Study on the performance improvement path of comprehensive grassroots health reform in China based on fsqca method

Objective:The high performance development of comprehensive health reform is the condition to guarantee the development of basic medical services. How to effectively promote the high level development of comprehensive health reform is the focus of relevant government departments and researchers in recent years. Based on the theoretical framework of TOE "technology - organization - environment", combined with the influencing factors of the performance of comprehensive health reform work, this paper analyzes the synergistic path of multiple factors to improve the performance of comprehensive health reform. Methods:A total of 41 cases of Typical Cases of Comprehensive Reform of Primary Health Care 2023 compiled by the National Health and Health Commission were used as data sources, and qualitative comparison of fuzzy sets (fsQCA) analysis was carried out to explore the differentiated path to improve the performance of comprehensive reform of primary health care. Results: There are 6 paths for high-level development of comprehensive health reform in China, mainly named "technology-led", "technology-organization coordination", "technology-environment coordination", "organization-environment-technology balance" and "organization-environment coordination". Conclusions: In the future, the joint coordination role between technology (especially computer technology), organization and environment should be strengthened; Use computer technology to continuously improve the scale and supply capacity of primary health human resources, and optimize the structure of primary health personnel; Strengthen the development plan of primary health undertakings, and reasonably set standards for the allocation of primary health resources; Combined with computer technology, the transformation of the governance model is realized, so as to promote the development of high-quality comprehensive health reform performance at the grassroots level.