医疗众筹成效的地区差异及其微观解释
作者简介:程诚,东南大学人文学院教授 (江苏南京 211102);高如燕,中国人民大学社会学院硕士研究生 (北京 100872)。
基金项目:
本文受中央高校基本科研业务专项资助,系江苏省社会科学基金重点项目 "互联网疾病众筹中的资助行为和筹资效果研究"(23SHA003)的阶段性成果。
摘要: 在推动数字中国与健康中国战略深入实施的背景下,如何通过数字技术缓解社会资源分配失衡、助力医疗公平,成为新时代社会治理的重要命题。通过聚焦众筹平台中2057个医疗项目,系统考察其众筹成效与地区发展水平之间的关联机制,可发现:地区社会经济发展水平显著影响医疗众筹的成效;欠发达地区求助者相对较弱的网络捐资能力,是导致成效差异的关键因素;但欠发达地区医疗众筹项目的信息扩散能力更强,部分缓解了资源劣势;众筹项目一旦进入公共网络空间,原有的数字鸿沟效应显著减弱,平台技术具备弥合地区不平等的潜质。应着力提升欠发达地区求助信息的公共可见性,激发数字技术促进社会公平的潜能。
Regional Disparities in Medical Crowdfunding Outcomes and Their Microscopic Interpretion
Abstract: Against the backdrop of advancing the Digital China and Healthy China strategies, a critical question in contemporary social governance is how digital technologies can alleviate imbalances in resource distribution and promote healthcare equity. This study analyzes 2057 medical crowdfunding projects on a major Chinese platform to systematically examine the relationship between crowdfunding outcomes and regional development levels. The findings reveal that:(1) the level of regional socioeconomic development significantly affects crowdfunding performance; (2) the relatively limited online donation capacity of help-seekers in underdeveloped regions is a key factor contributing to poorer fundraising outcomes; (3) however, crowdfunding projects in these regions exhibit stronger information diffusion capabilities, which partially mitigate their resource disadvantages; (4) once projects enter the broader public cyberspace, the effects of the digital divide diminish substantially, suggesting that platform technologies hold potential to reduce regional inequality. The study highlights the importance of enhancing the public visibility of crowdfunding initiatives from less developed areas to fully realize the equity-enhancing potential of digital technologies.