健康发展与政策研究2024，Vol.27Issue(6)：517-523,7.DOI:10.12458/HDPR.202409016
行动者网络视角下降低整合型医疗卫生服务体系交易费用的实现路径
Implementation pathways for reducing transaction costs in integrated delivery systems:an actor-network theory perspective
摘要
Abstract
Objective Based on the perspective of the actor network,this study aims to construct an implementation path for reducing the transaction costs of the integrated delivery systems,providing references for reducing IDS transaction costs.Methods A typical sampling method was used to select 92 staffmembers from integrated delivery systems in three places:N County in Dezhou,Shandong Province,J District in Zhengzhou,Henan Province,and D City in Haixi Prefecture,Qinghai Province,as interview objects.The grounded theory was used to summarize the categories of the interview data,the theoretical framework was constructed based on the deduction method in the real situation,and policy recommendations were put forward through induction.Results A total of 3 680 minutes of interviews were conducted,resulting in 552 800 words.After systematic organization,134 original statements were extracted.Open coding formed 19 first-level categories,axial coding formed 7 second-level categories,and selective coding led to two research levels of human actors and non-human actors,the theoretical framework of an actor-network model for reducing transaction costs in an integrated delivery systems is constructed from three aspects:actors,translation of actions,and objectives.Conclusions IDS consists of the government,lead organizations,member organizations,patients and other participants and the policy environment,socio-economic environment and geographic environment.Transaction costs within IDS are prevalent among all actors.In the next stage,measures such as improving the system construction,optimizing the resource allocation,promoting the coordination of interests among multiple actors,and strengthening patient cultivation should be taken to reduce the institutional transaction costs.关键词
行动者网络/整合型医疗卫生服务体系/交易费用/扎根理论Key words
actor-network/integrated delivery systems/transaction costs/grounded theory分类
医药卫生引用本文复制引用
苗豫东,郭丹,牟凌霄,曾鑫,胡建平..行动者网络视角下降低整合型医疗卫生服务体系交易费用的实现路径[J].健康发展与政策研究,2024,27(6):517-523,7.基金项目
国家社会科学基金一般项目(21BGL222) （21BGL222）
