类 号：R197.1[医药卫生—卫生事业管理] C924.2[医药卫生—公共卫生与预防医学]