社区体医养融合的碎片化困境与整体性治理路径OACHSSCD

The integrated governance of community sports,medical care and elderly care is not only an enduring research topic concerning an aging society in academic circles,but also a practical focus that needs urgent attention in grassroots health governance.Adopting research methods including literature review,field investigation and expert interviews,this study examines the adaptive logic between holistic governance theory and the integration of community sports,medical care and elderly care,and proposes holistic governance pathways to address the fragmentation problems existing in such integration.The study finds that the fragmented dilemmas of community sports-medical-elderly care integration stems from several key issues:divergent multi-dimensional value objectives caused by interest differences among multiple stakeholders,difficulties in overall policy coordination and integration due to fragmented top-level systems,functional barriers between departments resulting from the segmented management of organizational institutions,and non-standardized governance processes induced by the lack of holistic governance tools.In response to the above dilemmas,this study proposes targeted holistic governance paths:reshaping the goal and value system of integrated governance to meet the health needs of the elderly;optimizing the top-level institutional overall planning and formulating sustainable development plans for community integrated governance;strengthening cross-departmental collaboration between sports authorities and relevant sectors to promote the integrated development of public services;and empowering governance with comprehensive tools to realize refined and digital intelligent governance.This research thus aims to provide theoretical support and practical guidance for the high-quality development of community sports-medical-elderly care integration.