数字化时代的区域卫生信息平台顶层设计研究

发布时间：2018-07-14 11:54

【摘要】：近年来政府下大力气开展区域卫生信息平台建设,致力于在医疗服务机构间进行安全和标准化的信息共享,旨在对业务流程和医疗服务效果产生积极影响。但区域卫生信息平台的规划设计相对传统,而医疗领域的环境和技术发展已发生巨大变化,即平台涉及到多方利益的协调和对复杂技术组件的编排,对平台的开发和应用提出了挑战。对此,数字化平台和医疗信息系统的研究强调一个全面系统的顶层设计对促进平台深度应用具有重要意义。从社会技术系统的视角出发,以服务主导逻辑和网络实体系统为理论基础,提出框架模型。以佛山区域卫生信息平台为例,对参与平台设计、实施和应用的相关组织和人员进行深度访谈,通过明晰区域卫生信息平台中社会和技术元素的交互过程,实现对理论框架的深化和拓展。研究结果表明,区域卫生信息平台中医疗服务提供者和接受者的角色正在模糊化,平台通过整合和分享多元化的信息、知识和制度等资源,促进不同成员间的价值共创。相应地,各项技术组件被编排成五层级架构,促进平台实现资源整合和再利用。基于此,提出融合社会和技术元素的全面的区域卫生信息平台顶层设计架构。将服务主导逻辑纳入到区域卫生信息平台的研究,探讨在数字化带动的医疗服务变革环境下平台的角色价值,弥补了已有研究从产品输出的角度分析平台问题而导致的对社会属性探讨的不足。另外,强调平台技术在价值共创研究中的关键作用,认为价值共创要建立在整合并重新组织异质性资源的基础上,拓展了价值共创的研究范畴。提出的顶层设计架构既强调了平台在实践中的服务意识,也阐述了实现医疗服务价值共创的具体过程,为全国各地区的区域卫生信息平台建设提供参考。
[Abstract]:In recent years, the government has made great efforts to build a regional health information platform, which is dedicated to the safe and standardized information sharing among medical service institutions, aiming to have a positive impact on business processes and the effect of medical services. However, the planning and design of the regional health information platform is relatively traditional, and the environment and technological development in the medical field have changed greatly, that is, the platform involves the coordination of multiple interests and the arrangement of complex technical components. It challenges the development and application of the platform. Therefore, the research of digital platform and medical information system emphasizes that the top-level design of a comprehensive system is of great significance to promote the deep application of the platform. Based on the theory of service leading logic and network entity system, a framework model is proposed from the perspective of social technology system. Taking the Foshan regional health information platform as an example, the author conducted in-depth interviews with relevant organizations and personnel involved in the design, implementation and application of the platform, and clarified the interactive process of social and technical elements in the regional health information platform. To deepen and expand the theoretical framework. The results show that the roles of medical service providers and recipients in the regional health information platform are becoming blurred, and the platform promotes the value creation among different members by integrating and sharing diverse resources such as information, knowledge and institutions. Accordingly, technical components are organized into a five-tier architecture to facilitate resource integration and reuse on the platform. Based on this, a comprehensive top-level design framework of regional health information platform is proposed, which integrates social and technical elements. The service leading logic is integrated into the research of the regional health information platform, and the role of the platform in the digitalized medical service reform environment is discussed. It makes up for the deficiency of analyzing the platform problem from the point of view of product output. In addition, it emphasizes the key role of platform technology in the research of value creation, and points out that value creation should be established on the basis of integrating and reorganizing heterogeneous resources, thus expanding the research scope of value creation. The top-level design architecture not only emphasizes the service consciousness of the platform in practice, but also expounds the concrete process of realizing the value creation of medical service, which provides a reference for the construction of regional health information platform in various regions of the country.
【作者单位】：北京大学光华管理学院;中国人民大学信息学院;佛山市卫生和计划生育局;
【基金】：国家自然科学基金(71371017)~~
【分类号】：F274

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