高质量发展背景下卫生系统绩效主观测度及影响因素研究——基于CSS2015-2021调查的实证分析

Health system performance and its influencing factors are measured from a subjective perspective in the context of high-quality development. Using data from the Chinese Social Survey from 2015 to 2021, this study constructed a health system performance index from the perspective of the sense of access of the population and analyzed the change trends and influencing factors of Chinas health system performance through a multilayer regression model. The results showed that the comprehensive index of health system performance in China increased by 12.47% (β=6.143, P<0.01) from 41.732 in 2015 to 46.935 in 2021, of which the process index increased by 4.57% (β=2.391, P<0.01) from 43.961 to 45.968, and the outcome index increased from 48.501 to 58.009, an increase of 19.60% (β=11.504, P<0.01). Meanwhile, the sense of access to health system performance showed obvious heterogeneity, with factors such as gender, age, education, marital status, employment status, economic status, type of health insurance and type of area of residence significantly affecting the sense of access to health system performance of residents. The health system performance in China in the context of high-quality development has significantly improved, and the sense of access of residents has significantly increased. However, the improvement in the process dimension of the health system is relatively limited, and difficult and expensive to see a doctor remains serious. It’s necessary to strength the health system performance of vulnerable groups, as well as rural areas.