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

Corresponding author: tianguanghua, cuizhaohan0023@163.com

DOI: 10.12201/bmr.202603.00039

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  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

  Submit time: 11 March 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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