走向健康现代化的战略转型与实现路径:从“三医”联动到健康治理  

The Strategic Transformation and Realization Pathways Towards Health Modernization:From“Three Medical”Linkage to Health Governance

作　　者：翟绍果[1] 徐天舒 Zhai Shaoguo;Xu Tianshu(School of Public Administration,Northwest University,Xi’an 710127,P.R.China;School of Political Science and Law,University of Jinan,Jinan 250024,P.R.China)

机构地区：[1]西北大学公共管理学院,西安710127 [2]济南大学政法学院,济南250024

出　　处：《山东大学学报(哲学社会科学版)》2025年第1期110-121,共12页Journal of Shandong University(Philosophy and Social Sciences)

基　　金：国家社科基金一般项目“全生命周期视域下健康老龄化体系路径研究”(21BSH021)。

摘　　要：健康现代化是社会主义现代化的重要内容。面对健康脆弱性,公共健康治理面临着治理界限交互扩大、治理内容更迭扩展、治理进程压缩叠加等诸多挑战。秉持人民中心、生命至上、系统整合、全民参与的公共健康治理理念,中国在提升健康公平性方面探索出一条医保、医疗与医药协同改革的发展之路。新时代进一步提升健康福祉,需要从“三医”联动到健康治理,通过互助共享的健康保障战略、医防融合的健康支持战略、均衡协同的健康服务战略和多元合作的健康促进战略,实现全人群、全周期、全方位为特征的全民健康福祉。基于此,走向健康现代化的具体路径包括,依托健康资源配置体制、健康制度协同机制、健康服务递送体系和健康行动协同网络,最终促进资源互通、结构改革、服务融合和治理提升。Health modernization is an important part of socialist modernization.It aims to promote the interaction and compatibility of health systems,the fair allocation of health resources,the connection and delivery of health services and the accumulation and promotion of health capital through the cross-domain cooperation of the government,society and market,with the strategic system of emergency governance,routine governance and active governance of public health,so as to form a cooperative action and strong joint force of public health promotion,promote resource exchange,structural reform,service integration and governance improvement,accelerate the construction of health resilience,and move from the coordinated development of medical insurance,medical treatment and medicine to the public health governance of health modernization.China is facing with many challenges,such as the interactive expansion of public health governance boundaries caused by the“unbounded”spread of health risks,the expansion of public health governance content caused by changes in disease spectrum,and the compression and superposition of public health governance processes caused by health vulnerability.Driven by the change of public health governance concept with the content of people-centered public health development right,lifeoriented public health security responsibility,systematic and integrated public health collaborative governance,and public health cooperative action with the participation of the whole people,we will gradually explore the medical insurance reform plan for rational allocation of health resources,the medical reform plan for systematic integration of health services,and the medical reform plan for coupling the health system,so as to realize the linkage of“three medical”.On this basis,we should complete the transformation of health security strategy from covering the whole people to mutual assistance and sharing,the transformation of health support strategy from disease treatment to integration of medical care and pr

关 键 词：健康现代化 “三医”联动 健康治理 医防融合 健康共同体 

分 类 号：R197.1[医药卫生—卫生事业管理]