| 引用本文：陈星宇,刘璐,杨毅莹,等.协同治理视角下医防融合模式的多案例研究[J].中国卫生政策研究,2026,19(5):17-24 |
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| 协同治理视角下医防融合模式的多案例研究 |
| 投稿时间：2026-03-02 修订日期：2026-05-07 PDF全文浏览 HTML全文浏览 |
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陈星宇1，刘璐2，杨毅莹3，任文博3，杨程超3，韩允瑞3，李涛3
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| 1中国人民大学人口与健康学院 北京 100872;2中国医学科学院北京协和医学院 北京 100730;3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 |
| 摘要:目的 从协同治理视角分析我国医防融合模式的形成条件、运行机制及实施成效，总结我国不同地区经验，为其他地区的实践提供参考。方法 基于修正后的SFIC模型，采用案例研究方法，选取S市、W市、L区三地为案例地区，2025年6—10月进行实地调研，运用参与式观察、访谈和政策文本等多源数据，开展三角验证与比较分析。结果 政策窗口、健康需求变化、资源基础与约束共同构成医防融合的起始条件；政府通过组织统筹、制度授权推动多主体参与；任务清单、疾控监督员、处方工具、绩效考核、资金保障和信息共享等制度，为医防融合常态化运行提供了支撑；在信任建立、持续沟通过程中，各地逐步形成共识。三地在传染病防控、慢性病管理、健康促进服务模式转型方面均取得积极成效。结论和建议：医防融合实践应立足地方基础，因地制宜选择实施路径，并通过组织协调、制度衔接、过程协同，提升医防融合的实施成效。 |
| 关键词:医防融合 协同治理 案例研究 实践模式 |
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| A multi‐case study on integration of medical and preventive care models from the perspective of collaborative governance |
| CHEN Xing-yu1, LIU Lu2, YANG Yi-ying3, REN Wen-bo3, YANG Cheng-chao3, HAN Yun-rui3, LI Tao3 |
| 1School of Population and Health， Renmin University of China， Beijing 100872， China;2Peking Union Medical College， Chinese Academy of Medical Sciences， Beijing 100730， China;3School of Health Policy and Management， Chinese Academy of Medical Sciences ＆ Peking Union Medical College， Beijing100730， China |
| Abstract:Objective To examine the formation conditions， operational mechanisms， and implementation outcomes of integration of medical and preventive care models in China from the perspective of collaborative governance， and to summarize regional experiences to inform practices in other areas.Methods Based on a revised SFIC model， this study adopted a case study approach and selected City S， City W， and District L as the study sites. Drawing on fieldwork conducted from June to October 2025， multiple sources of data were collected， including participant observation， interviews， and policy documents. Triangulation and comparative analysis were then conducted.Results Policy windows， changing health needs， and local resource endowments and constraints jointly constituted the starting conditions for the integration of medical and preventive care. Government actors promoted multi-stakeholder participation through organizational coordination and institutional authorization. Institutional arrangements， including task lists， disease control supervisors， prescription-based tools， performance appraisal， financial support， and information sharing， supported the routine operation of the integration of medical and preventive care. Through trust-building， sustained communication， and continuous engagement， local actors gradually developed shared understandings. The three regions achieved positive outcomes in infectious disease prevention and control， chronic disease management， health promotion， and the transformation of service delivery models. Conclusions and Recommendations： The implementation of integration of medical and preventive care models should be grounded in local conditions， with context-specific pathways selected according to regional circumstances. Its effectiveness can be enhanced through organizational coordination， institutional alignment， and process-based collaboration. |
| Key words:Integration of medical and preventive care Collaborative governance Case study analysis Practical models |
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