组态视角下医联体成员信息共享行为影响因素研究

Influencing Factors of Information Sharing Behavior of Medical Association Members from the Perspec-tive of Confi guration

目的探究影响医联体成员信息共享行为的因素,为促进信息共享工作提供理论参考。方法采用问卷调查对医联体成员医院工作人员信息共享行为进行调研。以问卷所得的数据为样本,基于TOE理论构建技术、组织、环境3个维度共8个影响因素的组态效应理论框架,通过模糊集定性比较分析方法对影响医联体成员信息共享行为的因素进行组态分析。结果得出3条促进医联体诊疗信息共享行为的组态路径,识别出政府支持、公民需求为必要条件,行业环境为核心条件。结论政府体制支持对医联体成员信息共享决策至关重要,民众医疗数据共享服务需求是医联体成员信息共享行为的重要动力,医务人员的认同与配合是医联体成员信息共享行为的内在保障。

Objective To explore the factors that affect the sharing behavior of medical information and to provide empirical evidence for promoting the sharing of medical information.Methods Questionnaire survey was used to in vestigate the sharing behavior of medical information among the staff in the member hospitals of the medical union.Based on TOE theory,a theoretical framework of configuration effects with 8 influencing factors in 3 dimensions of technology,organization and environment was constructed based on the data obtained from the questionnaire.The factors affecting the sharing behavior of diagnosis and treatment information in medical union were analyzed by fuzzy set qualitative comparative analysis.Results Three behavioral configuration paths for promoting medical informa-tion sharing were obtained,and government support and citizen demand were identified as necessary conditions,while industry environment was the core condition.Conclusion The support of the government system is crucial to the information sharing decision of the members of the medical association.The demand of the public for medical data sharing service is an important driving force for the information sharing behavior of the members of the medi-cal association.The recognition and cooperation of the medical staff is the internal guarantee for the effectiveness of the information sharing behavior of the members of the medical association.