CAJ | 학술논문

目的：分析结构方程模型在国内卫生政策与体系实证研究的现状，为进一步完善结构方程模型在卫生政策与体系研究中的应用提供参考。方法：采用系统综述方法，检索国内卫生政策与体系研究领域内结构方程模型的实证研究文献，分别从研究角度、内容和方法进行分析。结果：共筛选得到121篇文献，包括58篇学位论文和63篇期刊文献。文献分别从个人（全社会）、卫生监督管理机构、医疗卫生机构和相关企业角度，对卫生筹资与人力资源、卫生服务组织及提供、卫生治理与管理等进行实证研究。方法学应用方面，121篇文献在建模理论依据、抽样依据及方法、样本数据特点及所选参数估计方法和模型拟合评鉴各个层面水平不一，研究趋势规范化，但仍有不足。结论：现阶段结构方程模型在卫生政策与体系研究领域的应用研究涉及面广，具有实践意义，但需进一步拓展研究的深度和广度，并重视完善方法学应用的规范性。
목적：분석결구방정모형재국내위생정책여체계실증연구적현상，위진일보완선결구방정모형재위생정책여체계연구중적응용제공삼고。방법：채용계통종술방법，검색국내위생정책여체계연구영역내결구방정모형적실증연구문헌，분별종연구각도、내용화방법진행분석。결과：공사선득도121편문헌，포괄58편학위논문화63편기간문헌。문헌분별종개인（전사회）、위생감독관리궤구、의료위생궤구화상관기업각도，대위생주자여인력자원、위생복무조직급제공、위생치리여관리등진행실증연구。방법학응용방면，121편문헌재건모이론의거、추양의거급방법、양본수거특점급소선삼수고계방법화모형의합평감각개층면수평불일，연구추세규범화，단잉유불족。결론：현계단결구방정모형재위생정책여체계연구영역적응용연구섭급면엄，구유실천의의，단수진일보탁전연구적심도화엄도，병중시완선방법학응용적규범성。
Objective:To analyze the application status of structure equation model ( SEM ) in the domestic health policy and systems research to provide suggestions for further research .Methods:The domestic empirical liter-atures were collected with systematic review .The data was analyzed from aspects of study perspective , contents and methods.Results:121 literatures were enrolled, including 58 dissertations and 63 journal articles.Research focused on health financing and human resources , health services delivery , health governance and others , from perspectives of individual ( the whole society ) , health organizations , health care institutions and enterprises .In terms of methodolo-gy , this paper differed in theoretical foundation of model construction , sampling basis , and characteristics of sample da-ta, parameter estimation and model fitting evaluation .There is still some deficiency .Conclusion:The applications of SEM in health policy and systems research have covered a wide range and proved to be of great significance , but the breadth and depth of research should be further developed and the application of SEM should be further improved .