协同治理综合框架在我国整合型医疗卫生服务体系中的理论应用  

Theoretical Application of the Integrative Framework for Collaborative Governance in China's Integrated Health Care Delivery System

作　　者：李楚桐 刘远立[1] LI Chutong(School of Health Policy and Management,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing,100730,China)

机构地区：[1]中国医学科学院北京协和医学院卫生健康管理政策学院,北京100730

出　　处：《医学与社会》2025年第4期1-8,共8页Medicine and Society

基　　金：中国医学科学院医学与健康科技创新工程——基于卫生健康体系学的健康中国建设战略研究,编号为2021-I2M-1-046。

摘　　要：当前,我国医药卫生体制改革的重点任务之一便是加速构建高效、协同的整合型医疗卫生服务体系。尽管各地已进行了不同程度的探索与实践,但仍存在诸多挑战,如形式上的整合多而实质性的操作与运行机制尚不完善。针对这一现状,基于协同治理综合框架,从系统环境和驱动因素、动态协同与行动、协同治理机制这3个相互嵌套的维度出发,对如何构建有效的整合型医疗卫生服务体系进行理论探讨,并在此基础上确定了体系构建过程中的关键问题。此外,还提供了一个适用于案例分析的理论框架,并基于该框架对整合型医疗卫生服务体系的构建提出了建议。One of the key tasks in China's medical reform is to accelerate the construction of an efficient and collaborative integrated health care delivery system.Although various levels of exploration and practice have been carried out across the country,numerous challenges remain,such as more focus on formal integration rather than substantial operational mechanisms.In response to this situation,this study conducts a comprehensive theoretical discussion on how to build an effective integrated health care delivery system based on the collaborative governance framework.It approaches the issue from three interrelated dimensions:system context and drivers,collaborative dynamics and actions,and collaborative governance regime,identifying key issues in the construction process.Furthermore,this study provides a theoretical framework suitable for case analysis and offers recommendations based on this framework.

关 键 词：整合型医疗卫生服务体系 医联体 协同治理 

分 类 号：R-05[医药卫生] R197.1