基于多案例研究的我国医院数字化转型模型构建与路径分析  

Analysis of the Construction and Path of China’s Hospital Digital Transformation Model Based on the Multiple Case Study

作　　者：杨梦柯 陈思思 辛杰 郜勇[2] 肖辉[3] 庹兵兵 姚竹馨 张治国[1,6] 沈丽宁 Yang Mengke;Chen Sisi;Xin Jie(School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science&Technology,Wuhan,Hubei,430030,China;不详)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]华中科技大学同济医学院附属协和医院,湖北武汉430022 [3]武汉大学中南医院,湖北武汉430071 [4]华中科技大学同济医学院附属同济医院,湖北武汉430030 [5]湖北省汉川市人民医院,湖北汉川431600 [6]湖北省卫生技术评估研究中心,湖北武汉430030 [7]华中科技大学同济医学院健康医疗大数据科学研究中心,湖北武汉430030

出　　处：《中国医院管理》2025年第5期39-44,53,共7页Chinese Hospital Management

基　　金：中央高校基本科研业务费资助项目(2023WKYXZX003)。

摘　　要：目的探讨我国医院数字化转型的驱动力、参与主体、核心任务与差异化发展模式,构建医院数字化转型模型并提出推进路径。方法基于ROCCIPI理论、社会技术系统理论和社会网络理论,运用多案例研究方法,对我国4家代表性医院深入分析,探讨医院数字化转型的驱动要素、社会网络关系、核心任务。结果医院数字化转型是一个受规则、机会、能力等多重因素共同驱动的复杂过程,需要多方主体围绕患者服务、临床业务、医院管理及安全防护4大核心任务高效协同,共同推动转型进程。进一步揭示了4家医院的差异化特征,形成了生态导向、区域整合、基层提升3种模式。在此基础上构建出我国医院数字化转型理论模型,并提出推进路径和策略。结论通过多案例分析提出了医院数字化转型模型与推进路径,弥补了现有研究分析视角单一的问题,为医院数字化转型提供参考。Objective To investigate the drivers,stakeholders,core tasks,and differentiated development models of digital transformation in Chinese hospitals,develop a hospital digital transformation model,and propose advancement pathways.Methods Leveraging ROCCIPI theory,socio-technical systems theory,and social network theory,a multiple case study approach was employed to analyze four representative Chinese hospitals,examining the driving factors,social network relationship,and core tasks of digital transformation.Results Hospital digital transformation is a complex process driven by regulations,opportunities,and capabilities,requiring efficient collaboration among stakeholders focused on patient services,clinical operations,hospital management,and security.It identified three development models-ecology-oriented,regional integration,and grassroots enhancement—based on the distinct characteristics of the hospitals.A theoretical model for digital transformation in four Chinese hospitals was developed,along with proposed pathways and strategies.Conclusion It presents a digital transformation model and advancement pathways for hospitals through multiple case analyses,addressing the limited perspectives of existing research and providing a reference for practice.

关 键 词：数字化转型 医院 多案例研究 

分 类 号：R197.323.1[医药卫生—卫生事业管理]