Objective  To analyze the factors influencing the future health emergency management of communities in Zhejiang Province and summarize the health emergency management pathways.

  Methods  Based on policy releases and official reports on future community health emergency management in Zhejiang Province, the first batch of 24"future communities" in Zhejiang Province were used as the research objects. The fs/QCA 3.0 software was used to assign values to the factors influencing future community health emergency management, as well as consistency scores and combined coverage scores.

  Results  The number and capacity of health personnel, the degree of digitalization, health emergency plans, emergency supplies storage and security, and health emergency sites are the main influencing factors for future community emergency management. The consistency scores were 0.93, 0.78, 0.69, 0.65, and 0.34 in that order. Number and capacity of health personnel * degree of digital construction *-original coverage rate of health emergency sites is 0.54. Number and capacity of health personnel* emergency supplies stockpile and security * health emergency plan *-original coverage rate of health emergency sites is 0.32.

  Conclusions  The number and capacity of health personnel is a necessary condition for evaluating the future of community health emergency management. The design of the pathway for grassroots community health emergency management needs to further focus on and plan for the number and capacity of health personnel, the stockpiling and securing of emergency supplies, and health emergency plans, as well as digitally empowering the various bodies of community health emergency management in conjunction with digital construction to improve the capacity and effectiveness of community health emergency management.