A Study on the Influencing Factors and Pathways of Basic Public Health Service Capacity from an Embedded Theory Perspective: A Qualitative Comparative Analysis Based on District D in Beijing

Corresponding author: Duanhui, rucduanhui@ruc.edu.cn

DOI: 10.12201/bmr.202605.00105

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  Abstract: Objective: To explore the influencing factors and pathways for enhancing basic public health service capacity from the perspective of embedded theory, providing empirical insights for improving primary-level health governance. Methods: Taking 19 primary healthcare institutions in District D of Beijing as case studies, we constructed an analytical framework comprising four conditioning variables: political resource support, social resource backing, internal organizational governance, and value-driven motivation. Using fuzzy-set qualitative comparative analysis (fsQCA), we examined how different combinations of these conditions affect improvements in basic public health service capacity. Results: The study identified three equivalent pathways to achieving high service capacity: resource-authority collaborative embedding, value-led organizational integration, and value-led intrinsic drive. All three pathways demonstrated high consistency and coverage, with robustness tests yielding favorable results. Conclusion: Enhancing basic public health service capacity exhibits configurational characteristics. Primary healthcare institutions should select appropriate capacity-building pathways based on their own resource endowments, organizational features, and development needs, promoting synergistic efforts among external resource support, internal organizational integration, and value-based guidance.

  Key words: Embeddedness theory; Basic public health service capacity; Influence factors; Qualitative comparative analysis

  Submit time: 29 May 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  2	2026-05-20	10.12201/bmr.202605.00105V2	Download
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