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Scientific Information Research

Keywords

digital empowerment; rural medical and health service system; TOE framework; fsQCA

Abstract

[Purpose/significance]This paper explores the linkage effect and improvement path of technology-organization-environment antecedents on the efficient construction of digital empowerment rural medical and health service system, in order to accelerate the research progress of digital construction of rural medical and health service. [Method/process]Based on the technology-organization-environment (TOE) framework and China's real-life scenarios, this paper constructs a theoretical analysis framework for the efficient construction of digital empowerment rural medical and health service system, Using the method of fuzzy set qualitative comparative analysis, this paper takes the rural areas of 28 provinces (autonomous regions and municipalities directly under the central government) in China as a case study to explore the key elements and driving paths of digital empowerment rural medical and health service system efficient construction. [Result/Conclusion]The results show that a single condition does not constitute a necessary condition for the efficient construction of digital empowerment rural medical and health service system. There are four paths that drive the efficient construction of the rural medical and health service system: technology-organization-environment linkage, technology-organization + environment-assisted, technology + organization, and technology + environment. Under the specific condition endowment, attention allocation and the external demand of the public play a synergistic effect of 2—3 condition combinations.

First Page

41

Last Page

55

Digital Object Identifier (DOI)

10.19809/j.cnki.kjqbyj.2024.03.004

Reference

[1] 新华社.中共中央办公厅 国务院办公厅印发《关于进一步深化改革促进乡村医疗卫生体系健康发展的意见》[EB/OL].(2023-02-23)[2023-12-10].https://www.gov.cn/zhengce/2023-02/23/content_5742938.htm.
[2] 王锋,张兆庭.农村数字化公共卫生服务体系建设的推进路径[J].理论探索,2023(02):87-94.
[3] 文丰安,卢艺.数字技术赋能乡村高质量发展:耦合性、作用机理与优化策略[J].河南社会科学,2023,31(03):104-112.
[4] 赵云辉,徐晓敏,李亚慧,等.民族地区大数据技术发展与政府公共卫生治理研究[J].民族研究,2022(01):48-66,144.
[5] 单珊.党的十八大以来我国突发公共卫生事件应急管理体系建设的重大成就和重要经验[J].管理世界,2022,38(10):70-78.
[6] 李志,唐波.数字健康治理的国际经验与启示[J].改革,2020(12):145-154.
[7] 徐顽强,郑会滨,王文彬.“健康中国”视域下农村卫生体制优化探讨[J].中国卫生经济,2019,38(07):15-17.
[8] FISS P C.Building Better Causal Theories:A Fuzzy Set Approach to Typologies in Organization Research[J].Academy of Management Journal,2011,54(02):393-420.
[9] 杜运周,李佳馨,刘秋辰,等.复杂动态视角下的组态理论与QCA方法:研究进展与未来方向[J].管理世界,2021,37(03):180-197,12-13.
[10] LEXUTT E.Different roads to servitization success-A configurational analysis of financial and non-financial service performance[J].Industrial Marketing Management,2020,84(01):105-125.
[11] FISS P C.A Set-theoretic approach to organizational configurations[J].The Academy of Management Review,2007,32(04):1180-1198.
[12] 刘春玉,任家乐,印度乡村数字素养教育:演进历程、路径选择与现实挑战[J].图书馆论坛,2022,42(04):152-160.
[13] 李韬,冯贺霞.数字健共体赋能基层卫生治理变革[J].行政管理改革,2022(08):56-63.
[14] 江维国,唐书娣.数字技术赋能农村基本公共卫生服务高质量供给研究[J].世界农业,2023(05):68-77.
[15] 穆荣平,蔺洁,池康伟,等.创新驱动社会服务数字转型发展的趋势、国内外实践与建议[J].中国科学院院刊,2022,37(09):1259-1269.
[16] 杨燕琳,李培艺,文进.基于扎根理论的互联网医院服务效果影响因素研究[J].医学与社会,2023,36(03):125-130,144.
[17] 杨欢,陈杨洋.互联网普及、交通便利化与医疗卫生服务效率:基于系统GMM与动态面板门槛模型的检验[J].管理现代化,2023,43(02):169-175.
[18] 吕光明,刘文慧.移动支付、医疗基础设施与农村居民医疗服务利用[J].北京社会科学,2022(04):95-105.
[19] 李韬,冯贺霞,冯宇坤.数字技术在健康贫困治理中的创新应用研究:以甘肃省临夏州数字健康扶贫实践为例[J].电子政务,2021(09):47-57.
[20] 侯志阳.脱域共同生产:村民参与乡村智慧医疗卫生服务治理的个案研究[J].中国行政管理,2021(03):54-61.
[21] TORTORELLA G L,SAURIN T A,FOGLIATTO F S,et al.Impacts of Healthcare 4.0 digital technologies on the resilience of hospitals[J].Technological Forecasting and Social Change,2021,166(C).
[22] CURTIS M E,CLINGAN S E,GUO H,et al.Disparities in digital access among American rural and urban households and implications for telemedicine-based services[J].The Journal of Rural Health:Official Journal of the American Rural Health Association and the National Rural Health Care Association,2022,38(03):512-518.
[23] TORNATZKY L G,FLEISCHER M.The Processes of Technological Innovation[M].Lexington:Lexington Books,1990.
[24] 谭海波,范梓腾,杜运周.技术管理能力、注意力分配与地方政府网站建设:一项基于TOE框架的组态分析[J].管理世界,2019,35(09):81-94.
[25] 李立清,丁海峰,李燕凌.乡村振兴背景下县域农业数字化转型的关键要素与持续路径:基于30个案例的模糊集定性比较分析[J].电子政务,2023(03):60-72.
[26] WALKER R M.Internal and External Antecedents of Process Innovation:A review and extension[J].Public Management Review,2014,16(01):21-44.
[27] 李友东,闫晨丽,赵云辉.TOE框架下智慧城市治理路径的前因组态研究:基于35个重点城市的模糊集定性比较分析[J].技术经济,2022,41(11):140-151.
[28] 陶克涛,张术丹,赵云辉.什么决定了政府公共卫生治理绩效?:基于QCA方法的联动效应研究[J].管理世界,2021,37(05):128-138,156.
[29] 李燕凌,温馨,高维新.数字乡村与乡村振兴耦合协调发展的时序适配性分析[J].农业经济与管理,2022(04):1-12.
[30] OCASIO W.Towards An Attention-Based View of the Firm[J].Strategic Management Journal,1997,18(S1):187-206.
[31] RAGIN C C.The Comparative Method:Moving Beyond Qualitative and Quantitative Strategies[M].Berkeley:University of California Press,1987.
[32] 杜运周,贾良定.组态视角与定性比较分析(QCA):管理学研究的一条新道路[J].管理世界,2017(06):155-167.
[33] 于本海,汪婷,何闯,等.基于三阶段DEA的我国医疗卫生服务体系效率测度研究[J].管理评论,2022,34(12):312-321.
[34] 张亮,邢怡青,马希望.基层医疗卫生体系现代化的理论逻辑、历史演进与未来进路[J].社会科学研究,2023(04):111-121.
[35] 张宁,胡鞍钢,郑京海.应用DEA方法评测中国各地区健康生产效率[J].经济研究,2006(07):92-105.
[36] 颜晓畅.政府投入与不同地区医疗卫生机构静态和动态运营效率:基于DEA-Tobit方法的实证研究[J].南开经济研究,2018(06):93-111.
[37] JIANG N,ANDREWS A.Efficiency of New Zealand's District Health Boards at Providing Hospital Services:A stochastic frontier Analysis[J].Journal of Productivity Analysis,2020,53(01):53-68.Â
[38] 辛冲冲,李健,杨春飞.中国医疗卫生服务供给水平的地区差异及空间收敛性研究[J].中国人口科学,2020(01):65-77,127.
[39] 李继霞,刘涛,霍静娟.中国农村公共服务供给质量时空格局及影响因素[J].经济地理,2022,42(06):132-143.
[40] 田时中,童梦梦,李晓悦.财政支出、政府竞争与医疗卫生服务水平:基于省级面板熵值tobit模型的实证分析[J].云南财经大学学报,2022,38(08):19-36.
[41] 王俊,王雪瑶.中国整合型医疗卫生服务体系研究:政策演变与理论机制[J].公共管理学报,2021,18(03):152-167,176.
[42] 宋世俊,王崇鑫,张华静.TOE框架下公共数字文化服务供给效率的提升路径研究:基于模糊集定性比较分析[J].情报资料工作,2022,43(06):79-86.
[43] 徐小琪,李燕凌.中国信息化与农业现代化协调发展研究:基于省域视角及2003—2016年数据的分析[J].湖南农业大学学报(社会科学版),2019,20(03):58-66.
[44] 杨军鸽,王琴梅.数字技术与农业高质量发展:基于数字生产力的视角[J].山西财经大学学报,2023,45(04):47-63.
[45] CAMPBELL J T,SIRMON D G,SCHIJVEN M.Fuzzy Logic and Themarket:A Configurational Approach to Investor Perceptions of Acquisition Announcements[J].Academy of Management Journal,2016,59(01):163-187.
[46] FRAMBACH R T,FISS P C,INGENBLEEK P T M.How important is customer orientation for firm performance?A fuzzy set analysis of orientations,strategies,and environments[J].Journal of Business Research,2016,69(04):1428-1436.
[47] VERWEIJ S,NOY C.Set-theoretic methods for the social sciences:a guide to qualitative comparative analysis[J].International Journal of Social Research Methodology,2013,16(02):165-169.

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