健康发展与政策研究2025，Vol.28Issue(4)：401-409,9.DOI:10.12458/HDPR.202411021
基于扎根理论和协同治理模型的我国健康医疗大数据协同发展路径探析
The synergistic development path of health care big data in China based on grounded theory and SFIC model
摘要
Abstract
Objective To explore the challenges of the coordinated development of health care big data in China and put forward optimization strategies,so as to provide a reference for further improving the empowerment of health care big data and improving medical service efficiency.Methods The data were collected through literature review,policy analysis,and key informant interview.Coding analysis was carried out in combination with the synergistic framework(SFIC model)and grounded theory,to construct a collaborative development model of health care big data in China,and explore the collaborative challenges in depth.Results After three levels of coding,22 initial categories,10 main categories and 4 core categories were summarized.The coding results,combined with the SFIC model,revealed that the collaborative development model of health care big data in China includes four aspects:starting conditions,facilitative leadership,institutional design,and collaborative process.The development of health care big data in China faces the following issues:difficulties in eliminating information barriers,a lack of high-quality talents and technologies,the need for stronger inter-agency cooperation,an imperfect power and responsibility mechanism,and challenges in policy implementation.Further,gradual improvement of top-level design but limited guidance from supporting policies,a lack of a multi-agent coordination mechanism,and poor integration across various stages are clear.Conclusion In response to the weak starting condition,insufficient facilitative leadership,imperfect institutional design,and collaborative challenges in the development of health care big data in China,the corresponding collaborative paths are proposed:focusing on the real data connectivity to consolidate the collaborative foundation;improving the power and responsibility mechanism to strengthen policy implementation;advancing top-level design to build a systematic and holistic supporting policy framework;optimizing the collaborative process at each stage to reinforce the supervision of the whole process.关键词
健康医疗大数据/协同发展/扎根理论/SFIC模型Key words
health care big data/synergistic development/grounded theory/SFIC model分类
医药卫生引用本文复制引用
顾一纯,何达,姜凤,田博韬,汪茹..基于扎根理论和协同治理模型的我国健康医疗大数据协同发展路径探析[J].健康发展与政策研究,2025,28(4):401-409,9.基金项目
国家卫生健康委医院管理研究所面上项目(NIHA23JXH014),上海市疾病预防控制政策研究项目(2025JZ23) （NIHA23JXH014）
