多系统协同支持视角下的我国各省中医药综合发展水平与路径研究  

Research of the Comprehensive Development Level and Path of Traditional Chinese Medicine in Various Provinces of China from the Perspective of Multi-System Collaborative Support

作　　者：张玉超 黄维奇 宋乐 黎杰 单凌寒[1] 李叶[1] 焦明丽[1] Zhang Yuchao(School of Health Management,Harbin Medical University,Harbin,P.R.China)

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150076

出　　处：《中国卫生事业管理》2024年第10期1138-1143,共6页Chinese Health Service Management

基　　金：国家自然科学基金项目“基于参保者受益导向的多视角医保协同问题诊断与成因分析”(71804036);国家自然科学基金项目“基于行为洞察及田野实验开发医院WPV应对策略的方法学研究”(72174049);国家自然科学基金项目“后减贫时代医保减贫效应测度研究:时空分异格局、脆弱性识别与协同治理”(72174047);黑龙江省普通本科高等学校青年创新人才培养计划项目“多元需求下参保者医保利用偏好与行为的问题与机制研究”(UNPYSCT-2020176);黑龙江省公共健康安全及医改策略研究高端智库项目“中国式现代化背景下公众医保政策素养的提升策略研究”(ZKKF2022088)

摘　　要：目的:分析我国31个省(自治区、直辖市)的中医药综合发展水平和优势发展路径,为完善相关政策提供参考依据。方法:构建中医药综合发展评价指标体系,收集各地区相关公开发布数据,利用熵权法与线性加权法对各地区中医药综合发展水平进行评价与排序,通过模糊集定性比较分析法(fs/QCA)探索优势路径。结果:中医药综合发展水平排名前三的地区依次为四川(0.5649)、北京(0.4943)和山东(0.4015);条件组态分析得到“科研支撑-服务利用主导、卫生资源辅助”(72.05%,17.29%);“卫健政策-财政支持主导、服务利用辅助”(61.33%,10.78%);“卫健政策-财政支持主导、卫生资源辅助”(59.16%,6.51%)三条优势路径。结论:“增能促用”“政府主导-需方参与”“政府主导-增加供给”是各地区中医药综合发展的优势模式;发挥政府主导作用、形成多元政策牵引体系,科研创新引领、增强中医药服务能力,因地制宜、促进多要素协同驱动发展是推动中医药综合发展的重要措施。Objective To analyze the comprehensive development level and advantageous development path of traditional Chinese medicine in 31 provinces in China,and provide reference for relevant policies.Methods The evaluation index system of the comprehensive development of traditional Chinese medicine was constructed.The relevant publicly released data of each region were collected,and their comprehensive development level of traditional Chinese medicine was evaluated and ranked by using the entropy weight method and linear weighting method.The advantage path was explored by fuzzy set qualitative comparative analysis(fs/QCA).Results The top three regions in terms of comprehensive development level of traditional Chinese medicine were Sichuan(0.5649),Beijing(0.4943)and Shandong(0.4015).The conditional configuration analysis showed three advantageous development path of"scientific research support-service utilization-led,health resources assisted"(72.05%,17.29%),"health policy-financial support-led,service utilization assisted"(61.33%,10.78%),and"health policy-financial support-led,health resources assisted"(59.16%,6.51%).Conclusion"Increasing energy and promoting use","government-led-demand-side participation"and"government-led-increasing supply"are the advantageous model for the comprehensive development of TCM in various regions.It is important to give full play to the leading role of the government,form a multi-policy traction system,lead by scientific research and innovation,enhance the service capacity of TCM,and promote the synergistic development of multiple factors according to local conditions.

关 键 词：中医药综合发展水平 组态分析 发展路径 

分 类 号：R2-03[医药卫生—中医学]