School of Economics, Guangdong University of Technology, Guangzhou, China.
Key Laboratory of Digital Economy and Data Governance, Guangdong University of Technology, Guangzhou, China.
Front Public Health. 2023 Feb 2;11:1108621. doi: 10.3389/fpubh.2023.1108621. eCollection 2023.
As a form of platform economy, telemedicine is not growing as fast as other digital platforms. The existing literature seldom pays attention to how licensing policy affects the development of telemedicine platform models.
This paper uses the method of multi-case study and the theory of policy implementation as mutual adaptation to research the influence mechanism of telemedicine platform licensing policy on the platform model in China.
The findings of the current study are as follows: (1) three models can be classified in accordance with different platform providers in China: medical institution platform, Internet company platform and local government platform; (2) bargaining power, reputation mechanism and resource specificity are important dimensions in the analysis of platform models; (3) as an implementer in the process of licensing policy, the platform provider can not only directly determine the establishment and formation of platform model but also indirectly affect the sustainable development of platform model by affecting the supplier and the demander of platform; and (4) The impact between licensing policy and platform model is dynamic and bidirectional, mainly exerted administrative orders, market-oriented mechanism and medical insurance.
The research enlightens practical exploration in telemedicine and enriches the theoretical innovation in platform.
作为一种平台经济形式，远程医疗的发展速度不如其他数字平台快。现有文献很少关注许可政策如何影响远程医疗平台模式的发展。
本文采用多案例研究方法和政策实施理论的相互适应，研究了远程医疗平台许可政策对中国平台模式的影响机制。
本研究的结果如下：（1）可根据中国不同的平台提供商将三种模式进行分类：医疗机构平台、互联网公司平台和地方政府平台；（2）议价能力、声誉机制和资源特殊性是平台模式分析的重要维度；（3）作为许可政策实施过程中的平台提供商，不仅可以直接决定平台模式的建立和形成，还可以通过影响平台的供应商和需求者，间接影响平台模式的可持续发展；（4）许可政策与平台模式之间的相互作用是动态和双向的，主要通过行政命令、市场导向机制和医疗保险来发挥作用。
该研究为远程医疗的实践探索提供了启示，并丰富了平台的理论创新。
