基于《健康服务体系中的康复》构建体育活动融入康复服务的行动者网络体系

doi:10.3969/j.issn.1006-9771.2026.05.002

Abstract

Abstract:

Objective To construct an actor-network for integrating physical activity into rehabilitation services based on the World Health Organization Rehabilitation in Health Service System framework and actor-network theory (ANT).
Methods Content analysis was employed using the six building blocks of health service systems as the theoretical framework. Actors related to rehabilitation services were extracted and categorized into a rehabilitation actor pool, while a physical activity actor pool was formed based on four major physical activity scenarios. Actors from both pools were integrated, deduplicated and classified to form a final list of integrated actors. Using ANT, the construction process of the actor network integrating physical activity into rehabilitation was analyzed through the four stages of translation: problematization, interessment, enrollment and mobilization.
Results A dynamic integration network was constructed, comprising human actors (patients, rehabilitation professionals, researchers, sports coaches, government departments, medical institutions, community organizations and industry media, etc.) and non-human actors (assistive devices, sports infrastructure, smart equipment, information systems, online exercise guidance systems, laws and regulations, strategic documents, and exercise prescriptions, etc.). The study identified maximizing rehabilitation outcomes as the mandatory passage point and elaborated on the critical role of government departments as focal actors in coordinating various stakeholders.
Conclusion The integration of physical activity into rehabilitation services is a dynamic network constructed by diverse actors through a process of translation. ANT provides an operational theoretical framework for cross-departmental governance of rehabilitation policies in China, promotes the spatial expansion of the rehabilitation field, and drives its transformation toward a networked and ecological system. The government needs to play a leading role in facilitating role reconstruction and synergy among heterogeneous actors in both the sports and rehabilitation sectors through mechanism design, to create a bidirectional empowerment mechanism that fosters mutual progress and ensures the sustainable development of integrated services.

Key words: health service system, rehabilitation, sports activity, actor-network theory

CLC Number:

CHENG Yaning, CHEN Di, TANG Chenchen, TIAN Yifan, LIU Lixu, ZHANG Yingxin, WANG Yizheng, HUANG Yaling. Constructing an actor-network theory for integrating sports activity into rehabilitation based on Rehabilitation in Health Service System[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(5): 508-521.

Figures/Tables 12

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体育领域	康复领域
《中华人民共和国体育法》^[11]	《健康服务体系中的康复》^[18]
《全民健身计划(2021-2025)》^[12]	《全球残疾人健康公平报告》^[14]
《社会体育指导员(2020年版)——国家职业技能标准》^[13]	《康复胜任力架构》^[15]
《“健康中国2030”规划纲要》^[16]	《“健康中国2030”规划纲要》^[16]
《临床运动处方实践专家共识(2025)》^[17]	《临床运动处方实践专家共识(2025)》^[17]
学术文献研究成果等	学术文献研究成果等

一级分类	二级分类
普通学校	城市普通学校
	农村普通学校
特殊学校	城市特殊学校
	农村特殊学校

一级分类	二级分类	目的
普通家庭	活动参与者	提升身体素质、提高生活质量、接轨学校体育
	正常环境
残疾人家庭	活动参与者	提升/恢复身体素质、提高生活质量、融入社会
	无障碍环境

一级分类	二级分类
主动运动	医疗机构内
	社会
运动想象	医疗机构内
被动运动	医疗机构内
	居家

Constructing an actor-network theory for integrating sports activity into rehabilitation based on Rehabilitation in Health Service System

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