Page 21 - 《南京医科大学学报》2026年第2期

第2期 总第133期 南京医科大学学报（社会科学版）京医科大学学报（社会科学版） ·
南
2026年4月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 123
Journal

Pathways to treatment⁃prevention integration in compact county⁃level

healthcare communities based on the 27 cases across China

1
2
WEI Jingjia ，ZHOU Danju ，XU Xinglong 1
1. School of Management，Jiangsu University，Zhenjiang 212013；
2. School of Health Policy and Management，Nanjing Medical University，Nanjing 211166，China
Abstract：This study employs the fuzzy⁃set qualitative comparative analysis（fsQCA）method to analyze 27
representative cases of treatment ⁃ prevention integration across China， aiming to identify generalized
implementation pathways for achieving such integration. The results indicate that none of the six antecedent
conditions， including system integration， organizational management， service delivery， staffing support，
information construction，and performance incentives，constitutes a necessary condition for achieving treatment⁃
prevention integration. However，configuration analysis identifies three distinct pathways leading to a high level
of integration，namely the“administration⁃led”pathway，the“staff⁃supported”pathway，and the“digitally⁃
driven”pathway. The study demonstrates that effective advancement of treatment⁃prevention integration within
compact county⁃level healthcare community relies on configuration matching and coordinated interaction among
multiple conditions. Therefore，regions should select implementation pathways tailored to their local resource
endowments and enhance the overall effectiveness of integration by strengthening coordination among key
elements.
Key words：compact county⁃level healthcare community；integrated treatment⁃prevention；implementation
pathways；fsQCA（fuzzy⁃set qualitative comparative analysis）