首页|基于组织变革理论的基层医疗卫生机构数字化转型路径研究——以天津市基层数字健共体为例

基于组织变革理论的基层医疗卫生机构数字化转型路径研究——以天津市基层数字健共体为例

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目的 探究我国基层医疗卫生机构数字化转型路径,为领域内研究和后续政策制定提供参考.方法 借助半结构化访谈收集天津市数字健康共同体建设方面的经验与做法,收集公开性外部资料,以内部资料为补充,使用程序化扎根方法对资料进行编码分析.结果 经编码得到39个一级范畴和13个二级范畴,以组织变革理论分析框架为指引,最终得到5个核心范畴,即驱动因素、结构变革、技术变革、人员变革和任务变革,并以此建立基层医疗卫生机构数字化转型路径.结论 结构变革、技术变革、人员变革和任务变革4个维度间相互影响、相辅相成,区域基层医疗卫生机构数字化转型应当保证组织层面多个维度的协同发展,提出了重视顶层设计驱动、应用数字技术赋能业务场景和积极推广相关地区实践经验3个方面的建议.
Research on the Digital Transformation Path of Primary Health Care Institutions Based on Organizational Change Theory:Take Tianjin's Digital Health Service Consortium as an Example
Objective To explore the digital transformation path of primary medical and health institutions in China,and provide reference for the research and follow-up policy formulation in the field.Methods The experience and practice of Tianjin digital health service consortium were collected by semi-structured interview,and the external and internal data were continuously collected as supplements.Finally,the data were coded and analyzed by programmatic grounded method.Results After coding,39 first-level categories and 13 second-level categories were obtained.Finally,guided by the theoretical analysis framework of organizational change,five core categories were obtained,namely,driving factors,structural change,technological change,person change and task change,so as to establish the digital transformation of primary health care institutions.Conclusion The four dimensions of structure,technology,person and task change influence and complement each other.The digital transformation of regional medical institutions should ensure the coordinated development of multiple dimensions at the organizational level.Finally,suggestions are put forward in three aspects:attaching importance to top-level design driving,applying digital technology to empower business scenarios,and actively promoting practical experience in relevant regions.

digita l transformationorganizational changeprimary care organizationsdigital health service consortium

李国瑜、姚强、张之恒、刘智勇

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华中科技大学同济医学院医药卫生管理学院 湖北武汉 430030

武汉大学政治与公共管理学院 湖北武汉 430030

数字化转型 组织变革 基层医疗卫生机构 数字健康共同体

国家自然科学基金首都医科大学国家医疗保障研究院开放性课题

71874059YB2021B11

2024

中国医院管理
中国医院管理杂志社

中国医院管理

CSTPCD北大核心
影响因子:2.15
ISSN:1001-5329
年,卷(期):2024.44(4)
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