整合式全生命周期健康服务体系的探索性分析框架——基于妇幼保健机构的再审视
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作者单位:

1.安徽医科大学卫生管理学院,安徽 合肥 230032 ;2.安徽省妇女儿童医学中心/合肥市妇幼保健院科教处,安徽 合肥 230001

作者简介:

张彬(1981—),男,安徽淮南人,硕士,副研究员,研究方向为社会医学与卫生事业管理,通信作者,zhang-bin2023@ahmu.edu.cn。

通讯作者:

张彬(1981—),男,安徽淮南人,硕士,副研究员,研究方向为社会医学与卫生事业管理,通信作者,zhang-bin2023@ahmu.edu.cn。

中图分类号:

R197.64

基金项目:

安徽省哲学社会科学规划项目“长三角一体化视域下妇幼保健机构生育全程多学科协作救治体系构建与运行机制研究”(AHSKY2023D031)


Exploring an analytical framework for an integrated life-course health service system: a re-examination based on maternal and child healthcare institutions
Author:
Affiliation:

1. School of Health Management, Anhui Medical University, Hefei 230032 ; 2. Department of Science and Education, Anhui Women and Children's Medical Center/ Hefei Maternal and Child Health Hospital, Hefei 230001 , China

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    摘要:

    文章采用规范性理论构建方法,基于整合医疗理论,通过对综合政策导向、文献研究与典型实践的经验总结,探索构建一个适用于妇幼保健机构整合式全生命周期健康服务体系的框架。该框架明确了"全生命周期健康管理"与"生育全过程服务"的逻辑层次关系,并提出"健康管理中心"与"疾病管理中心"作为两大功能性支柱,赋予其兼具跨部门行政协调与业务管理职能,旨在解决"三大业务部门"之间存在的"整合失灵"问题。进一步阐述该框架的理论逻辑与运行机制,并讨论其理论贡献与实践启示,为我国妇幼保健机构业务融合从"形式整合"走向"实质整合"提供一个新的分析框架。

    Abstract:

    This paper adopts a normative theory-building approach, drawing on the theory of integrated care, to develop a framework for an integrated, life-course health service system applicable to maternal and child healthcare institutions, based on comprehensive policy orientations, a literature review, and lessons from representative practices. This framework clarifies the hierarchical relationship between life-course health management and services throughout the entire reproductive process. It proposes the Health Management Centre and Disease Management Centre as the two functional pillars, assigning them responsibilities that combine both cross-departmental administrative coordination with operational management, aiming to resolve the integration failure between the three major operational departments. This paper further elaborates on the framework's theoretical logic and operational mechanisms, and discusses its theoretical contributions and practical implications, thus providing a new analytical framework to guide the transition of service integration within China's maternal and child healthcare institutions from formal integration to substantive integration.

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张彬,尹松,陈子璇.整合式全生命周期健康服务体系的探索性分析框架——基于妇幼保健机构的再审视[J].南京医科大学学报(社会科学版),2026,26(5):483~488

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  • 收稿日期:2026-04-28
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  • 在线发布日期: 2026-11-02
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