我国医防融合建设的内在逻辑、类型划分与实践路径  

Internal logic,classification and practical pathways of medication and prevention integration construction in China

作　　者：王子伟 韩洋 WANG Ziwei;HAN Yang(School of Public Administration,Sichuan University,Chengdu 610065,China)

机构地区：[1]四川大学公共管理学院,四川成都610065

出　　处：《南京医科大学学报(社会科学版)》2025年第1期9-15,共7页Journal of Nanjing Medical University(Social Sciences)

摘　　要：医防融合旨在破除公共卫生与医疗服务体系间的隔阂,通过预防与医疗资源的整合共享,构建起全方位、立体化的健康服务体系。从历史演化来看,医防融合历经了计划经济时代的公共逻辑主导,到改革开放后市场机制的逐步渗透,直至新医改浪潮下对公共责任与市场活力并重的新时代理解。从现实叙事来看,医防融合被划分为医防并滞、重医轻防、重防轻医和医防融合四种类型,以映射当前实践中的不同面向与挑战。为应对这些挑战,从价值重塑、治道变革与模式变迁三个维度提出实践策略,以促进医防融合体系的持续优化和创新发展。The integration of medication and prevention aims to break the gap between public health and the healthcare service system,establishing a comprehensive and three-dimensional healthcare service system through the integration and sharing of prevention and healthcare resources.From the perspective of historical evolution,the integration of medication and prevention has evolved from the dominance of public logic in the planned economy era to the gradual penetration of market mechanisms after reform and opening up and then to the new wave of healthcare reform that balances public responsibility and market dynamic.From the realistic narrative,the integration of medication and prevention can be divided into four types:medical medication-prevention stagnation,medication over prevention,prevention over medication and medical prevention and treatment integration,according to the dual attributes of public and market.Each type reflects different aspects and challenges in current practice.To address these challenges,the study proposes strategies from three dimensions:value reconstruction,governance transformation,and model transformation to promote the continuous optimization and innovation of the ecology of medication and prevention integration and rely on the dual enabling mode of“system-technology”to accelerate the efficiency and service quality of medication and prevention integration,therefore establishing a highly efficient and collaborative healthcare management that covers the entire life cycle.

关 键 词：医防融合 公共卫生 医疗服务 治道变革 模式变迁 

分 类 号：R197.1[医药卫生—卫生事业管理]