Page 44 - 南京医科大学社会科学版
P. 44

南
                                                    南京医科大学学报（社会科学版）京医科大学学报（社会科学版）                 第5期 总第136期
              · 488  ·
                                             Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences）  2026年10月
                                             Journal
                    R.20250917.1608.002                              ［D］. 北京：中国疾病预防控制中心，2021
              ［15］ 张彬，张龙秀，孙士伟，等. 基于协同理论妇幼保健机                    ［17］ 郑丽，汤艳雨，王可可，等. 基于协同理论的国家心血
                    构一体化发展的思考［J］. 中国妇幼保健，2025，40（10）：                 管病区域医疗中心高质量发展模式研究［J］. 中国医院
                    1684-1690                                         管理，2024，44（10）：26-29
              ［16］ 孙昂. 我国区县级妇幼保健机构大部制改革状况研究                                                    （本文编辑：姜 鑫）





               Exploring an analytical framework for an integrated life⁃course health
                     service system：a re⁃examination based on maternal and child

                                                healthcare institutions

                                                       1，2        1            1
                                              Zhang Bin ，Yin Song ，Chen Zixuan
                 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
                   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.
                   Key words：integrated healthcare；maternal and child healthcare；analytical framework；life course；

               ministerial restructuring
   39   40   41   42   43   44   45   46   47   48   49