系统思维与多元协同:欧盟医疗服务体系高质量发展的启示  

Systems Thinking and Multi-Stakeholder Collaboration:Insights into High-Quality Development of the EU's Healthcare Service System

作　　者：范婧 王乾呈 李钇晓 

机构地区：[1]山西财经大学公共管理学院,太原030006

出　　处：《中国医疗保险》2025年第4期120-128,共9页China Health Insurance

基　　金：国家社科基金一般项目“基于数字治理的养老整合照护模式构建研究”(22BZZ075);山西省统计科学研究项目“高质量发展视角下山西省养老服务综合绩效评价研究”(2023LZ004);山西省哲学社会科学规划课题“面向新质生产力发展的养老服务韧性治理研究”(2024YB065)。

摘　　要：在人口结构转型与深化贯彻健康中国战略的背景下,构建高质量医疗服务体系至关重要。本文基于系统思维解析欧盟医疗服务体系协同治理实践逻辑,运用必要条件分析法和模糊集定性比较分析法,对欧盟35国医疗体系核心要素进行解构。研究发现,医疗服务结果是基础,通过临床质量标准化与资源调配精准化筑牢效能底线;协同路径主要呈现三种模式:市场—政府耦合型、社会组织赋能型、政府引导整合型。研究进一步揭示了非高绩效体系生成的典型路径并凸显协同缺位困境,为中国医疗服务体系改革提供重要启示,同时为实现从“治疗为中心”向“健康为中心”体系转型提供实践路径参考。In the context of population structural transformation and the deepening of the Healthy China strategy implementation,building a high-quality medical service system is of great significance.This paper analyzes the collaborative governance practice of the EU's medical service system based on systems thinking approach and deconstructs the core elements of the healthcare system in the 35 EU countries with NCA and fsQCA.The study reveals that the results of medical services are the foundation,and the bottom line of effectiveness can be built through clinical quality standardization and precise resource allocation.It identifies three primary collaborative models for the collaborative path:market-government coupling,social organization empowerment,and governmentled integration.Furthermore,the research highlights the typical pathways for generating non-high-performance systems and the challenges of insufficient collaboration,offering important insights for China's medical service reform and providing practical guidance for transitioning from a "treatment-centered" to a "health-centered" system.

关 键 词：医疗服务体系 协同治理 必要条件分析 模糊集定性比较分析 

分 类 号：F840.684[经济管理—保险]