数字赋能农村医疗卫生服务体系高效建设的关键要素与驱动路径--基于28个案例的模糊集定性比较分析  

The Key Elements and Driving Paths of Digital Empowerment for the Efficient Construction of the Rural Medical And Health Service System:Based on 28 Cases Through fsQCA

作　　者：李立清 喻明 LI Liqing;YU Ming(Department of Public Administration and Law,Hunan Agricultural University,Changsha 410128)

机构地区：[1]湖南农业大学公共管理与法学学院,长沙410128

出　　处：《科技情报研究》2024年第3期41-55,共15页Scientific Information Research

基　　金：国家社会科学基金后期资助重点项目“我国农村公共产品供给标准理论与实践研究”(编号:20FGLA001);湖南省哲学社会科学成果评审委员会立项资助重大项目“湖南省农村智慧健康养老体系研究”(编号:XSP21ZDA001)。

摘　　要：[目的/意义]探索技术-组织-环境各前因条件对数字赋能农村医疗卫生服务体系高效建设的联动效应及提升路径,旨在加快推进农村医疗卫生服务数字化建设的研究进展。[方法/过程]基于技术-组织-环境(TOE)框架与中国现实场景,构建数字赋能农村医疗卫生服务体系高效建设的理论分析框架,并以中国28个省(自治区、直辖市)为案例,运用模糊集定性比较分析方法,探究数字赋能农村医疗卫生服务体系高效建设的关键要素与驱动路径。[结果/结论]研究发现,技术-组织-环境各前因条件中的单一条件并不构成数字赋能农村医疗卫生服务体系高效建设的必要条件;存在驱动农村医疗卫生服务体系高效建设的4条路径:技术-组织-环境联动型、技术与组织为主+环境辅助型、技术+组织型、技术+环境型;在特定条件禀赋下,注意力分配与公众外部需求发挥着2—3个条件组合的协同作用。[Purpose/significance]This paper explores the linkage effect and improvement path of technology-organization-environment antecedents on the efficient construction of digital empowerment rural medical and health service system,in order to accelerate the research progress of digital construction of rural medical and health service.[Method/process]Based on the technology-organization-environment(TOE)framework and China's real-life scenarios,this paper constructs a theoretical analysis framework for the efficient construction of digital empowerment rural medical and health service system,Using the method of fuzzy set qualitative comparative analysis,this paper takes the rural areas of 28 provinces(autonomous regions and municipalities directly under the central government)in China as a case study to explore the key elements and driving paths of digital empowerment rural medical and health service system efficient construction.[Result/Conclusion]The results show that a single condition does not constitute a necessary condition for the efficient construction of digital empowerment rural medical and health service system.There are four paths that drive the efficient construction of the rural medical and health service system:technology-organization-environment linkage,technology-organization+environment-assisted,technology+organization,and technology+environment.Under the specific condition endowment,attention allocation and the external demand of the public play a synergistic effect of 2—3 condition combinations.

关 键 词：数字赋能 农村医疗卫生服务体系 TOE框架 模糊集定性比较分析 

分 类 号：G311[文化科学]