Analyzing the Effectiveness of Primary Healthcare in China: A Qualitative Comparative Study Using the TOE Framework
Pages 266 - 272
Abstract
The effectiveness of primary healthcare is a critical element in implementing a tiered medical system. However, substantial disparities exist in the development of primary healthcare systems across different regions. Previous studies have mainly concentrated on describing the present situation, analyzing the causes of problems, and proposing policy suggestions. Nevertheless, they have not fully revealed the intricate operational mechanisms of interrelated factors. Leveraging case studies from 26 cities, we utilized the TOE framework to establish a comprehensive model of factors influencing primary healthcare effectiveness. Employing a fuzzy set qualitative comparison method, we scrutinized essential factors and pathways. We have identified three key paths driving the advancement of advanced primary healthcare. Path 1 is characterized by the level of information, accessibility of primary healthcare institutions, and government attention. Path 2 is associated with government attention and the aging population. Path 3 emphasized the significance of primary healthcare accessibility, level of economic development, and public health demand. These findings provided valuable insights for the enhancement of tiered healthcare in China.
References
[1]
Y. Xin and X. Ren, "Predicting depression among rural and urban disabled elderly in China using a random forest classifier," BMC psychiatry, vol. 22, no. 1, pp. 1-11, 2022.
[2]
Q. Wu, X. Xie, W. Liu, and Y. Wu, "Implementation efficiency of the hierarchical diagnosis and treatment system in China: A case study of primary medical and health institutions in Fujian province," The International Journal of Health Planning and Management, vol. 37, no. 1, pp. 214-227, 2022.
[3]
X. Li, "Quality of primary health care in China: challenges and recommendations," The Lancet, vol. 395, no. 10239, pp. 1802-1812, 2020.
[4]
A. Mardani, "Application of decision making and fuzzy sets theory to evaluate the healthcare and medical problems: a review of three decades of research with recent developments," Expert Systems with Applications, vol. 137, pp. 202-231, 2019.
[5]
L. Hrebícek, "Charles C. Ragin," The Comparative Method. Moving Beyond Qualitative and Quantitative Strategies"(Book Review)," Archív Orientální, vol. 60, pp. 301-303, 1992.
[6]
B. Yeo and D. Grant, "Predicting service industry performance using decision tree analysis," International Journal of Information Management, vol. 38, no. 1, pp. 288-300, 2018.
[7]
D. Shree, R. K. Singh, J. Paul, A. Hao, and S. Xu, "Digital platforms for business-to-business markets: A systematic review and future research agenda," Journal of Business Research, vol. 137, pp. 354-365, 2021.
[8]
C. C. Ragin, "Fuzzy sets: Calibration versus measurement," Methodology volume of Oxford handbooks of political science, vol. 2, 2007.
[9]
B. Rihoux and C. C. Ragin, Configurational comparative methods: Qualitative comparative analysis (QCA) and related techniques. Sage Publications, 2008.
[10]
C. C. Ragin and P. C. Fiss, "Net effects analysis versus configurational analysis: An empirical demonstration," 2008.
[11]
A. G. Woodside, "Moving beyond multiple regression analysis to algorithms: Calling for adoption of a paradigm shift from symmetric to asymmetric thinking in data analysis and crafting theory," Journal of Business Research, vol. 66, no. 4, pp. 463-472, 2013.
[12]
M. R. Schneider, C. Schulze-Bentrop, and M. Paunescu, "Mapping the institutional capital of high-tech firms: A fuzzy-set analysis of capitalist variety and export performance," Journal of International Business Studies, vol. 41, pp. 246-266, 2010.
[13]
P. C. Fiss, "Building better causal theories: A fuzzy set approach to typologies in organization research," Academy of management journal, vol. 54, no. 2, pp. 393-420, 2011.
[14]
V. C. Honorato dos Santos de Carvalho, S. L. Rossato, F. D. Fuchs, E. Harzheim, and S. C. Fuchs, "Assessment of primary health care received by the elderly and health related quality of life: a cross-sectional study," BMC Public Health, vol. 13, pp. 1-9, 2013.
[15]
S. Jiang, "Tertiary hospitals or community clinics? An enquiry into the factors affecting patients' choice for healthcare facilities in urban China," China Economic Review, vol. 63, p. 101538, 2020.
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Published In
November 2023
341 pages
ISBN:9798400708091
DOI:10.1145/3635175
Copyright © 2023 ACM.
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Association for Computing Machinery
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Publication History
Published: 21 December 2023
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ICIIP 2023
ICIIP 2023: 2023 8th International Conference on Intelligent Information Processing
November 21 - 22, 2023
Bucharest, Romania
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Overall Acceptance Rate 87 of 367 submissions, 24%
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