基于扎根理论的边疆多民族地区健康社区治理模式研究OA
Health community governance models in multi-ethnic border regions based on grounded theory:The case of Karamay City
目的 以克拉玛依市为案例,探讨边疆多民族地区健康社区治理的实践逻辑,构建具有文化适配性的治理模式.方法 采用扎根理论研究方法,选取克拉玛依市3个多民族社区为研究场域,于2024年5月开展实地观察与半结构化深度访谈,并结合2014-2024年相关政策文本与文献资料,运用Nvivo 12 Plus进行开放、主轴与选择性编码.结果 提炼出40个初始范畴、14个主范畴,构建了由空间治理、服务治理、人文治理与机制保障构成的四维协同健康社区治理模型.该模型以文化适配为纽带,将健康治理嵌入多民族居民日常生活实践.结论 边疆多民族地区健康社区治理是一项多维联动的基层治理工程.克拉玛依市的实践表明,通过文化嵌入与多元协同,可推动健康中国战略在边疆地区的在地化落实.
Objective Taking Karamay City as a case,this study explores the governance logic of healthy communities in frontier multi-ethnic areas.Methods Using grounded theory,field observations and semi-struc-tured interviews were conducted in three multi-ethnic communities in Karamay City in May 2024,combined with policy documents and literature from 2014-2024.Data were coded through open,axial,and selective coding with NVivo 12 Plus.Results Forty initial categories and fourteen main categories were identified,forming a four-di-mensional governance model comprising spatial,service,humanistic,and institutional dimensions,with cultural adaptability as the core linkage to embed health governance into the daily activities of multi-ethnic residents.Con-clusions Healthy community governance in frontier multi-ethnic regions is a multidimensional collaborative process.The Karamay case indicates that culturally embedded and coordinated governance can facilitate the local-ized implementation of national health strategies.
李文萱;易敏哲;王佳洋
浙江理工大学艺术与设计学院,浙江 杭州 310000浙江理工大学艺术与设计学院,浙江 杭州 310000浙江理工大学艺术与设计学院,浙江 杭州 310000
医药卫生
健康社区治理扎根理论边疆多民族地区健康中国战略社会治理边疆治理
Healthy community governanceGrounded theoryMulti-ethnic border regionsHealthy Chi-na InitiativeSocial governanceBorderland governance
《中国农村卫生事业管理》 2026 (7)
463-469,7
国家社会科学基金青年项目(23CSH014)
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