Influencing Factors and Configurational Paths of Primary Healthcare Service Capacity in China:A Study on the Interactive Effects Based on the fsQCA Method
Wang Fang
Sun Ke
Wang Yi
Li Liqing
Abstract：Objective:To investigate the synergistic effects and differentiated pathways of multiple conditions influencing the primaiy healthcare service capacity in China.Methods:Using the 31 provinces in China as cases,the fuzzy-set qualitative comparative analysis(fsQCA)for exploration was employed.Results:There was no single condition constituted a necessary requirement for high service capacity.High health expenditure emerged as a core condition prevalent across seven configuration types.Three configuration patterns were identified as drivers of service capacity improvement:"finance-dominated model"(centered on high healthcare expenditure,supplemented by strong medical insurance fund revenue),"comprehensive resource-driven model'(integrating multiple synergistic conditions)and"institutional innovation breakthrough model"(leveraging hierarchical diagnosis and treatment systems).Conclusion:To achieve a systematic leap and balanced development of primary healthcare service capacity,it is essential to strengthen foundational fiscal support and implement regionally tailored strategies to overcome bottlenecks.
Keywords：primary healthcare service capacityhealthcare expenditurehierarchical diagnosis and treatmentfuzzy-set Qualitative Comparative Analysis
Publication Date：2026-01-05
Online Publishing Date：2026-01-31(First online date of this platform, not the publication date of the document)
Pages：5( 70-74 )