Case research on stroke integrated medical service system based on actor network theory:taking the medical service system of a large-scale tertiary hospital as an example
Objective To cope with the severe situation of stroke prevention and control,and to solve the problems of lack of awareness of early prevention and treatment of diseases,difficulty in seeking medical treatment,loose structure of medical consortia,and low efficiency of medical resource utilization among the masses in China,fully mobilize resources from all parties,and jointly achieve the goal of system construction.Methods Taking the establishment of a stroke medical service system led by a large tertiary hospital as an example,a theoretical analysis model of the actor network of stroke prevention and control medical consortia was constructed.The translation principle was used to conduct in-depth analysis of heterogeneous actors,mandatory ac-cess points,recruitment,benefit sharing,and mobilization in the stroke prevention and control medical consortium network,bal-ance the interests and demands of all parties,and eliminate obstacles in the operation system.Results By applying the actor network theory method,consolidating multidisciplinary forces within the hospital,strengthening quality control,enhancing region-al collaborative treatment,conducting screening,education,and training to promote early screening,diagnosis,and treatment,the number of patients treated in the stroke center showed an increasing trend,with an average annual growth rate of 10.93％.The treatment time of the stroke center was significantly shortened.In the past four years,the median DNT time was shortened by 15 minutes,and the median DPT time was shortened by 67 minutes.Conclusion Multiple departments,institutions,and disci-plines can collaborate to strengthen patient education,conduct screening,enhance information technology construction and quality control,mobilize various stakeholders in the system,and strive to properly solve the problem of stroke prevention and control.
Actor network theoryTranslationStrokeMedical service systemStakeholder analysis
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