Development of a Health Evaluation System for the Regional Healthcare Consortium Symbiotic Network

doi:10.12114/j.issn.1007-9572.2019.00.131

Abstract

Abstract: On the basis of the bionic model of the social ecological system，we introduced the 3 domains（organization structure，vitality and stability） of the natural ecosystem health assessment framework into the comprehensive health evaluation system for regional healthcare consortiums.Then，by use of evaluation indicator screening methods and principles，we derived a system with organizational structure，operation management，stability，vitality，external environment and service efficiency as the core.Finally，based on the theories of organizational immunity，organizational adaptability，ecological niche and information resource sharing，combining with the practice and exploration of the regional healthcare consortiums，we endowed the indicators with corresponding meaning and characteristics.We hope that our study can help better interpret and evaluate the health status of the regional healthcare consortium symbiotic network.

Key words: Regional healthcare consortium, Symbiotic network, Health status, Index system

摘要： 基于社会生态系统仿生范式，本研究将自然生态系统健康状况评价框架下的组织结构、活力及稳定性三维度引入区域医疗联合体（医联体）共生网络健康状况综合评价指标体系中。同时，在遵循评价指标筛选方法和原则的基础上，演绎出了以组织结构、运营管理、稳定性、活力、外部环境及服务效能6个构念为核心的评价指标体系。融合组织免疫、组织适应性、生态位、信息资源共享等理论基础，结合医联体的实践与探索，赋能各项指标要素相应含义特征，以期更好地帮助解读和评价中国当下的区域医联体共生网络的健康态势。

关键词: 区域医疗联合体, 生态系统, 健康状况, 指标体系

ZHANG Jiarui,YIN Dong,ZHANG Shue, et al. Development of a Health Evaluation System for the Regional Healthcare Consortium Symbiotic Network　[J]. Chinese General Practice, 2019, 22(31): 3881-3886. DOI: 10.12114/j.issn.1007-9572.2019.00.131.
张家睿,殷东,张淑娥等. 区域医疗联合体共生网络的健康状况评价指标体系构建[J]. 中国全科医学, 2019, 22(31): 3881-3886. DOI: 10.12114/j.issn.1007-9572.2019.00.131.

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