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引用本文:梁海伦,柴淑君,宋诗盈,等.数字医联体赋能三医协同发展和治理的机制研究[J].中国卫生政策研究,2026,19(5):9-16
数字医联体赋能三医协同发展和治理的机制研究
投稿时间:2026-03-11  修订日期:2026-04-13  PDF全文浏览  HTML全文浏览
梁海伦1,柴淑君1,宋诗盈1,赵超2
1中国人民大学人口与健康学院 北京 100872;2潍坊市卫生健康委员会 山东潍坊 261071
摘要:推动医疗、医保、医药协同发展和治理是深化医药卫生体制改革的重要内容。数字医联体作为数智技术与医联体深度融合的新型治理载体,通过数据整合、智能分析、平台协同与开放共享,为三医协同发展和治理提供了新的赋能路径。基于敏捷治理理论,本文构建了“数据驱动-能力整合-精准治理”为核心的数字医联体赋能三医协同发展和治理的逻辑框架。该框架坚持以人民健康为中心的价值导向,通过数据互联与信息整合夯实治理基础,通过平台化组织重塑多元主体协同关系,并在多场景应用中实现精准决策与动态反馈。案例分析进一步验证了该逻辑框架的现实有效性,数字医联体不仅能够提升资源配置效率与服务协同水平,也为改善健康结果、促进服务公平和增强治理韧性提供了制度性支撑。本研究拓展了敏捷治理理论在卫生治理领域的适用边界,为推进全民健康数智化建设与三医协同发展和治理提供了理论支撑与实践指引。
关键词:数字医联体  数智技术  三医协同发展和治理  敏捷治理
基金项目:国家自然科学基金面上项目(72274201);潍坊市中央财政支持公立医院改革与高质量发展示范项目(ZFCG-2024-0000505)委托课题“潍坊市基于数据互通共享的‘三医’协同发展与治理研究(2024WF09)”
Research on the mechanisms of synergistic development and governance of healthcare, insurance and pharmaceutical sectors empowered by digital healthcare alliance
LIANG Hai-lun1, CHAI Shu-jun1, SONG Shi-ying1, ZHAO Chao2
1School of Population and Health, Renmin University of China, Beijing 100872, China;2Weifang Municipal Health Commission, Weifang Shandong 261071, China
Abstract:Promoting the synergistic development and governance of the healthcare, insurance, and pharmaceutical sectors is a key component of deepening healthcare system reform. As a novel governance vehicle integrating digital intelligence technologies with healthcare alliances, the digital healthcare alliance provides new pathways for empowering synergistic development and governance across the three sectors through data integration, intelligent analytics, platform-based coordination, and open sharing. Drawing on Agile Governance theory, this study constructs a logical framework for digital healthcare alliances to empower the synergistic development and governance of healthcare, insurance, and pharmaceuticals, centered on "data-driven processes-capability integration-precision governance". Guided by a people-centered health value orientation, this framework consolidates the governance foundation through data interconnectivity and information integration, reshapes collaborative relationships among multiple stakeholders through platform-based organization, and enables precise decision-making and dynamic feedback across multiple application scenarios. Case analyses further validate the framework's practical effectiveness, demonstrating that digital healthcare alliances not only enhance resource allocation efficiency and service coordination, but also provide institutional support for improving health outcomes, promoting service equity, and strengthening governance resilience. This study extends the applicability of Agile Governance theory to the field of health governance and offers theoretical and practical insights for advancing digital-intelligent health development and the synergistic development and governance of healthcare, insurance, and pharmaceutical sectons.
Key words:Digital healthcare alliance  Digital intelligence technologies  Synergistic development and governance of healthcare, insurance, and pharmaceutical sectors  Agile governance
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