基于《健康服务体系中的康复》构建体育活动融入康复服务的行动者网络体系OA

Objective To construct an actor-network for integrating physical activity into rehabilitation services based on the World Health Organization Rehabilitation in Health Service System framework and actor-network theory(ANT). Methods Content analysis was employed using the six building blocks of health service systems as the theoretical frame-work.Actors related to rehabilitation services were extracted and categorized into a rehabilitation actor pool,while a physical activity actor pool was formed based on four major physical activity scenarios.Actors from both pools were integrated,deduplicated and classified to form a final list of integrated actors.Using ANT,the con-struction process of the actor network integrating physical activity into rehabilitation was analyzed through the four stages of translation:problematization,interessment,enrollment and mobilization. Results A dynamic integration network was constructed,comprising human actors(patients,rehabilitation professionals,researchers,sports coaches,government departments,medical institutions,community organizations and industry media,etc.)and non-human actors(assistive devices,sports infrastructure,smart equipment,information sys-tems,online exercise guidance systems,laws and regulations,strategic documents,and exercise prescriptions,etc.).The study identified maximizing rehabilitation outcomes as the mandatory passage point and elaborated on the critical role of government departments as focal actors in coordinating various stakeholders. Conclusion The integration of physical activity into rehabilitation services is a dynamic network constructed by diverse actors through a process of translation.ANT provides an operational theoretical framework for cross-departmen-tal governance of rehabilitation policies in China,promotes the spatial expansion of the rehabilitation field,and drives its transformation toward a networked and ecological system.The government needs to play a leading role in facilitating role reconstruction and synergy among heterogeneous actors in both the sports and rehabilitation sectors through mechanism design,to create a bidirectional empowerment mechanism that fosters mutual prog-ress and ensures the sustainable development of integrated services.