通讯作者: 田光华, cuizhaohan0023@163.com

DOI：10.12201/bmr.202603.00039

Research on the Element Framework and Implementation Mechanism of Digital County Medical Consortium Construction from the Perspective of Socio-technical System Theory: A Case Study of the Dongtai Digital County Medical Consortium in Jiangsu Province

• 摘要：本文基于社会技术系统理论，以江苏东台数字医共体为例，探讨数字医共体建设的要素框架与实现机制。东台数字医共体在任务维度上统筹了健康服务提供、医保基金优化与机构协同发展三项任务；在结构维度上通过治理模式创新、柔性结构变革、多元利益联结实现紧密运行；在人员维度上依赖变革领导、能力提升与科学激励激活人员能动性；在技术维度上依托多元数据整合、创新技术嵌入与安全保障构建数字支撑体系。进一步，数字医共体实现依赖于“任务-结构-技术”与“任务-人员-技术”两组三维协同机制，前者实现县域医共体的智慧组织与治理创新，后者保障人力资源的精准配置与行为协同。研究发现：数字医共体建设是多要素动态协同演化的过程；数字技术效能发挥是工具属性与治理属性的有机结合，需重视其治理属性发挥；不同模式县域医共体的数字化建设需因地制宜；需同步推进医共体数字化建设与服务能力建设。

  关键词： 社会技术系统; 数字医共体; 要素框架; 实现机制

   

  Abstract: Based on the Socio-technical System Theory and taking the Dongtai Digital County Medical Consortium in Jiangsu as a case study, this paper explores the element framework and implementation mechanisms for constructing a digital medical consortium. In terms of mission, the Dongtai Digital Medical Consortium integrates three key tasks: health service delivery, optimization of medical insurance funds, and collaborative institutional development. Structurally, it achieves close integration through innovations in governance mode, flexible structural reforms, and diversified interest linkages. Regarding personnel, it activates human agency by relying on change leadership, capability enhancement, and scientific incentives. Technologically, it builds a digital support system based on multi-source data integration, innovative technology embedding, and security safeguards. Furthermore, the realization of the digital medical consortium relies on two tri-dimensional synergistic mechanisms: Mission-Structure-Technology and Mission-Personnel-Technology. The former enables intelligent organization and governance innovation within the county medical consortium, while the latter ensures the precise allocation of human resources and behavioral coordination. The study finds that: the construction of a digital medical consortium is a process of dynamic and synergistic evolution involving multiple elements; the effectiveness of digital technology stems from the organic integration of its instrumental and governance attributes, necessitating an emphasis on its governance role; the digital development of different models of county medical consortium must be adapted to local conditions; and the digital construction of medical consortia must be advanced in tandem with the enhancement of service capabilities.

  Key words: Socio-technical System; Digital County Medical Consortium; Element Framework; Implementation Mechanism

  提交时间：2026-03-11

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 崔兆涵, 王虎峰, 张子楠. 多重制度逻辑视角下紧密型县域医共体的治理机制与组织协同： 理论机理与实证检验. 2025. doi: 10.12201/bmr.202502.00049

  崔兆涵, 田笑予, 王虎峰. 制度创业视角下地方紧密型医共体创新的生成逻辑与实现路径. 2024. doi: 10.12201/bmr.202406.00019

  周大鸿, 黄艺璠, 王红迁, 缪斯蔚, 李颖. 医联体大数据安全管理体系建设与实施. 2024. doi: 10.12201/bmr.202404.00016

  卓丽军, 陶红兵. 县域医共体内县级专科医师下沉基层的激励机制研究. 2023. doi: 10.12201/bmr.202304.00007

  王红波, 张开然, 龚曦. 县域医共体与医保的协同发展：理论缘由、实践困境与优化策略. 2023. doi: 10.12201/bmr.202310.00001

  纪浩. 跨越鸿沟：浙江省数字化康养联合体模型、挑战及适老化对策研究. 2024. doi: 10.12201/bmr.202411.00078

  崔月颖. 基于熵权法的县域医共体健康绩效评价指标体系权重分析. 2024. doi: 10.12201/bmr.202405.00003

  邢怡青, 贺睿博, 李浩淼, 张亮. 县域医保支付与医疗服务结构适配关系与机理——基于云县典型案例的分析. 2023. doi: 10.12201/bmr.202306.00005

  杨昊韵, 张晓, 丁晨钰. 基于SWOT分析的江苏省职工医保门诊共济优化路径设计. 2022. doi: 10.12201/bmr.202204.00009

  熊英贝, 钟正东, 林坤河, 刘宵, 周津, 项莉. 三明市医共体内外经济激励对医疗服务供给的影响研究. 2022. doi: 10.12201/bmr.202209.00006

• 序号	提交日期	编号	操作
  1	2025-12-19	10.12201/bmr.202603.00039V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论