医院间合作网络对医院绩效的影响研究——基于在线健康咨询平台的实证分析

Effects of Hospital Cooperation Network on Hospitals’Performance:an Empirical Study from Online Health Consulting Platform

电子健康产业的蓬勃发展给传统的健康保健领域带来了翻天覆地的变革,在线健康咨询平台顺势发展起来,基于在线健康咨询平台的跨地区、跨领域、跨医院的在线医生团队有效整合了短缺的医疗资源,使病人足不出户可以享受到最好的医疗资源。目前学术界对于在线健康咨询平台医生团队的相关研究仍是一片空白。本文以国内最大的在线健康咨询平台——挂号网为例,利用网络爬虫技术收集二手数据,通过医生团队网络构建医院间合作网络,站在医院的角度,以社会凝聚力理论和结构洞理论为基础探究在医院合作网络中影响合作绩效的因素。本文提出两个假设:合作网络中医院社会凝聚力越高,该医院的合作绩效就越高;合作网络中处于结构洞位置的医院,其合作绩效也越高。结果表明:医院节点占据网络结构洞位置,会极大地促进医院收益。本文研究结果为医院建设医生团队提供方向指导,也为在线医生团队的后续研究提供一定的理论基础。

The vigorous development of electronic health industry has brought tremendous changes to the traditional health care field.Online health consulting platform has been developing with trend over years.The cross-regional,cross-domain and cross-hospital online doctor teams appearing in online health consulting platform have effectively integrated the shortage of medical resources and enabled patients to enjoy best online medical resources without leaving home.At present,there is still limited research about doctors’team in the online health consulting platform.This paper takes Guahao.com,the largest online health consulting platform in China,as our testbed,collects secondary data by using web spider technology,constructs hospital cooperation network through doctor team data,incorporates social cohesion and structural hole theory and explores the factors affecting cooperation performance in hospital cooperation network.This paper proposes two hypotheses:the higher the social cohesion of the hospital in the cooperative network,the higher the cooperative performance of the hospital;those hospitals in the structural hole position of the cooperative network would also achieve higher cooperative performance.The results show that hospital nodes which occupy the structure holes of the cooperation network,will greatly promote hospital benefits.The results of this study provide guidance for the construction of doctor team in hospitals,and also provide a theoretical basis for the follow-up study of online doctor team.