| 引用本文：张婧彬,王峥,袁莎莎.湖南省湘潭市医防机构协作网络分析[J].中国卫生政策研究,2025,18(9):15-22 |
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| 湖南省湘潭市医防机构协作网络分析 |
| 投稿时间：2025-06-10 修订日期：2025-08-20 PDF全文浏览 HTML全文浏览 |
| 张婧彬，王峥，袁莎莎 |
| 北京协和医学院/中国医学科学院/医学信息研究所 北京 100020 |
| 摘要:目的 分析评价湖南省湘潭市代表性医防机构的协作网络现状。方法 采用社会网络分析法和焦点组访谈法，对案例地区主要医防机构（医院、专业公共卫生机构和基层医疗卫生机构）五类协作网络的现状与结构进行综合分析。结果 案例地区医防机构协作网络城乡差异显著。进修协作网络松散，公共卫生机构参与较少；培训协作网络密度较高，城乡核心主体分别为区级公共卫生机构与县级医院；督导考核网络中，农村呈现多元医防机构参与，城区则由公共卫生机构主导且区级医疗机构缺位；传染病和慢性病信息报告协作网络在农村地区更为紧密，城市地区医疗机构参与不足。结论 需强化跨层级医防机构协同，完善针对城乡医防机构的双向考核与激励约束机制，并推动数据共享建设以促进医防信息流通与整合。 |
| 关键词:协作网络 医疗机构 公共卫生机构 社会网络分析 定性访谈 |
| 基金项目:北京协和医学院中央高校基本科研业务费资助（3332022179） |
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| Analysis of the collaborative network between medical and public health institutions in Xiangtan City， Hunan Province |
| ZHANG Jing-bin, WANG Zheng, YUAN Sha-sha |
| Institute of Medical Information， Chinese Academy of Medical Sciences Peking Union Medical College， Beijing 100020， China |
| Abstract:Objective To analyze and evaluate the current state of the collaborative network among representative medical and public health institutions in Xiangtan city， Hunan Province.Methods A comprehensive analysis was conducted using social network analysis and focus group interviews to examine the structure and status of five types of collaborative networks among key institutions—hospitals， specialized public health agencies， and primary healthcare facilities—in the case study area.Results Significant urban-rural differences were observed in the collaborative networks. The further education network was loosely structured， with limited participation from public health institutions. The training network exhibited higher density， with district-level public health institutions and county-level hospitals serving as the core actors in urban and rural areas， respectively. In the supervision and assessment network， rural areas demonstrated multi-stakeholder involvement， whereas urban areas were predominantly led by public health institutions， with district-level medical institutions largely absent. Both infectious and chronic disease information reporting networks were more tightly integrated in rural areas， while urban areas showed insufficient participation from medical institutions.Conclusions It is essential to strengthen cross-level collaboration among medical and public health institutions， improve a two-way evaluation and incentive mechanism tailored to urban and rural settings， and promote data-sharing initiatives to facilitate the circulation and integration of medical and public health information. |
| Key words:Collaborative network Medical institution Public health institution Social network analysis Qualitative interview |
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