协同推进体医融合:SFIC理论视角下澳大利亚运动转诊的履践经验与启示  

Synergistically Advancing the Integration of Sports and Medicine:Practical Experiences and Insights from Australia’s Exercise Referral System from the Perspective of SFIC Theory

作　　者：李利强 吴进 汪晓赞[2] LI Liqiang;WU Jin;WANG Xiaozan(Xizang Minzu University,Xianyang Shanxi 712082;College of Physical Education and Health,East China Normal University,Shanghai 200241;Xizang Plateau Sports and Health Research Center,Xianyang Shanxi 712082)

机构地区：[1]西藏民族大学体育学院,陕西咸阳712082 [2]华东师范大学体育与健康学院,上海200241 [3]西藏高原体育与健康研究中心,陕西咸阳712082

出　　处：《成都体育学院学报》2025年第1期139-146,共8页Journal of Chengdu Sport University

基　　金：教育部人文社会科学研究青年基金项目“新课标背景下西藏中小学生健康行为的评测与培养研究”(23YJC890022)。

摘　　要：为应对人口老龄化趋势和日益突出的慢性病高发风险,我国在主动健康背景提出了体医融合的战略性举措。运动转诊计划(Physical Activity Referral Schemes,PARS)作为国际上体育和医疗融合发展的现实案例,在澳大利亚的实践取得了显著成效。SFIC理论模型作为协同治理领域的经典理论,由初始条件S(Starting Conditions)、催化领导F(Facilitative Leadership)、制度设计I(Institutional Design)和协同过程C(Collaborative Process)4部分组成。文章基于SFIC理论分析模型,采用文献资料法、归纳演绎法和逻辑推理法,系统探究了澳大利亚运动转诊的发展实践与协同架构。研究发现:极力推促共识达成与资源的协调整合、紧抓全科的运动转诊引领机制、完备的运动转诊保障与制度设计、清晰的转诊协作流程与信息平台构建,是澳大利亚从起始条件、催化领导、制度设计、协同过程四方面推进运动转诊实施的关键。研究认为:中国可从增进理念和行动认同,增进政府和市场协同参与,促进全方位制度保障及创新化实施,建立现代化诊疗流程与信息平台几个方面进行具体实施,协同推进体医融合进一步发展。In response to the trends of population aging and the increasing prevalence of chronic diseases,China proposed a strategic initiative for integrating physical activity and medical care,based on the proactive health framework.Physical Activity Referral Schemes(PARS),a global example of the integration of sports and healthcare,have shown notable success in practice,particularly in Australia.The SFIC theoretical model,a classic framework in collaborative governance,consists of four components:Starting Conditions(S),Facilitative Leadership(F),Institutional Design(I),and Collaborative Process(C).Using the SFIC analytical model and applying methods of literature review,inductive reasoning,and logical deduction,this paper systematically examined the development practices and collaborative framework of PARS in Australia.It is found that reaching consensus and effectively integrating resources,establishing a primary care-led referral mechanism,providing comprehensive referral safeguards and institutional designs,and developing a clear referral collaboration process and information platform are key elements to drive the implementation of PARS in Australia across the four aspects of starting conditions,facilitative leadership,institutional design,and collaborative process.The study suggests that China can advance the integration of physical activity and medical care by enhancing conceptual and operational alignment,fostering collaborative participation between government and market sectors,promoting comprehensive institutional support and innovative implementation,and establishing a modernized referral process and information platform.

关 键 词：健康促进 老龄化 体医融合 SFIC模型 澳大利亚 运动转诊 

分 类 号：G80-05[文化科学—运动人体科学]