健康研究2026，Vol.46Issue(2)：121-127,7.DOI:10.19890/j.cnki.issn1674-6449.2026.02.001
中国新医改形势下三明医改可持续发展路径探讨:基于SWOT分析
Exploring the sustainable development path of Sanming healthcare reform under China's new healthcare reform:based on SWOT analysis
摘要
Abstract
Objective To systematically explore the sustainable development path of the Sanming healthcare reform model within the context of China's new healthcare reform,providing theoretical reference and practical guidance for its nationwide implementation.Methods A SWOT analysis was employed,combined with a review of policy documents and case studies,to assess the internal strengths and weaknesses,as well as the external opportunities and threats,of the Sanming healthcare reform.Results The Sanming healthcare reform has progressed through three stages:"rectifying disorder and curbing waste","establishing rules and institutions",and"preventive care and comprehensive health".It has developed into a systematic reform pathway centered on the"tripartite coordination of healthcare,insurance,and pharmaceuticals",with compensation system reform as a key driver.The SWOT analysis reveals that its strengths include an integrated governance structure,a transformative incentive mechanism,and notable reform outcomes.Weaknesses include heavy reliance on government promotion,controversies over the replicability of its compensation system,and insufficient incentives for technological innovation.External opportunities arise from national policy support,digital technology empowerment,and the advancement of the Healthy China strategy.Threats include the risk of reform distortion during scaling,diminished reform momentum,and resistance from vested interests.Conclusions The key to the sustainable development of the Sanming healthcare reform is"learning from its underlying principles rather than copying numerical targets."A framework of"general principles plus context-specific pathways"is recommended for implementation in cities of different scales.关键词
三明医改/医疗改革/SWOT分析/可持续发展/因地制宜Key words
Sanming healthcare reform/healthcare reform/SWOT analysis/sustainable development/context-specific approaches分类
医药卫生引用本文复制引用
鲍勇,杨翠莹..中国新医改形势下三明医改可持续发展路径探讨:基于SWOT分析[J].健康研究,2026,46(2):121-127,7.基金项目
国家卫生健康委卫生发展研究中心课题项目(XMBH-202512-125-04474) （XMBH-202512-125-04474）
上海市康复医学会健康管理科研专项基金(2024KCZT001) （2024KCZT001）
上海市中西医结合学会专题课题研究项目(2024-50zy) （2024-50zy）
