摘要
[目的/意义]本文通过揭示医疗机构间医疗数据共享系统的动态过程及其影响因素的动态演化趋势,以期提升医疗数据共享的研究深度,为医疗数据共享提供重要依据和建议。[方法/过程]依据计划行为、社会资本等理论挖掘影响医疗数据共享的关键因素,并构建医疗机构间医疗数据共享的系统动力学模型,对医疗数据共享进行仿真预测。[结果/结论]仿真周期的前14个月,医疗数据共享各因素影响程度排序为:组织共享环境>共享平台=数据资源>制度保障>个人共享意愿,个人共享意愿在整个仿真周期内增速最快。仿真周期的前18个月,医疗数据共享受到预期收益的影响程度高于共享成本,而185个月后情况相反。仿真周期的275个月后,数据资源和共享平台的不足严重拉低了医疗数据共享水平。法律对医疗数据共享的影响程度始终高于政策和资金。
[Purpose/Significance]By revealing the dynamic process of medical data sharing system among medical institutions and the dynamic evolution trend of influencing factors,the paper aims to improve the research depth of medical data sharing and provide important basis and suggestions for medical data sharing.[Method/Process]The paper explored into the key factors affecting medical data sharing based on the theory of planned behavior and social capital.A system dy⁃namics model of medical data sharing among medical institutions was developed,followed by simulations and predictions of the data sharing process.[Result/Conclusion]During the first 14 months of the simulation period,the influence of various factors on medical data sharing is ranked as follows:organizational sharing environment>sharing platform=data resources>institutional protection>individual willingness to share,and individual willingness to share grows fastest throughout the sim⁃ulation cycle.In the first 18 months of the simulation period,the impact of expected benefits on medical data sharing is greater than that of sharing costs;however,after 185 months,the situation reverses.After 275 months of the simulation period,the insufficiency of data resources and the sharing platform significantly lowers the level of medical data sharing.The influence of law on medical data sharing is consistently higher than that of policy and funding.
作者
张萌
牟冬梅
邓君
Zhang Meng;Mu Dongmei;Deng Jun(School of Public Health,Jilin University,Changchun 130021,China;The First Hospital of Jilin University,Changchun 130021,China;School of Business and Management,Jilin University,Changchun 130021,China)
出处
《现代情报》
北大核心
2025年第8期121-134,共14页
Journal of Modern Information
基金
国家自然科学基金项目“‘知识-数据’双轮驱动的多模态电子病历数据组织模式与应用研究”(项目编号:72374081)
吉林省科技发展计划项目“面向健康自主管理的个人诊疗信息平台开发与应用”(项目编号:20240304164SF)。
关键词
医疗数据
医疗机构
共享
影响因素
系统动力学
medical data
medical institutions
sharing
influencing factors
system dynamics
