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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1.安徽医科大学卫生管理学院/合肥市妇幼保健院;2.安徽医科大学卫生管理学院

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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 Lifecycle Health Service System: A Re-examination Based on Maternal and Child Health Institutions
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School of Health Management,Anhui Medical University

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    摘要:

    《“健康中国2030”规划纲》明确提出要构建整合型医疗卫生服务体系,为将整合医疗理论应用于妇幼健康领域、探索新型服务体系提供了政策依据与制度空间。现有服务体系多侧重于大部制改革和服务流程的协同,对于如何实现更深层次的“功能整合”与“临床与保健融合”,仍缺乏整合医疗服务体系的支撑。本文采用规范性理论构建方法,基于整合医疗理论,从综合政策导向、文献研究与典型实践的经验总结,探索建构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。本文进一步阐述了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,旨在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:

    The "Healthy China 2030" Plan clearly calls for building an integrated healthcare delivery system, which in turn provides the policy justification and institutional space for applying integrated care theory to maternal and child health and for exploring new service models..Existing service systems tend to focus on the reform of large-scale ministerial structures and the coordination of service processes; however, they still lack the support required to integrate healthcare services in order to achieve deeper levels of ‘functional integration’ and the ‘convergence of clinical and preventive care’. This paper employs a normative theoretical framework, drawing on the theory of integrated healthcare, to explore the construction of a framework for an integrated, full-life-cycle health service system suitable for maternal and child health institutions, based on comprehensive policy guidance, literature review and lessons learnt from exemplary practices. This framework clarifies the logical hierarchical relationship between ‘whole-life-cycle health management’ and ‘services covering the entire reproductive process’, and proposes ‘Health Management Centres’ and ‘Disease Management Centres’ as the two functional pillars, endowing them with responsibilities for both cross-departmental administrative coordination and operational management, with the aim of resolving the ‘integration failure’ that exists between the ‘three major operational departments’. This paper further elaborates on the theoretical logic and operational mechanisms of this framework, and discusses its theoretical contributions and practical implications, with the aim of providing a new analytical framework to guide the transition of operational integration within China’s maternal and child health care institutions from ‘formal integration’ to ‘substantive integration’.

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  • 收稿日期:2026-04-28
  • 最后修改日期:2026-07-10
  • 录用日期:2026-07-13
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