区块链技术嵌入社区公共卫生治理的运作逻辑——以H市为例  

Researches on the Operational Logic of Community Public Health Governance Based on the Blockchain Sampled with H City

作　　者：刘娟 孔德志 Liu Juan(School of Marxism,Hainan Medical University,Haikou,P.R.China)

机构地区：[1]海南医科大学马克思主义学院,海南海口571199 [2]海南医科大学体育部

出　　处：《中国卫生事业管理》2025年第1期21-25,95,共6页Chinese Health Service Management

基　　金：海南省哲学社会科学规划课题“自贸港公共卫生数字化治理的技术赋权与制度构建研究”(HNSK(JD)21-42);海南省卫生健康委员会统计信息中心2024年揭榜攻关课题“海南省基层医疗卫生服务能力和利用状况研究”(A2024010206)。

摘　　要：为破解社区公共卫生治理权责不清、数据共享面临的壁垒和隐私泄露等问题,将区块链技术引入社区数据共享研究范畴,以期完善社区医疗数据开放体系和增强社区应急治理能力。在剖析社区公共卫生治理现有困境的基础上,融合区块链具有的非对称加密、智能合约、共识机制等技术,从基础层、核心层、管理层、应用层和用户接入层五个方面构建社区公共卫生治理的逻辑框架,并结合社区治理包含的政府主导、技术嵌入、社会协同和公民参与四个变量,提炼出参与性与智能型特征,开拓出新技术与社区公共卫生治理的全时段、全空间、全过程治理逻辑模型。最后,针对区块链技术治理的边界提出改进建议,以期推进国家公共卫生治理能力和治理体系的现代化进程。In order to solve the problems such as unclear rights and responsibilities of community public health governance,barriers to data sharing and privacy leakage,the blockchain technology was introduced into the research category of community data sharing to improve the community medical data opening system and enhance the community emergency governance capacity.Based on analyzing the existing dilemma,the technologies of asymmetric encryption,smart contract,consensus mechanism of the blockchain were integrated to construct the logical framework of community public health governance from five aspects of basic layer,core layer,management layer,application layer and user access layer.Combined with the four variables of community governance,including government leading,technology embedding,social coordination and citizen participation,the characteristics of participation and intelligence were extracted,and the logical model of whole-time,whole-space and whole-process governance of new technology and community public health governance were developed.Finally,improvement suggestions for the boundary of the blockchain technology governance were put forward to promote the modernization process of national public health governance capacity and governance system.

关 键 词：区块链 社区医疗 数据治理 运行机制 

分 类 号：R19[医药卫生—卫生事业管理]