School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China.
Department of Health Sciences and Social Welfare, Faculty of Human Sciences, Waseda University, Tokorozawa 359-1162, Japan.
Int J Environ Res Public Health. 2022 Jul 5;19(13):8221. doi: 10.3390/ijerph19138221.
The aging transformation of digital health services faces issues of how to distinguish influencing factors, redesign services, and effectively promote measures and policies. In this study, in-depth interviews were conducted, and grounded theory applied to open coding, main axis coding, and selective coding to form concepts and categories. Trajectory equifinality modeling clarified the evolution logic of digital transformation. Based on the theory of service ecology, a digital health service aging model was constructed from the "macro-medium-micro" stages and includes governance, service, and technology transformation paths. The macro stage relies on organizational elements to promote the institutionalization of management and guide the transformation of governance for value realization, including the construction of three categories: mechanism, indemnification, and decision-making. The meso stage relies on service elements to promote service design and realize service transformation that is suitable for aging design, including the construction of three categories: organization, resources, and processes. The micro stage relies on technical elements to practice experiencing humanization, including the construction of three categories: target, methods, and evaluation. These results deepen the understanding of the main behaviors and roles of macro-organizational, meso-service, and micro-technical elements in digital transformation practice and have positive significance for health administrative agencies to implement action strategies.
数字健康服务老龄化转型面临着如何区分影响因素、重新设计服务以及有效促进措施和政策的问题。本研究采用深入访谈法，运用扎根理论对开放编码、主轴线编码和选择性编码进行分析，形成概念和范畴。轨迹等终性建模阐明了数字转型的演变逻辑。基于服务生态学理论，从“宏-中-微”阶段构建了数字健康服务老龄化模型，包括治理、服务和技术转型路径。宏观阶段依靠组织要素推动管理的制度化，并引导治理的转型以实现价值，包括机制、补偿和决策三个类别。中观阶段依靠服务要素推动服务设计，并实现适合老龄化设计的服务转型，包括组织、资源和流程三个类别。微观阶段依靠技术要素实践人性化体验，包括目标、方法和评估三个类别。这些结果深化了对宏观组织、中观服务和微观技术要素在数字转型实践中的主要行为和角色的理解，对卫生行政部门实施行动策略具有积极意义。
