健康整合理论的六个基础假设

Six Basic Hypotheses of Integrated Health Theory

本文从目的、对象、属性、主体、方法、价值6个方面提出健康整合理论的6个基础假设,分别从理论上回答了为什么整合、整合是什么、整合什么、谁来整合、如何整合及如何评价整合6个基础问题。首先,整合的目的是为了人群整体健康,因此,与健康相关的社会系统都可以成为整合的对象。由于不同的健康产品有不同的属性,因此在不同的体制环境下有必要结合健康产品的理论属性明确合理的提供方式。政府是整合最重要但非唯一的主体,以往的传统组织系统观念已经过时,现代社会必须基于复杂系统的观点,正确看待由于自适应和复杂关系博弈造成的系统不确定性,在这个意义上,整合成为了联合各相关主题通往统一的健康目标前进的必要手段;整合的最终结局,应以人群整体、连续、协调高质量健康服务的获得和更高效、更节约的服务提供方式为评价标准。

This article intended to propose six basic hypothesis of ＂ integrated health＂ from six areas, including purpose, objects, proper- ties, subject, method and value, theoretically answered six basic questions of ＂why integration, what integration is, what integration, who integra- tion, how to integrate and how to evaluate the integration. The article put forward as follows. At first, the purpose of integration was to fulfill ＂ populationg health＂, so social systems and health- related objects could become integrated. Secondly, because of different health products had different properties; therefore it was necessary to combine different theories to provide clear and reasonable way to provide health products. Third- ly, the government was the most important but not the only subject of ＂integration＂. The modem society must be based on a complex system other than outdated organizational system, to correctly view ＂no uncertainty＂ caused by ＂adaptive＂ and ＂complex relationship game＂. Fourthly, ＂Inte- gration＂ had become a necessary means of relevant topics leading to joint health goal of reunification. At last, the final outcome of the integration should be evaluated by population, continuous, coordinated access to high - quality health services and more efficient and economical way to serve.