基于协同学原理的“三医”协同发展和治理内在机理研究  

Research on the Internal Mechanism of Collaborative Development and Governance among Tripartite System Based on Synergetic

作　　者：李皓月 伍琳[1] 王诗嘉 张敏 王振涛 陈永法[1] Li Haoyue;Wu Lin;Wang Shijia;Chen Yongfa(International Pharmaceutical Business School of China Pharmaceutical University,Nanjing,Jiangsu,211100,China;不详)

机构地区：[1]中国药科大学国际医药商学院,江苏南京211100

出　　处：《中国医院管理》2025年第4期24-29,共6页Chinese Hospital Management

基　　金：首都医科大学国家医疗保障研究院面上课题(YB2023B01)。

摘　　要：目前“三医联动”改革已向医疗、医保、医药协同发展和治理转变,急需明晰“三医”协同发展和治理的内在机理,为实践探索奠定理论基础。基于协同学理论探讨协同学指导“三医”协同发展和治理的可操作性,剖析“三医”协同系统的自组织特征,掌握其运行的基本规律;深入挖掘“三医”协同演化的序参量,通过对“三医”各领域的主要职能部门进行问卷调研以验证研究遴选出的序参量的合理性,确定“三医”协同发展和治理的序参量为以健康为核心的价值标准、以公共利益为中心的利益契约、“集中力量办大事”的新型举国体制、医药产业的创新力和严厉周密的问责制度;系统阐述“三医”系统的自组织演化过程,以揭示“三医”协同发展和治理的内在机理。基于以上研究,从建立健全多元化协同机制、创新监测和预警机制、正反馈机制等方面提出对策建议。The current transformation of the tripartite linkage of medical treatment has gradually shifted towards collaborative development and governance among medical care,medical insurance,and medicine,necessitating a clear understanding of the internal mechanisms underpinning this collaboration and governance to lay a theoretical foundation for practical exploration. Drawing on synergetics theory,it delves into the self-organizing characteristics of the collaborative development and governance among the tripartite system,grasping its fundamental operational laws. Through a questionnaire survey of the main functional departments in each field of the tripartite system to verify the rationality of the sequence parameters selected for the study. It ultimately identifies the order parameters as the value standard centered on health, the interest contract focused on public interest, new system for mobilizing resources nationwide, the innovative capacity of the pharmaceutical industry, and the rigorous accountability system. Furthermore, it systematically expounds on the self-organizing evolution process of the collaborative development and governance among the tripartite system,thereby revealing the inherent mechanisms of its collaborative development and governance. It proposes countermeasures and suggestions for establishing and improving diversified collaboration mechanisms,innovating monitoring and early warning mechanisms,and fostering positive feedback mechanisms, aiming to facilitate more scientific and efficient collaborative development and governance among the tripartite system.

关 键 词：三医协同发展和治理 内在机理 自组织 序参量 

分 类 号：R197.3[医药卫生—卫生事业管理]