中国卫生事业管理2025，Vol.42Issue(1)：21-25,95,6.
区块链技术嵌入社区公共卫生治理的运作逻辑
Researches on the Operational Logic of Community Public Health Governance Based on the Blockchain Sampled with H City
摘要
Abstract
In order to solve the problems such as unclear rights and responsibilities of community public health governance,barriers to data sharing and privacy leakage,the blockchain technology was introduced into the research category of community da-ta sharing to improve the community medical data opening system and enhance the community emergency governance capacity.Based on analyzing the existing dilemma,the technologies of asymmetric encryption,smart contract,consensus mechanism of the blockchain were integrated to construct the logical framework of community public health governance from five aspects of basic lay-er,core layer,management layer,application layer and user access layer.Combined with the four variables of community govern-ance,including government leading,technology embedding,social coordination and citizen participation,the characteristics of participation and intelligence were extracted,and the logical model of whole-time,whole-space and whole-process governance of new technology and community public health governance were developed.Finally,improvement suggestions for the boundary of the blockchain technology governance were put forward to promote the modernization process of national public health governance capacity and governance system.关键词
区块链/社区医疗/数据治理/运行机制Key words
blockchain/community medical treatment/data-based governance/operating mechanism分类
医药卫生引用本文复制引用
刘娟,孔德志..区块链技术嵌入社区公共卫生治理的运作逻辑[J].中国卫生事业管理,2025,42(1):21-25,95,6.基金项目
海南省哲学社会科学规划课题"自贸港公共卫生数字化治理的技术赋权与制度构建研究"(HNSK(JD)21-42) （HNSK(JD）
海南省卫生健康委员会统计信息中心2024年揭榜攻关课题"海南省基层医疗卫生服务能力和利用状况研究"(A2024010206) （A2024010206）
