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湖南省健康乡村建设中多方协同治理模式探析OA

The multi-stakeholder collaborative governance model in building healthy villages in Hunan Province

中文摘要英文摘要

健康乡村建设是综合提升农村地区居民健康水平的重要举措,是健康中国建设在农村地区的具体实践.文章基于治理网络理论、动机理论和成果导向治理理念,深入分析湖南省健康乡村建设中的多方协同治理实践.通过对湖南省行政主导型医疗协同体、社群自治型健康养老网络、数字赋能型网格治理三种典型模式的系统研究,揭示了多方协同治理的运行机制、成效特征和演进趋势.湖南省健康乡村建设在取得显著成效的同时,也面临着协同能力不足、利益目标错位、资源配置失衡等深层次挑战.构建精准化权责体系、创新激励相容机制、优化资源配置模式的系统性解决方案,对推进健康乡村建设具有重要的理论指导和实践参考价值.

The construction of healthy villages is an important measure to improve comprehensively the health level of residents in rural areas,which is a specific practice of The Healthy China Initiative in rural areas.Based on the theory of governance network,motivation theory and outcome-oriented governance,this paper analy-zes in depth the practice of multi-stakeholder collaborative governance in the construction of healthy villages in Hu-nan Province.Through the systematic study of three typical models in Hunan Province,including administrative-led medical synergy,community-autonomous health care network,and digitally empowered grid governance,the paper reveals the operation mechanism,effectiveness characteristics and evolution trend of multi-stakeholder col-laborative governance.While the construction of healthy villages in Hunan Province has achieved remarkable re-sults,it is still facing some challenges such as limited capacity for collaboration,misalignment of interest goals,and imbalance in resource allocation.Building a systematic solution for a well-defined framework of rights and re-sponsibilities,innovating mechanism for incentive compatibility,and optimizing resource allocation models has im-portant theoretical guidance and practical reference value for promoting the construction of healthy villages.

谢伟峰

长沙卫生职业学院,湖南长沙 410600

医药卫生

健康乡村建设多方协同治理湖南省治理模式乡村振兴治理网络优化路径

Healthy village constructionMulti-stakeholder collaborative governanceHunan ProvinceGovernance modelRural revitalizationGovernance networkPath optimization

《中国农村卫生事业管理》 2026 (1)

21-26,6

湖南省自然科学基金资助项目(2025JJ80296)湖南省卫生经济与信息学会2025年研究课题(WJX2025C15)

10.19955/j.cnki.1005-5916.2026.01.004

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