信息化建設(shè)賦能緊密型縣域醫(yī)共體高質(zhì)量發(fā)展的機(jī)制研究

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【中圖分類(lèi)號(hào)】 R 197 【文獻(xiàn)標(biāo)識(shí)碼】 A DOI：10.12114/j.issn.1007-9572.2024.0271

【Abstract】BackgroundWith the comprehensive launch of the information construction of China’s close-knit county-levelmedicalconsortium，localitiesaremakingfulluseof Internet information technologytoexplore mechanisms suitableforthedevelopmentofcounty-levelmedicalconsortium，andhowtorelyoninformationtechnologyconstructionto enhance thecapacityof primary healthcare services has becomean important isse.ObjectiveExplore the mechanismof informationconstructiontoempowerthehigh-qualitydevelopmentofcompactmedicalconsortium.MethodsPurposivesampling method wasusedtoconductsemi-structured interviews in December2O23with28 medical staffromthe medicalcommunity inCountyG.Theinterviewtopicscenteredonthecharacteristicsandhighlightsofthemedicalcommunityintheconstruction of informationtechnology，itseffectiveness，andtheapplicationof information technologyintheinternal managementofthe medicalcommunity，etc.Atthesametime，policydocumentsand newsreportsontheconstructionofthecounty-level medicalcommunitywereselectedtoserveas thesecondarydata.Theinterviewdataandsecondarydatawerecodedandanalysed throughopencoding，axial coding and selective coding，folowing programmed roting theory approach.ResultsThrough open coding，134 conceptsand 48 basic categories were extracted；6 main categories were obtained through axial coding. Theoreticalframework wasformed through selectivecoding，which mainlyconsistsof4 mechanisms，theywerethe mechanism of top-down linkage，the mechanismofintegrationof medicaltreatmentandprevention，themechanismofdatasharing，the mechanism offund management.ConclusionCountyGmedicalconsortiumimproves thetop-leveldesignand strengthens the unifiedmanagementandresponsibilityimplementationof the medicalconsortium；andempowersthedivisionoflabor，service integration，interconnectionandbenefit-sharingmechanismamongunitsofthecompactcounty-levelmedicalconsortiumtrough informatization，soas to promote the high-quality development of the compact county-level medical consortium.

【Key Words】Compact county-level medical consortium；Hierarchical diagnosis and treatment；Information technology；Qualitative research；Grounded theory

開(kāi)展緊密型縣域醫(yī)共體建設(shè)是強(qiáng)化基層醫(yī)療衛(wèi)生服務(wù)的重要舉措，隨著數(shù)字化信息技術(shù)的蓬勃發(fā)展，醫(yī)療信息化建設(shè)成為縣域醫(yī)共體高質(zhì)量發(fā)展的重要驅(qū)動(dòng)力［1]。（剩余9229字）