浙江山海协作推动健康共富的实践创新研究

Practical Innovation in Promoting Health Common Prosperity through Zhejiang’s “Mountain-Sea Collaboration”

摘要: 本文以浙江省舟山市普陀区医共体为研究对象，深入探讨在共同富裕示范区建设背景下，海岛地区如何通过“山海协作”“技术赋能”与“组织变革”破解医疗资源不均难题。研究背景显示，普陀区作为海岛区域，面临人口老龄化、医疗供需错配等挑战，浙江普陀医院作为医共体牵头单位承担核心职能。通过定性案例研究法，结合深度访谈、参与式观察与档案分析，本文揭示了普陀区医共体的创新实践：以“山海”提升工程为框架，与邵逸夫医院建立紧密合作，推动优质资源下沉与本地能力培育；依托“共富方舟”行动，运用5G + AR、中央遥测监护等数字技术构建“海陆空”一体化急救体系，实现医疗服务“救治前移”；通过组织变革，实现人才培育与服务下沉从而强化治理效能。研究同时指出当前面临的人才不稳定、科研水平不足、信息化建设薄弱等挑战，并提出针对性建议。普陀医共体的实践表明，健康共富需通过理论创新打破资源桎梏、数字赋能跨越空间阻隔、组织改革与青年力量筑牢根基，为破解地域发展不平衡提供了“普陀样本”。

Abstract: Focusing on the medical consortium in Putuo District, Zhoushan City, Zhejiang Province, this study deeply explores how island regions can address the challenge of uneven medical resource distribution through “Mountain-Sea Collaboration”, “technological empowerment”, and “organizational transformation” within the context of building a Common Prosperity Demonstration Zone. The research background highlights that Putuo, as an island region, faces significant challenges such as an aging population and a mismatch between medical supply and demand, with Zhejiang Putuo Hospital serving as the core leading unit of the medical consortium. Employing a qualitative case study approach that integrates in-depth interviews, participant observation, and archival analysis, this paper reveals the innovative practices of the Putuo medical consortium: firstly, utilizing the “Mountain-Sea” Enhancement Project as a framework to establish close cooperation with Sir Run Run Shaw Hospital, thereby facilitating the sinking of high-quality resources and cultivating local capabilities; secondly, relying on the “Common Prosperity Ark” initiative to leverage digital technologies such as 5G + AR and central telemetry monitoring to construct an integrated “sea-land-air” emergency rescue system, achieving a shift of medical services towards “pre-hospital intervention”; and thirdly, implementing organizational transformations to strengthen talent development and service decentralization, thus enhancing governance efficacy. The study also identifies current challenges, including talent instability, insufficient research capacity, and weak informatization construction, offering targeted recommendations accordingly. The practice of the Putuo medical consortium demonstrates that achieving health-related common prosperity requires theoretical innovation to break resource constraints, digital empowerment to overcome spatial barriers, and organizational reform coupled with youth engagement to solidify foundations. Ultimately, this case provides a “Putuo Sample” for resolving regional development imbalances.