基于组态视角的我国中医医疗资源配置效率提升路径探究  

Research on the Improvement Path of Traditional Chinese Medicine Medical Resources Allocation Efficiency in China Based on the Configuration Perspective

作　　者：刘雨璇 刘霞[1] 谭浩 周佳佳 王军永[1] LIU Yuxuan;LIU Xia;TAN Hao(Institute of Chinese Medicine and Massive Health Development,Jiangxi University of Chinese Medicine,Nanchang,Jiangxi,330004,China;不详)

机构地区：[1]江西中医药大学中医药与大健康发展研究院,江西南昌330004

出　　处：《中国卫生质量管理》2024年第10期50-54,66,共6页Chinese Health Quality Management

基　　金：国家自然科学基金项目(编号:72064023);江西省智库项目(编号:22ZK47);江西中医药大学1050青年人才工程(编号:2020BJ09);江西省大学生创新创业训练计划(编号:S202310412054)。

摘　　要：目的探索我国中医类医疗机构医疗资源配置效率的提升路径。方法通过数据包络分析方法测算2021年我国31个省(自治区、直辖市)的中医医疗资源配置效率,使用模糊集定性比较分析方法探究中医医疗资源高效配置的路径组态。结果2021年,我国31个省(自治区、直辖市)中医医疗资源配置效率总体不高,各省市间差距较大。共有三种提升路径:政府主导驱动型路径、均衡驱动型路径、经济驱动型路径。结论立足各地区发展实际,选择中医医疗资源高效配置最优路径,西部偏远地区可选择政府主导驱动型路径,中部地区及部分经济发展水平良好的东部省份可选择均衡驱动型路径,东部沿海地区经济发达的省份可选择经济驱动型路径。Objective To explore the path of improving the efficiency of medical resource allocation in Traditional Chinese Medicine(TCM)medical institutions in China.Methods The data envelopment analysis method was used to measure the allocation efficiency of TCM medical resources in 31 provinces(autonomous regions and municipalities directly under the central government)in China in 2021,and the fuzzy-set qualitative comparative analysis method was used to explore the path configuration of efficient allocation of TCM medical resources.Results In 2021,the allocation efficiency of TCM medical resources in 31 provinces(autonomous regions and municipalities directly under the central government)in China was not high,and the gap between provinces and cities was large.There are three promotion paths:government-led driving path,balanced driving path and economic driving path.Conclusion Based on the actual development of the region,medical institutions can select the optimal path for the efficient allocation of TCM medical resources.The remote areas of the western region can select the government-led driving path.The central region and some eastern provinces and cities with good economic development level can select the balanced driving path.Some economically developed provinces and cities in the eastern coastal areas can select the economic driving path.

关 键 词：中医 医疗资源 资源配置 数据包络分析 模糊集定性比较分析 

分 类 号：R197.1[医药卫生—卫生事业管理]