大健康背景下珠海市养老机构健康服务资源分化及其治理启示

大健康背景下珠海市养老机构健康服务资源分化及其治理启示

张宇

（珠海科技学院，广东 珠海，519000）

摘 要：在大健康战略背景下，养老机构健康服务资源配置的分化问题日益突出。本研究基于资源依赖理论，对珠海市 34 家不同运营性质的养老机构开展横断面问卷调查，考察其健康服务资源密度差异及形成机制。研究发现，公办机构的健康资源密度显著高于民办和公建民营机构；资源获取渠道依赖度与资源丰裕度在运营性质与资源密度间发挥链式中介作用，其中民办机构因高度依赖市场收费导致资源丰裕度偏低，限制了健康资源投入；机构联盟网络强度负向调节渠道依赖对资源丰裕度的不利影响，高网络强度可缓解资源约束。研究结论揭示了养老机构健康资源配置分化的内在逻辑，为分类支持政策制定与机构网络化发展提供了实证依据。

关键字：养老机构；运营性质；健康服务资源密度；资源依赖理论

Differentiation of Health Service Resources in Elderly Care Institutions in Zhuhai within the Context of Comprehensive Health and Its Implications for Governance

Yu Zhang

(Zhuhai College of Science and Technology, Zhuhai Guangdong, 519000)

Abstract: Against the backdrop of the comprehensive healthcare strategy, the issue of differentiation in the allocation of health service resources among elderly care institutions has become increasingly pronounced. Drawing on resource dependency theory, this study conducted a cross-sectional survey via questionnaires among 34 elderly care institutions of varying operational natures in Zhuhai City, exploring disparities in health service resource density and their underlying formation mechanisms. The findings reveal that public institutions boast a significantly higher density of health resources compared to their private and public-private partnership counterparts. The degree of reliance on resource acquisition channels and resource abundance serve as sequential mediators between operational nature and resource density. Notably, private institutions, heavily reliant on market-derived fees, exhibit lower resource abundance, thereby constraining investment in health resources. Conversely, the strength of institutional alliance networks exerts a negative moderating effect on the detrimental impact of channel dependence on resource abundance, with high network strength mitigating resource constraints. The research conclusions shed light on the intrinsic logic behind the differentiation in health resource allocation among elderly care institutions, offering empirical support for the development of tailored support policies and the networked advancement of institutions. 

Keywords: Elderly Care Institutions; Operational Nature; Health Service Resource Density; Resource Dependency Theory

DOI：10.68079/moglkx.2026.3.04   [原文下載][Download PDF]