The Construction Analysis on the Barriers and Optimization Strategies for Meaningful Use of Digital Technologies in Primary Care Facilities
- VernacularTitle:基层医疗卫生数字技术有效使用障碍性因素识别与优化策略构建研究
- Author:
Zhong LI
1
;
Yong GAN
;
Mingsheng CHEN
;
Shan JIANG
Author Information
1. 南京医科大学医政学院 江苏 南京 211166;南京医科大学数智技术与健康治理实验室 江苏 南京 211166
- Publication Type:Journal Article
- Keywords:
"technology-organization-environment"framework;
primary health service;
digital technology;
meaningful use;
barriers
- From:
Chinese Health Economics
2025;44(5):70-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective:According to the"Technology-Organization-Environment"framework,it aims to analyze barriers of meaningful use of digital technologies in primary care facilities and propose corresponding optimization strategies.Methods:Nvivo 11.0 Software is used to conduct thematic framework analysis on interview data of primary healthcare and administrative staff in a district of Jiangsu Province.Results:The barriers are as follows:(1)technology level:infrastructure needs improvement,unified technology standards for data,low level of technology usability and usefulness,and limited economic benefits;(2)organizational level:insufficient digital literacy of medical staff,low organizational innovation ability,lack of training,inertia of healthcare staff,and limited size of primary care facilities;(3)environmental level:insufficient government support,high government requirements of performance evaluation,low digital literacy of residents,not covered by medical insurance schemes,constraints on interests among stakeholders,and mismatched digital scenarios.The main reason for insufficient effective use of digital technologies includes insufficient adaptability between digital technologies and the practical needs of grassroots health services,lack of organizational change and proactive personnel behavior,low level of external environment optimization and institutional support.Conclusion:Policy makers and implementers should be demand-oriented,continuously improve digital technologies maturity in primary healthcare system,integrate organizational resources,achieve changes in primary healthcare models,optimize the external environment,and enhance collaborative governance levels.
