[1]张苇乐,刘泽霖,苏 敏.数字技术嵌入基层健康治理的现实梗阻与可行路径[J].卫生经济研究,2025,42(02):37-43.
 ZHANG Weile,LIU Zelin,SU Min.Realistic Obstacles and Feasible Paths of Digital Technology Embedded in Primary Health Governance[J].Journal Press of Health Economics Research,2025,42(02):37-43.
点击复制

数字技术嵌入基层健康治理的现实梗阻与可行路径
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年02期
页码:
37-43
栏目:
数智健康
出版日期:
2025-02-06

文章信息/Info

Title:
Realistic Obstacles and Feasible Paths of Digital Technology Embedded in Primary Health Governance
作者:
张苇乐1刘泽霖1苏 敏1
1.内蒙古大学公共管理学院,内蒙古 呼和浩特 010070
Author(s):
ZHANG Weile LIU Zelin SU Min
School of Public Administration, Inner Mongolia University,Hohhot, Inner Mongolia 010070, China
关键词:
数字技术基层健康治理嵌入性理论
Keywords:
digital technology grassroots health governance embedding theory
分类号:
R197
文献标志码:
A
摘要:
目的:分析数字技术对基层健康治理的促进作用。方法:基于嵌入性理论,分析数字技术嵌入基层健康治理的现实困境。结果:在结构上,数字技术与科层组织存在“互构”梗阻;在功能上,科层组织存在嵌入偏好,且压力型制度导致技术空转;在关系上,工具理性导向与信息茧房阻碍了基层健康治理网络构建;在认知上,数字技术弊端与数字鸿沟影响了受众的接受度与参与度。结论:弥合机会差距,增强基层资源禀赋;强化保障机制,提升基层治理效能;重塑交融关系,促进数字赋能治理体系;凝聚价值认知,转变基层治理理念,共同推进数字技术嵌入基层健康治理。
Abstract:
Objective To analyze the facilitating effect of digital technology on primary health governance. Methods Based on the embedding theory, the realistic obstacles of digital technology embedded in primary health governance were analyzed. Results Structurally, digital technology and hierarchical organizations were hindered by "mutual construction". Functionally, hierarchical organizations had embedding preference, and the pressure-based system leaded to technological idling. Relationally, instrumental rationality and information cocoon impeded the construction of primary health governance networks. Cognitively, the drawbacks of digital technology and the digital divide affect the acceptance and participation of the audience. Conclusion It is recommended to bridge the opportunity gap to enhance primary resource, strengthen the guarantee mechanism to improve the effectiveness of primary governance, reshape the relationship to promote the digital empowered governance system, and consolidate the value cognition to change the concept of primary governance, so as to jointly promote the embedding of digital technology in primary health governance.

参考文献/References:

[1] 新华社.习近平在黑龙江考察时强调:牢牢把握在国家发展大局中的战略定位 奋力开创黑龙江高质量发展新局面[EB/OL].(2023-09-08).https://www.gov.cn/yaowen/liebiao/202309/content_6903032.htm.
[2] 李阳,刘敏,徐玉梅.韧性社区公共卫生应急管理问题与策略研究[J].卫生经济研究,2022,39(06):86-89.
[3] 波兰尼. 大转型——我们时代的政治与经济起源[M].冯刚,刘阳,译. 杭州:浙江人民出版社,2007.
[4] Granovetter M.Economic Action and Social Structure:The Problem of Embeddedness[J].American Journal of Sociology,1985,91(03):481-510.
[5] Zukin S,Dimaggio P.Structures of Capital: the Social Organization of the Economy[M].Cambridge: Cambridge University Press,1990.
[6] 李彗闻,王延隆.新医改以来我国中医药政策的回顾与展望——从整合到嵌入[J].卫生经济研究,2022,39(09):10-14.
[7] 姜秀敏,李月.“非正式权威”塑造:社会组织嵌入社区治理的三重路径——对山东省Q市F组织开展社区服务的个案分析[J].北京行政学院学报,2022(02):55-62.
[8] 国家卫生健康委员会.2022年卫生健康事业发展统计公报发布.(2023-10-12).https://www.gov.cn/lianbo/bumen/202310/content_6908686.htm.
[9] 孙宗锋,丛楷力.数字赋能何以变为基层数字负担?——一个整合性分析框架[J].行政论坛,2024,31(02):135-145.
[10] 刘强强.从治国有“数”到治国有“术”:城市治理中的技术逻辑构建[J].电子政务,2020(12):77-87.
[11] 周雪光.中国国家治理的制度逻辑:一个组织学研究[M].北京: 生活·读书·新知·三联书店,2017:240.
[12] 杨雨娇,袁勤俭.个性化推荐的隐忧:基于扎根理论的信息茧房及其前因后果探析[J].情报理论与实践,2023,46(03):117-126.
[13] Waszak P M,Kasprzycka-Waszak W,Kubanek A.The spread of medical fake news in social media[J].Thepilot Health Policyand Technology,2018,7(02):115-118.
[14] 中国互联网络信息中心(CNNIC).第53次《中国互联网络发展状况统计报告》[EB/OL].(2024-03-22).https://www.cac.gov.cn/2024-03/25/c_1713038218396702.htm.
[15] 国家卫生健康委.2022年全国居民健康素养水平达到27.78%[EB/OL].(2023-08-21).https://www.gov.cn/lianbo/bumen/202308/content_6899405.htm.
[16] 夏云峰,张红培,段秀娥,等.近十年我国基层医疗卫生资源配置公平性研究[J].卫生经济研究,2023,40(06):1-6.

相似文献/References:

[1]董建坤,钱 辉,邢以群,等.数字健康公平:理论视角与影响因素[J].卫生经济研究,2024,41(02):5.
 DONG Jiankun,QIAN Hui,XING Yiqun,et al.Digital Health Equity: Theoretical Perspectives and Influencing Factors[J].Journal Press of Health Economics Research,2024,41(02):5.
[2]李 琦,李 璐,周书铎,等.数字技术赋能优质医疗资源扩容和 区域均衡布局的作用机制研究[J].卫生经济研究,2024,41(11):86.
 I Qi,LI Lu,ZHOU Shuduo,et al.Study on the Mechanism of Digital Technology Empowering High-quality Medical Resource Expansion and Regional Balanced Distribution[J].Journal Press of Health Economics Research,2024,41(02):86.

更新日期/Last Update: 2025-02-06