【摘要】 目的 从数智化视角出发，基于协同治理理论与行动者网络理论，构建数智化时代医联体信息协同治理框架，为医疗数智化转型提供新思路。方法 结合医联体现状与数智化发展趋势，从驱动、行动者、过程、行动、治理效能评价5个方面构建数智化时代医联体信息协同治理框架。结果 医联体涉及众多行动者，存在矛盾和障碍，通过分析各行动者在协同合作中的作用、过程和行为，总结出协调利益分配、完善信息沟通、创建多维激励和加强内外监督是促进医联体形成信息协同优势的关键行动策略。结论 通过医联体信息协同治理框架构建和行动策略分析，以期降低“协同惰性”，提升“协同优势”，推动分级诊疗目标的实现。更多还原

【Abstract】 Objective To construct a collaborative governance framework for medical alliance in the era of digital intelligence from the aspect of digital intelligence and based on the theories of collaborative governance and actor networks, thus providing new ideas for the transformation of medical digital intelligence.Methods Combined with the current situation of the medical alliance and the development trend of digital intelligence,a collaborative governance framework for medical alliance information in the era of digital intelligence was constructed from five aspects:collaborative drive,actor,process,action,and governance efficiency.Results Medical alliance involved many actors,and there were contradictions and obstacles.By analyzing the roles,processes and behaviors of various actors in the collaborative cooperation,it is concluded that coordinating the distribution of benefits,improving information communication,creating multi-dimensional incentives and strengthening internal and external supervision were the key strategies to promote the formation of synergistic advantages of medical alliances.Conclusion Through the construction of collaborative governance framework for medical alliance and analysis of action strategy,it is hoped to reduce"collaborative inertia",enhance"synergistic advantages",and promote the realization of hierarchical diagnosis and treatment goals.更多还原