通讯作者: 李涛, leta216@163.com

DOI：10.12201/bmr.202606.00017

A Multi-Case Study on integration of medical and preventive care models from the Perspective of Collaborative Governance

• 摘要：目的：从协同治理视角分析我国医防融合模式的形成条件、运行机制及实施成效，总结我国不同地区经验，为其他地区的医防融合实践提供参考。方法 基于修正后的SFIC模型，采用案例研究方法，选取S市、W市、L区三地为案例地区，结合2025年6—10月的实地调研资料，运用参与式观察、访谈和政策文本等多源数据，开展三角验证与比较分析。结果：政策窗口、健康需求变化、资源基础与约束共同构成医防融合的起始条件；政府通过组织统筹，制度授权推动多主体参与；任务清单、疾控监督员、处方工具、绩效考核、资金保障和信息共享等制度，为医防融合常态化运行提供了支撑；在信任建立、持续沟通和过程投入中，各地逐步形成共识。三地在传染病防控、慢性病管理、健康促进服务模式转型方面均取得积极成效。结论和建议：医防融合实践应立足地方基础，因地制宜选择实施路径，并通过组织协调、制度衔接、过程协同，提升医防融合的实施成效。

  关键词： 医防融合；协同治理；案例分析；实践模式; ; 

   

  Abstract: Objective To examine the formation conditions, operational mechanisms, and implementation outcomes of integration of medical and preventive care models in China from the perspective of collaborative governance, and to summarize regional experiences to inform practices in other areas. Method Based on a revised SFIC model, this study adopted a case study approach and selected City S, City W, and District L as the study sites. Drawing on fieldwork conducted from June to October 2025, multiple sources of data were collected, including participant observation, interviews, and policy documents. Triangulation and comparative analysis were then conducted. Results Policy windows, changing health needs, and local resource endowments and constraints jointly constituted the starting conditions for the integration of medical and preventive care. Government actors promoted multi-stakeholder participation through organizational coordination and institutional authorization. Institutional arrangements, including task lists, disease control supervisors, prescription-based tools, performance appraisal, financial support, and information sharing, supported the routine operation of the integration of medical and preventive care. Through trust-building, sustained communication, and continuous engagement, local actors gradually developed shared understandings. The three regions achieved positive outcomes in infectious disease prevention and control, chronic disease management, health promotion, and the transformation of service delivery models. Conclusions and Recommendations The implementation of integration of medical and preventive care models should be grounded in local conditions, with context-specific pathways selected according to regional circumstances. Its effectiveness can be enhanced through organizational coordination, institutional alignment, and process-based collaboration.

  Key words: Integration of medical and preventive care; Collaborative governance; Case study analysis；Practical models

  提交时间：2026-06-08

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-03-02	10.12201/bmr.202606.00017V1	下载

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