四川大学学报（医学版）2025，Vol.56Issue(6)：1475-1480,6.DOI:10.12182/20251160502
协同治理视角下紧密型县域医共体医防融合创新机制研究——以德阳市罗江区为例
Innovative Mechanisms of Medical Care and Prevention Integration in Compact County-Level Medical Alliances From the Perspective of Collaborative Governance—A Case Study of Luojiang District,Deyang City,China
摘要
Abstract
Objective Taking the county-level medical alliance in Luojiang District,Deyang City,Sichuan Province as an example,we analyzed the innovative mechanisms and implementation pathways of medical care and prevention integration of the county-level medical alliance,aiming to provide theoretical and empirical support for promoting the integration of treatment and prevention.Methods Using the SFIC model of the collaborative governance theory as the main analytical framework,we systematically analyzed the innovative practices and mechanisms of medical and preventive integration within the county-level medical alliance in Luojiang District from 4 dimensions,including starting conditions(S),facilitative leadership(F),institutional design(I),and collaborative process(C),and evaluated their operational effectiveness.Results The county-level medical alliance of Luojiang District has achieved enhanced effectiveness in medical care and prevention integration through top-level design,institutional restructuring,the empowerment of information platforms with digital intelligence technology,and the incentivization of multiple stakeholders to participate in the collaborative process.In 2024,the severe case rates of 2 chronic diseases(hypertension and diabetes mellitus)and the premature mortality rates of 4 chronic diseases(cardiovascular and cerebrovascular diseases,cancer,chronic respiratory diseases,and diabetes mellitus)in Luojiang District decreased by 4.4%and 5.53%,respectively,compared to those in 2023.The total medical insurance fund expenditure in the district in 2024 decreased by 9.13%compared to that in 2023.Conclusion According to the analysis based on the SFIC model,future efforts in medical care and prevention integration should focus on collaborative innovation at four levels—individual,community,institutional,and system—to further advance the transition toward a service model centered on population health.关键词
医防融合/协同治理/县域医共体/数智技术Key words
Integrated healthcare/Collaborative governance/County-level medical alliance/Digital intelligence technology引用本文复制引用
CHEN Xiyue,LAI Hongyu,WU Kan,PAN Jie..协同治理视角下紧密型县域医共体医防融合创新机制研究——以德阳市罗江区为例[J].四川大学学报（医学版）,2025,56(6):1475-1480,6.基金项目
国家科技重大专项(No.2024ZD0523900、2024ZD0523902)和四川大学华西公共卫生学院/华西第四医院健康新质生产力研究所课题(No.HN240202A)资助 （No.2024ZD0523900、2024ZD0523902）
