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[1]韩镇王鸿蕴马爽李瑞锋.基于“感知-学习-整合”框架的村卫生室动态能力现状与提升路径研究[J].中国卫生质量管理,2026,33(4):84-88.[doi:10.13912/j.cnki.chqm.2026.33.4.18]
　HAN Zhen,WANG Hongyun,MA Shuang.Research on the Current Status and Improvement Pathways of Dynamic Capabilities in Village Clinics Based on the "Sensing-Learning-Integration" Framework[J].Chinese Health Quality Management,2026,33(4):84-88.[doi:10.13912/j.cnki.chqm.2026.33.4.18]

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基于“感知-学习-整合”框架的村卫生室动态能力现状与提升路径研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年4期页码: 84-88 栏目: 基层卫生质量出版日期: 2026-04-15

Title:: Research on the Current Status and Improvement Pathways of Dynamic Capabilities in Village Clinics Based on the "Sensing-Learning-Integration" Framework

作者:: 韩镇王鸿蕴马爽李瑞锋; 北京中医药大学管理学院

Author(s):: HAN Zhen; WANG Hongyun; MA Shuang; School of Management, Beijing University of Chinese Medicine

关键词:: 村卫生室; 动态能力; 乡村医生; 基层医疗卫生体系

Keywords:: Village Clinics; Dynamic Capabilities; Village Doctor; Primary Healthcare System

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2026.33.4.18

文献标志码:: A

摘要:: 目的了解村卫生室动态能力现状，识别存在问题，提出针对性建议。方法基于动态能力视角，构建“感知-学习-整合”三维村卫生室动态能力分析框架，对132位乡村医生或村卫生室负责人进行半结构化访谈。结果感知能力：体系初步形成，但存在政策执行不均与队伍老龄化问题；学习能力：知识获取与转化逐步推进，但面临培训供需错配与转化激励不足问题；整合能力：协同机制初步建立，但受内部服务失衡与协作形式化阻碍。结论优化感知能力，构建政策连贯执行与反馈机制；提升学习能力，推动培训内容设计以需求和效果为导向；强化整合能力，构建多部门协同机制。

Abstract:: ObjectiveTo understand the current status of dynamic capabilities in village clinics, identify existing problems, and propose targeted recommendations.MethodsBased on the perspective of dynamic capabilities, a three-dimensional analytical framework of "sensing-learning-integration" for village clinics’ dynamic capabilities was constructed, and semi-structured interviews were conducted with 132 village doctors or heads of village clinics.ResultsSensing capability: a preliminary system has been formed, but issues such as uneven policy implementation and an aging workforce persist. Learning capability: knowledge acquisition and transformation are gradually advancing, yet they face challenges such as a mismatch between training supply and demand,and insufficient incentives for transformation. Integration capability: collaborative mechanisms have been initially established, but they are hindered by internal service imbalances and formalized collaboration.Conclusion To optimize sensing capability, a coherent policy implementation and feedback mechanism should be established; to enhance learning capability, training content design should be driven by demand and effectiveness; to strengthen integration capability, a multi-departmental collaborative mechanism should be constructed.

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更新日期/Last Update: 2026-04-15