背景:数字化转型是目前最具影响力的发展之一。它从根本上改变了消费者的期望和行为,挑战传统公司,扰乱了众多市场。医疗保健部门最近的讨论倾向于评估技术影响的影响,但忽略了对数字转型的整体看法所需的其他因素。这要求重新评估医疗保健数字化转型的现状。因此,需要对医疗保健部门数字化转型的复杂相互依存关系有一个整体看法。
目的:本研究旨在研究数字化转型对医疗保健行业的影响。这是通过提供数字化转型下的医疗保健部门的概念模型来实现的。
方法:首先,通过范围审查和扎根理论方法确定了卫生保健部门最重要的利益相关者。第二,评估了对这些利益相关者的影响。PubMed,WebofScience,和Dimensions进行了相关研究。在综合回顾和扎根理论方法论的基础上,相关学术文献进行了系统化、定量和定性分析,以评估对价值创造的影响,以及它们之间的关系,利益相关者。第三,这些发现被综合为数字化转型下医疗保健行业的概念模型。
结果:从数据库搜索中确定了总共2505条记录;其中,140(5.59%)被纳入并分析。结果显示,医疗服务提供者,病人,管理机构,和付款人是卫生保健部门最重要的利益相关者。至于个别利益相关者,患者正在经历技术驱动的行业影响力增长。供应商越来越依赖中介机构来实现价值创造和患者互动的重要部分。预计付款人将试图增加他们对中介机构的影响力,以利用大量数据,同时看到他们的商业模式受到新兴技术的挑战。管理医疗保健部门的管理机构正日益面临来自该部门新进入者的挑战。中介机构越来越多地将所有这些利益相关者联系在一起,这反过来又推动了新的价值创造方式。这些合作努力导致建立了几乎一体化的医疗保健生态系统。
结论:概念模型提供了一种新颖的,以证据为基础的观点来研究卫生保健部门的参与者之间的相互关系,这表明各个利益相关者需要认识到他们在系统中的作用。该模型可以是进一步评估行为者的战略行动及其对其他行为者或医疗保健生态系统本身的影响的基础。
Digital transformation is currently one of the most influential developments. It is fundamentally changing consumers\' expectations and behaviors, challenging traditional firms, and disrupting numerous markets. Recent discussions in the health care sector tend to assess the influence of technological implications but neglect other factors needed for a holistic view on the digital transformation. This calls for a reevaluation of the current state of digital transformation in health care. Consequently, there is a need for a holistic view on the complex interdependencies of digital transformation in the health care sector.
This study aimed to examine the effects of digital transformation on the health care sector. This is accomplished by providing a conceptual model of the health care sector under digital transformation.
First, the most essential stakeholders in the health care sector were identified by a scoping review and grounded theory approach. Second, the effects on these stakeholders were assessed. PubMed, Web of Science, and Dimensions were searched for relevant studies. On the basis of an integrative review and grounded theory methodology, the relevant academic literature was systematized and quantitatively and qualitatively analyzed to evaluate the impact on the value creation of, and the relationships among, the stakeholders. Third, the findings were synthesized into a conceptual model of the health care sector under digital transformation.
A total of 2505 records were identified from the database search; of these, 140 (5.59%) were included and analyzed. The results revealed that providers of medical treatments, patients, governing institutions, and payers are the most essential stakeholders in the health care sector. As for the individual stakeholders, patients are experiencing a technology-enabled growth of influence in the sector. Providers are becoming increasingly dependent on intermediaries for essential parts of the value creation and patient interaction. Payers are expected to try to increase their influence on intermediaries to exploit the enormous amounts of data while seeing their business models be challenged by emerging technologies. Governing institutions regulating the health care sector are increasingly facing challenges from new entrants in the sector. Intermediaries increasingly interconnect all these stakeholders, which in turn drives new ways of value creation. These collaborative efforts have led to the establishment of a virtually integrated health care ecosystem.
The conceptual model provides a novel and evidence-based perspective on the interrelations among actors in the health care sector, indicating that individual stakeholders need to recognize their role in the system. The model can be the basis of further evaluations of strategic actions of actors and their effects on other actors or the health care ecosystem itself.