基于扎根理论的上海市社区医院数字化发展与应用现状研究

Research on the Development and Application of Digitization in Shanghai Community Hospitals Based on Grounded Theory

摘要: 目的：探究上海市社区医院对数字化手段和技术等方面应用的现状。方法：采用扎根理论和深度访谈法对上海市4个行政区域15位社区医院工作人员进行访谈，采用Nvivo11软件进行文本数据分析，并构建了一个理论模型，分析目前社区医院数字化应用现状。结果：通过扎根理论三级编码后得到4个主范畴：信息系统发展现状(A1)、信息化组织管理现状(A2)、智慧诊疗流程发展(A3)、互联网+家庭医生发展现状(A4)，较为全面的反映了目前上海市部分区域的社区医院的数字化发展和情况。结论：上海市社区医院的数字化发展和应用各区水平不一，但仍然在持续发展中，社区医院应合理利用互联网和信息技术创新数字医疗服务模式，使社区居民能享受到优质的医疗服务。

Abstract: Objective: To explore the current situation of the application of digital means and technology in Shanghai community hospitals. Methods: Based theory and in-depth interview method were used to interview 15 community hospital staff in 4 administrative areas of Shanghai. Nvivo11 software was used for text data analysis, and a theoretical model was constructed to analyze the current situation of digital application in community hospitals. Results: Four main categories were obtained through the three-level coding of rooted theory: the status quo of information system development (A1), the status quo of information organization management (A2), the development of intelligent diagnosis and treatment process (A3), and the status quo of Internet+ family doctor development (A4), which comprehensively reflected the current digital development and situation of community hospitals in some areas of Shanghai. Conclusion: The level of digital development and application of community hospitals in Shanghai varies from district to district, but it is still in continuous development. Community hospitals should make reasonable use of the Internet and information technology to innovate digital medical service mode, so as to focus on community residents to enjoy high-quality medical services.