中国全科医学2025，Vol.28Issue(19)：2426-2432,2448,8.DOI:10.12114/j.issn.1007-9572.2024.0271
信息化建设赋能紧密型县域医共体高质量发展的机制研究
The Mechanism of Information Construction Enabling High-quality Development of Compact County-level Medical Consortium
摘要
Abstract
Background With the comprehensive launch of the information construction of China's close-knit county-level medical consortium,localities are making full use of Internet information technology to explore mechanisms suitable for the development of county-level medical consortium,and how to rely on information technology construction to enhance the capacity of primary health care services has become an important issue.Objective Explore the mechanism of information construction to empower the high-quality development of compact medical consortium.Methods Purposive sampling method was used to conduct semi-structured interviews in December 2023 with 28 medical staff from the medical community in County G.The interview topics centered on the characteristics and highlights of the medical community in the construction of information technology,its effectiveness,and the application of information technology in the internal management of the medical community,etc.At the same time,policy documents and news reports on the construction of the county-level medical community were selected to serve as the secondary data.The interview data and secondary data were coded and analysed through open coding,axial coding and selective coding,following programmed rooting theory approach.Results Through open coding,134 concepts and 48 basic categories were extracted;6 main categories were obtained through axial coding.Theoretical framework was formed through selective coding,which mainly consists of 4 mechanisms,they were the mechanism of top-down linkage,the mechanism of integration of medical treatment and prevention,the mechanism of data sharing,the mechanism of fund management.Conclusion County G medical consortium improves the top-level design and strengthens the unified management and responsibility implementation of the medical consortium;and empowers the division of labor,service integration,interconnection and benefit-sharing mechanism among units of the compact county-level medical consortium through informatization,so as to promote the high-quality development of the compact county-level medical consortium.关键词
紧密型县域医共体/分级诊疗/信息技术/质性研究/扎根理论Key words
Compact county-level medical consortium/Hierarchical diagnosis and treatment/Information technology/Qualitative research/Grounded theory分类
预防医学引用本文复制引用
边颖,尹刚,张梓洵,陶红兵..信息化建设赋能紧密型县域医共体高质量发展的机制研究[J].中国全科医学,2025,28(19):2426-2432,2448,8.基金项目
国家自然科学基金资助项目(72074093) （72074093）
