基于历史制度主义，运用混合研究方法分析1995—2023年我国央级体医融合政策，探讨其演化逻辑，揭示其演化取向。发现，我国体医融合政策经历初步探索、密集推动和稳步发展三个阶段。在逻辑上，以“高位推动”促进主体协作、以“以人为本”引导核心价值、以“供给主导”驱动融合发展的路径依赖塑造其延续渐进的演化规律，关键节点正向赋能推动其定向革新，使体医融合政策形成稳中有升、升中有进的演化过程；在取向上，呈现多元协作、核心稳固的主体取向，承继创新、统筹兼顾的主题取向，结构失衡、发展偏颇的工具取向。推进体医融合高质量发展，政策应充分发挥核心主体协调能力，明确主体间权责；均衡发展政策主题关注领域，加强产业链培育；重点推进政策工具结构优化，均衡子工具配置。

Based on the historical institution theory, this study employed a mixed research method to analyze the evolution logic and orientation of China's central-level sports-medicine integration policies by quantifying 1995 to2023 policy texts. As a result, it is found that China's sport-medicine integration policies underwent three stages,that is, the initial exploration, the intensive promotion, and the steady development. Logically, path dependencies like "high-level promotion" for policymakers' collaboration, "people-oriented" guidance of core values, and "supply-led" strategies for integrated development formed a gradual evolution pattern. Positive empowerment at critical junctures spurred targeted innovations, leading to the steady evolution of sport-medicine integration policies. In terms of the orientation, there were policymakers' orientations characterized by multiple collaboration and stable cores, thematic orientations featuring inheritance and innovation with overall consideration, and instrumental orientations marked by structural imbalance and biased development. To advance the high-quality integration development, policies should fully utilize core policymakers' coordination, clarify their rights and responsibilities, pursue balanced development in areas of concern, enhance industrial chain cultivation, and prioritize the structured optimization of policy instrument and sub-instrument allocations.