中国卫生事业管理2025，Vol.42Issue(1)：6-10,5.
县域医共体建设中的协作困境及其纾解
Analysis of the Collaboration Dilemma and Its Countermeasures in the Construction of County Medical Communi-ties Based on Patnam's Theory of Social Capital
摘要
Abstract
To comprehensively promote the high-quality and sustainable development of county medical communities,it is necessary to not only strengthen the hardware facilities and policy,legal and institutional arrangements,but also pay attention to the creation and optimization of the soft environment.The intrinsic appropriateness of optimizing social capital and the construction of medical communities were explained by using the analytical framework of Patnan's social capital theory,and then the collabora-tive dilemmas faced by the construction of medical communities in the context of the scarcity of social capital were examined,which were specifically manifested in the insufficiency of social trust,the absence of reciprocal norms,and the weakness of partici-patory networks.Based on which,it is proposed to enhance social trust,promote diversified collaboration,improve reciprocity norms,intensify endogenous motivation,deepen the participation network,improve the level of collaboration and other mitigation strategies,which will provide inspiration for the comprehensive promotion of close-knit county medical communities.关键词
县域医共体/社会资本理论/协作困境/纾解Key words
county medical community/social capital theory/collaboration dilemma/mitigation分类
医药卫生引用本文复制引用
吕惠,陈辉,吕朋朋..县域医共体建设中的协作困境及其纾解[J].中国卫生事业管理,2025,42(1):6-10,5.基金项目
中国博士后科学基金第74批面上资助项目"西南民族地区县域多主体联动的'互联网+'基础医疗服务模式构建与效果评价"(2023M740531) （2023M740531）
广西哲学社会科学规划研究课题"广西县-乡-村三级联动的'互联网+医共体'模式构建研究"(20FGL010) （20FGL010）
广西"八桂学者"经费资助项目 （）
