Objective:This study aims to explore the configuration path of promoting the integration of medical care and prevention,providing evidence-based support for further developing targeted strategies. Methods:The cases of integrating medical and prevention were collected through searching three main Chinese databases and official websites of health administrative departments.35 cases were finally included. The crisp-set qualitative comparative analysis method was adopted to analyze the configuration path of four key factors including medical alliance,responsibility list,incentive strategies,and information system construction during the integration of medical care and prevention in China. Results:The results of univariate necessity analysis show that the consistency level of the four conditional variables was less than 0.9,indicating that a combination of multiple factors was needed to promote the integration of medical care and prevention. This study further reveals three feasible pathways to promote the integration of medical care and prevention. Path one is a coexistence of incentive measures,and information system construction;path two is an information-led pathway;and path three is an incentive-oriented pathway. Conclusion:In the policy implementation of medical care and prevention,it should make full use of the configuration effect of key influencing factors. In practice,special attention should be paid to fully leveraging the technical support role of information system construction and strengthening the design of incentives for the future integration of medical care and prevention.
关键词
医防融合/清晰集定性比较分析/条件组态分析
Key words
Integration of medical care and prevention/Crisp-Set Qualitative Comparative Analysis/Conditional Configuration Analysis
维普
万方数据