中国康复理论与实践2026，Vol.32Issue(5)：508-521,14.DOI:10.3969/j.issn.1006-9771.2026.05.002
基于《健康服务体系中的康复》构建体育活动融入康复服务的行动者网络体系
Constructing an actor-network theory for integrating sports activity into rehabilitation based on Rehabilitation in Health Service System
摘要
Abstract
Objective To construct an actor-network for integrating physical activity into rehabilitation services based on the World Health Organization Rehabilitation in Health Service System framework and actor-network theory(ANT). Methods Content analysis was employed using the six building blocks of health service systems as the theoretical frame-work.Actors related to rehabilitation services were extracted and categorized into a rehabilitation actor pool,while a physical activity actor pool was formed based on four major physical activity scenarios.Actors from both pools were integrated,deduplicated and classified to form a final list of integrated actors.Using ANT,the con-struction process of the actor network integrating physical activity into rehabilitation was analyzed through the four stages of translation:problematization,interessment,enrollment and mobilization. Results A dynamic integration network was constructed,comprising human actors(patients,rehabilitation professionals,researchers,sports coaches,government departments,medical institutions,community organizations and industry media,etc.)and non-human actors(assistive devices,sports infrastructure,smart equipment,information sys-tems,online exercise guidance systems,laws and regulations,strategic documents,and exercise prescriptions,etc.).The study identified maximizing rehabilitation outcomes as the mandatory passage point and elaborated on the critical role of government departments as focal actors in coordinating various stakeholders. Conclusion The integration of physical activity into rehabilitation services is a dynamic network constructed by diverse actors through a process of translation.ANT provides an operational theoretical framework for cross-departmen-tal governance of rehabilitation policies in China,promotes the spatial expansion of the rehabilitation field,and drives its transformation toward a networked and ecological system.The government needs to play a leading role in facilitating role reconstruction and synergy among heterogeneous actors in both the sports and rehabilitation sectors through mechanism design,to create a bidirectional empowerment mechanism that fosters mutual prog-ress and ensures the sustainable development of integrated services.关键词
健康服务体系/康复/体育活动/行动者网络理论Key words
health service system/rehabilitation/sports activity/actor-network theory分类
医药卫生引用本文复制引用
程亚宁,陈迪,汤晨晨,田益凡,刘丽旭,张赢心,王艺铮,黄亚玲..基于《健康服务体系中的康复》构建体育活动融入康复服务的行动者网络体系[J].中国康复理论与实践,2026,32(5):508-521,14.基金项目
中国康复科学所中央级公益性科研院所基本科研业务费项目(No.CRSI2025ZH-5) Supported by The Fundamental Research Funds for Central Public Welfare Research Institutes,conducted by China Rehabilitation Science Institute(No.CRSI2025ZH-5) （No.CRSI2025ZH-5）
