世界科技研究与发展 ›› 2022, Vol. 44 ›› Issue (2): 222-230.doi: 10.16507/j.issn.1006-6055.2021.08.002

• 科技政策与管理 • 上一篇    下一篇

互联网医疗发展的动力机制与路径探析——基于多源流模型视角

王佳旺1,2 李强翔2, 3 陈小元3   

  1. 1.南华大学经济管理与法学学院,衡阳421001;2. 宁夏老年疾病临床研究中心,银川750001;3.湖南省老年医学研究所,长沙410002
  • 出版日期:2022-04-25 发布日期:2022-05-05
  • 基金资助:
    中央引导地方科技发展专项“大数据背景下宁夏地区老年2型糖尿病管理模式研究及推广应用”(2020YDDF0043),宁夏回族自治区重点研发计划“新型冠状病毒突发疫情下大型公立医院门诊管控的循证研究”(2020BEG03051),长沙市科技局新冠肺炎专项“新型冠状病毒突发疫情下互联网医院的应用研究”(kp2001019),南华大学研究生科研创新项目“风险社会情境下互联网医疗风险防范与治理研究”(2013YXC010)

Dynamic Mechanism and Path Analysis of Internet Healthcare Development Based on the Perspective of Multi-source Flow Model

WANG Jiawang1,2   LI Qiangxiang2,3   CHEN Xiaoyuan3   

  1. 1.School of Economics Management and Law, University of South China, Hengyang 421001,China; 2. Ningxia Clinical Research Center for Geriatric Diseases, Yinchuan 750001, China; 3.Hunan Institute of Geriatrics, Changsha 410002, China
  • Online:2022-04-25 Published:2022-05-05

摘要: 互联网医疗有利于推动医疗健康行业变革与创新发展,对提升我国民生医疗水平具有重要意义。本文首先结合我国互联网医疗发展实践,简要回顾了互联网医疗发展历程;随后基于国外学者金登提出的多源流模型理论,构建了互联网医疗发展的动力机制与路径优化分析模型,从问题源流、政策源流和政治源流对互联网医疗发展的动力机制进行整体性、多阶段解析。研究表明,民生需求、焦点事件和政策反馈对问题的催化是互联网医疗发展的根本拉动力;政府人员、专家学者和医疗行业从业者的关注是互联网医疗发展的主要助推力;党的执政理念和公共舆论的引导是互联网医疗发展的关键牵引力。最后,在探明互联网医疗发展的动力机制基础上,提出推动互联网医疗进一步发展的建议,包括:树立问题导向,推动顶层设计与底层实践深度贯通;完善决策机制,拓宽渠道与凝聚共识双向发力;坚持思想引领,夯实思想建设与舆情应对之基。

关键词: 互联网医疗, 动力机制, 多源流模型

Abstract: Internet healthcare is conducive to promoting the reform and innovative development of the medical and health industry, and is of great significance to improving the medical level of people's livelihood in China. Firstly, this paper briefly reviews the development process of Internet healthcare based on the practices of Internet healthcare development in China. Then, based on the multi-source model theory put forward by Kingdon, this paper constructs the dynamic mechanism and path optimization analysis model of Internet healthcare development, and analyzes the dynamic mechanism of Internet healthcare development from the problem source, policy source and politics source in a holistic and multi-stage way. Studies have shown that the catalysis of people's livelihood needs, focus events and policy feedback is the fundamental driving force for the development of Internet healthcare; the attention of government personnel, experts and scholars and practitioners in the medical industry is the main driving force for the development of Internet medical care; the CPC’s ruling idea and the guidance of public opinion are the key traction for the development of Internet healthcare. Finally, based on the investigation of the dynamic mechanism of the development of Internet healthcare, this paper puts forward some suggestions to promote the further development of Internet healthcare, including: establish a problem-oriented notion, and promote the deep connection of top-level design and bottom-level practice; improve the decision-making mechanism, and broaden channels and build consensus; persist in ideological guidance and consolidate the foundation for ideological construction and public opinion response.

Key words: Internet Medicine, Dynamic Mechanism, Multi-source Flow Model