基于TOE理论的政府公共卫生治理绩效提升路径研究——以贵州省为例  

Research on the improvement path of performance of public health governance based on TOE theory:Taking Guizhou province as an example

作　　者：伍如昕[1] 杜芳菡 WU Ru-xin;DU Fang-han(School of Public Administration,Central South University,Changsha Hunan 410075,China)

机构地区：[1]中南大学公共管理学院,湖南长沙410075

出　　处：《中国卫生政策研究》2025年第1期19-27,共9页Chinese Journal of Health Policy

摘　　要：目的:实证分析贵州省市级政府公共卫生治理绩效的提升路径,以期为健康中国战略的深入实施提供有效参考。方法:基于TOE框架,选取贵州省9个市(州)级政府为研究案例,联合运用模糊集定性比较分析方法和必要条件分析方法,从“技术—组织—环境”三个维度探讨大数据技术、技术基础设施、注意力强度等条件因素对贵州省市(州)级政府提升公共卫生治理绩效的瓶颈作用、联动效应及路径选择。结果:(1)单个条件不构成公共卫生治理高绩效的必要条件;(2)大数据技术在产生公共卫生治理高绩效上发挥普适作用,是治理的关键技术引擎;(3)驱动贵州省市(州)级政府公共卫生治理绩效提升的模式主要有两种,即“技术主导+环境辅助”模式和“技术主导+组织与环境为辅”模式。结论:各模式内的技术、组织与环境要素有效组合,通过不同的方式,最终都能提升政府公共卫生治理绩效。Objective:Empirically analyzing the improvement path of the municipal government's public health governance performance in Guizhou province,to providing an effective reference for the in-depth implementation of the Healthy China strategy.Methods:Based on the TOE framework,9 city(prefecture)governments in Guizhou province are selected as research cases,the fuzzy set qualitative comparative analysis method and the necessary condition analysis method are jointly applied to explore the bottleneck effect,linkage effect,and path selection of big data technology,technological infrastructure,attention intensity and other conditional factors on the Guizhou provincial government's improvement of public health governance performance from the three dimensions of“technology-organization-environment”.Results:(1)A single condition does not constitute a necessary condition for high public health governance performance;(2)Big data technology plays a universal role in generating high public health governance performance for governments and is a key technological engine for governance;(3)There are two main driving models for improving the performance of public health governance by the Guizhou provincial Government,namely the“technology led+environment assisted”model and the“technology led+organization and environment assisted”model.Conclusions:The effective combination of technology,organization,and environmental elements within each mode can enhance the performance of government public health governance in a“different paths leading to the same goal”manner.

关 键 词：公共卫生治理 绩效 TOE框架 定性比较分析 必要条件分析 

分 类 号：R197[医药卫生—卫生事业管理]