梳理爱尔兰运动转诊发展和实施经验,为我国体医融合提供路径创新及方法借鉴.采用文献资料法、逻辑分析法和归纳推理法,基于利益相关者理论,对爱尔兰《国家运动转诊框架》(NERF)指导下的运动转诊(PARS)实施进行系统分析.研究得出:利益相关方共同参与的顶层制度设计与实施原则,创新化的运营模式与多元利益主体监督体系,基于医疗保健的转诊路径设置,利益相关者协同参与的评估实施架构,是爱尔兰NERF指导下运动转诊(PARS)实施的核心.研究认为,我国体医融合路径创新可从4方面进行:(1)完善体医融合的多方参与制度体系,明确各参与主体利益共享;(2)构建多主体协作的运作模式,促进各利益主体权责共担;(3)设置分工明确的体医融合服务流程,增强过程的可操作性;(4)建立多方协同的体医融合评估架构,完善评价的科学性与有效性.
Through literature study,logical analysis and inductive reasoning,the development and experience of physical activity referral in Ireland was reviewed in order to reveal the implementation of sports referral(PARS)in Ireland under the guidance of National Exercise Referral Framework(NERF)based on stakeholder theory so as to provide innovation and methodological reference for sports medicine integration in China.It was concluded that the top-level system design and implementation principles of stakeholder participation,innovative operational model and multi-stakeholder monitoring system,healthcare-based referral pathway setting,and evaluation and implementation structure with collaborative stakeholder participation were the core of the implementation of physical activity referral(PARS)under the guidance of NERF in Ireland.The innovation of sports and medicine integration in China could be carried out through improving the multi-participation system of sports and medicine integration and clarifying the benefit sharing of each participating subject,through constructing the operation mode of multi-participant collaboration and promoting the power and responsibility sharing of each interested subject,through setting up a clear division of labor in the service process of sports and medicine integration and enhancing the operability of the process,establishing the evaluation structure of sports and medicine integration with multi-participant collaboration,providing more scientific and valid evaluation.