多维视域下县域医共体感染防控动态能力框架构建研究OA
Construction of a dynamic capability framework for infection prevention and control in county-level medical consortia from a multidimensional perspective
目的 构建县域医共体感染防控的动态能力框架,为系统提升基层医疗机构感染防控水平提供理论支持与实践参考.方法 基于动态能力理论,结合文献研究,聚焦县域医共体"公益性、多层级性、资源碎片化"等特征,构建多维视角下的感染防控动态能力框架.结果 明确界定县域医共体感染防控动态能力的内涵,构建涵盖感知能力、响应能力、学习能力、改进能力和协调能力5个维度的概念框架,并提出通过构建智能监测预警平台、建立经验共享网络与健全分级应急响应机制路径,促进其能力提升.结论 通过拓展动态能力理论在公共卫生领域的应用场景,为县域医共体实现感染防控从被动向主动转型提供了可操作的路径.
Objective To construct a dynamic capability framework for infection prevention and control(IPC)in county-level medical consortia,providing theoretical support and practical guidance for systematically enhancing IPC capabilities in primary healthcare institutions.Methods Based on dynamic capability theory and literature review,this study focused on the characteristics of county-level medical consortia,such as their public welfare nature,multi-tiered structure,and fragmented resources,to develop a multidimensional dynamic capability framework for IPC.Results The study clearly defined the connotation of dynamic IPC capabilities in county-level medical consortia and constructed a conceptual framework comprising five dimensions:sensing capability,respon-ding capability,learning capability,improving capability,and coordinating capability.Practical pathways for ca-pability enhancement were proposed,including establishing intelligent monitoring and early warning platforms,creating experience-sharing networks,and improving tiered emergency response mechanisms.Conclusions By expanding the application scenarios of dynamic capabilities theory in the field of public health,this study provides a practical pathway for county-level medical consortia to transition from reactive to proactive infection prevention and control.
童彤;陆群;李筱轶;王虹;倪凯文
浙江大学医学院附属第二医院,浙江 杭州 310009浙江大学医学院附属第二医院,浙江 杭州 310009浙江大学医学院附属第二医院,浙江 杭州 310009浙江大学医学院附属第二医院,浙江 杭州 310009浙江大学医学院附属第二医院,浙江 杭州 310009
医药卫生
县域医共体感染防控动态能力动态能力理论防控能力医院感染
County-level medical consortiaInfection prevention and controlDynamic capabilitiesDy-namic capabilities theoryPrevention and control capabilitiesNosocomial infection
《中国农村卫生事业管理》 2026 (3)
192-197,6
浙江省自然科学基金项目(LQ23G030008)浙江省医药卫生科技计划项目(2025KY871)
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