摘要推动医防融合，完善医防协同机制，是实现我国医疗卫生服务体系从"以疾病为中心"向"以人民健康为中心"转变，为人民提供全方位全周期健康服务的必然要求。本研究在明确医防融合协同治理主体的基础上，建立基于SFIC模型的研究框架，分别从外部环境、起始条件、催化领导、制度设计和协同过程5个方面梳理我国医防融合协同治理困境。为打破医防融合困境，促进多元主体协同治理，笔者提出进一步完善相关法律法规与政策体系、补齐资源短板、吸纳多元主体参与等优化策略，以期为推进我国医防融合工作提供参考。

abstractsPromoting medical preventive integration and improving its collaborative mechanism is an inevitable requirement for achieving the transformation of China′s medical and health care system from " disease centered" to " people′s health centered" and providing comprehensive and comprehensive health services for the people.This study established a research framework based on the SFIC model on the basis of clarifying the collaborative subjects of medical preventive integration, sorted out the dilemma of medical preventive integration collaborative governance in China from five aspects, including external environment, starting conditions, facilitative leadership, institutional design and collaborative process.In order to break the dilemma of medical preventive integration and promote collaborative governance among multiple subjects, the authors proposed such optimization strategies, including further improving relevant laws, regulations, and policy systems, filling resource gaps, attracting multiple entities to participate, providing reference for promoting China′s medical preventive integration work.