国内医防融合评价指标体系研究进展
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南通大学公共卫生学院

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国家社会科学基金“高水平医疗联合体驱动区域医疗服务协同发展的机制与路径研究”(24BGL266)


Research progress on the evaluation indicator system for Integration of Medical Care and Preventive Services in China
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School of Public Health, Nantong University

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    摘要:

    为梳理国内医防融合评价指标体系的研究进展、基本特征及不足之处,本研究检索中国知网、万方等中文数据库及PubMed、Web of Science等英文数据库,纳入33篇自主构建或修订医防融合评价指标体系的原始研究,采用主题框架法对指标体系的基本信息与内容进行归纳分析。结果显示,指标体系构建已初具规模,评价视角覆盖宏观卫生服务系统、中观医疗机构及微观医务人员与患者感知三个层次,但仍存在理论建构缺乏跨主体协同视角、方法学验证环节报告有限、传染病评价研究相对薄弱、基层应用不足及指标偏重静态条件测量而缺乏全过程动态评价等问题。未来应基于跨主体协同视角深化理论建构,适度拓展病种与场景覆盖,强化基于一手数据的基层实证研究,构建全过程动态测量的评价框架,以支撑医防融合工作的科学评价和持续改进。

    Abstract:

    To review the research progress, basic characteristics, and deficiencies of the evaluation indicator system for the integration of medical care and preventive services in China, this study searched Chinese databases such as CNKI and Wanfang, as well as English databases such as PubMed and Web of Science, and included 33 original studies that independently developed or revised such indicator systems. Using thematic framework analysis, the basic information and indicator content were synthesized. The findings reveal that the construction of evaluation indicator systems has begun to take shape, with evaluation perspectives spanning the macro level (health service system), meso level (medical institutions), and micro level (healthcare professionals and patient perceptions). However, notable limitations persist, including a lack of cross-stakeholder collaborative perspectives in theoretical construction, limited reporting of methodological validation, relatively insufficient research on infectious diseases, insufficient grassroots application, and a predominant focus on static condition measurement lacking whole-process dynamic evaluation. Future efforts should deepen theoretical construction from a cross-stakeholder collaborative perspective, moderately expand the coverage of diseases and scenarios, advance grassroots empirical research based on primary data, and establish an evaluation framework for whole-process dynamic measurement, thereby supporting the scientific evaluation and continuous improvement of medical-preventive care integration.

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  • 收稿日期:2026-07-23
  • 最后修改日期:2026-10-29
  • 录用日期:2026-11-04
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