基于复合韧性视角的日间手术协同发展体系构建与实施路径探讨  

Construction and implementation path of day surgery collaborative development system from the perspective of composite resilience

作　　者：庄磊雪[1] 杨建超 李志超[1] 马洪升[1,3] 蒋丽莎[1] ZHUANG Leixue;YANG Jianchao;LI Zhichao;MA Hongsheng;JIANG Lisha(Day Surgery Center,West China Tianfu Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;General Practice Medical Center,West China Hospital,Sichuan University,Nanjing,Jiangsu 211100,P.R.China;Business School,Hohai University,Chengdu,Sichuan 610000,P.R.China)

机构地区：[1]四川大学华西医院全科医学中心,成都610041 [2]河海大学商学院,南京211100 [3]四川大学华西天府医院日间手术中心,成都610000

出　　处：《华西医学》2023年第2期165-169,共5页West China Medical Journal

基　　金：国家自然科学基金(72104161)。

摘　　要：日间手术的蓬勃发展对于缓解我国医疗卫生供需矛盾与提升医疗卫生资源效能至关重要。当前日间手术发展路径依赖、政策惯性与缺乏协同等问题,均给我国日间手术健康有序发展带来更为严峻的考验,我国日间手术发展的脆弱性也逐步暴露。该文审视当前日间手术发展过程中正反两面的经验与教训,基于“构筑物-资源-信息-社会”子系统,在识别日间手术协同发展体系的关键能力基础上,提出日间手术协同发展体系应具备“空间韧性、数字韧性、资源韧性、制度韧性与管理韧性”的复合韧性合力,并进一步对日间手术协同发展体系的实施路径进行分析,为我国日间手术的健康有序发展提供理论依据。The vigorous development of day surgery is crucial to alleviating the contradiction between supply and demand of medical and health care and improving the efficiency of medical and health resources in China. The current path dependence, policy inertia, and lack of coordination in the development of day surgery have brought a more severe test to the healthy and orderly development of day surgery in China, and the vulnerability in the development of day surgery has also emerged gradually. By examining the positive and negative experiences and lessons learned in the current development of day surgery, from the perspective of “structure-resource-informationsociety” subsystems, and based on the identification of key competencies in the collaborative development system for day surgery, this article indicates that the day surgery resilience is a composite system composed of spatial resilience,digital resilience, resource oriented resilience, institutional resilience and management resilience, and analyzes the implementation path of day surgery collaborative development system, providing a theoretical basis for the healthy and orderly development of day surgery in China.

关 键 词：日间手术 复合韧性 协同发展体系 实施路径 

分 类 号：R197.323[医药卫生—卫生事业管理]