整体性治理理论下县域医共体价值目标整合与服务能力提升研究.pdfVIP

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整体性治理理论下县域医共体价值目标整合与

服务能力提升研究

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许建强许珈瑜方锦花郑娟王茜杨爱兵殷丽兰

【摘要】

县域医共体作为医疗卫生服务体系的新模式，在协同县、乡、村三级医疗卫生服务资源共享，实现远程会诊、检查

信息互通，促进不同部门业务流程整合等方面发挥显著作用。互联网信息技术的应用是实现医共体价值目标、业务服务整合的关

键，这与整体性治理理论相契合。遵循整体性治理理论的“治理层级、治理功能、治理手段、目标价值”等分析框架，分析县域

医共体建设中所涉及不同层级的治理部门、功能部门之间形成目标认同并发挥医共体整体服务效能的经验，为今后县域医共体建

设提供理论经验证据与决策参考。

【关键词】

整体性治理县域医共体基层医疗卫生服务整体性重塑

中图分类号R197.3文献标识码ADOI10.19660/j.issn.1671-0592.2025.1.04

Researchonvaluegoalintegrationandservicecapacityimprovementofcountymedicalcommunitiesunderthe

holisticgovernancetheory/XUJianqiang,XUJiayu,FANGJinhua,ZHENGJuan,WANGQian,YANGAibing,

YINLilan//ChineseHospitals.-2025,29(1):20-24

【Abstract】

Objective:Asanewmodelofthehealthcareservicesystem,countymedicalcommunitiesplayasignificantroleinintegrating

county,township,andvillagehealthcareresources;enablingteleconsultationsandinformationsharing;andpromotingcross-departmental

processintegration.Theapplicationofinternetinformationtechnologyiskeytoachievingthevaluegoalsandserviceintegrationofmedical

communities,aligningwiththeprinciplesofholisticgovernancetheory.Followingtheanalyticalframeworkofholisticgovernancetheory—

coveringgovernancelevels,governancefunctions,governancetools,andvaluegoals—thisstudyanalyzesthealignmentofobjectives

amonggovernanceandfunctionaldepartmentsatdifferentlevelswithintheconstructionofcountymedicalcommunities.Itexamineshow

thesealignmentsenhancetheoverallserviceefficiencyofthemedicalcommunities,providingtheoreticalandempiricalevidenceaswellas

decision-makingreferencesforfuturedevelopment.

【Keywords】

holisticgovernance,countymedicalcommunities,primaryheal