目的 探讨我国中医药服务能力提升路径，为我国的中医药事业发展提供参考。方法 从《中国统计年鉴（2020）》《中国中医药年鉴（2020）》和《中国卫生健康统计年鉴（2020）》获取我国31 个省域数据，基于技术– 组织– 环境框架进行变量和指标选取，借助fsQCA 3.0 软件，运用模糊集定性比较分析方法进行组态分析。结果 技术、组织、环境中的各个条件均无法单独构成高中医药服务能力或低中医药服务能力的必要条件，发现3 条高中医药服务能力组态路径和6 条低中医药服务能力组态路径。结论 建议重视关键影响因素的联动效应和谋求差异化的中医药服务能力提升路径。

Objective To explore the ways for promoting traditional Chinese medicine (TCM) service capacity-building in China and provide reference for the development of TCM in China. Methods Data of 31 provinces in China were obtained from the China Statistical Yearbook (2020), the Chinese Yearbook of Traditional Chinese Medicine (2020), and the China Health Statistical Yearbook (2020). Variables and indicators were selected based on the technical-organizational-environmental (TOE) framework, and fuzzy-set qualitative comparative analysis (fsQCA) was applied for confi guration analysis using the fsQCA 3.0 software. Results Each condition in the TOE framework alone could not constitute the necessary condition for high or low TCM service capacity. Three confi guration pathways associated with high TCM service capacity and six confi guration pathways associated with low TCM service capacity were identifi ed. Conclusions Special attention should be paid to the interactions among key infl uencing factors of TCM service capacity and seek differentiated pathways for improving the TCM service capacity.