The digital transformation of medical services promotes innovation in medical services, changes service models, optimizes medical processes, improves service quality, and ultimately enhances patient experience and satisfaction. This study aims to explore the relationship between digital transformation of medical services and patient satisfaction. A cross-sectional online-based survey was conducted with 348 respondents in January and February 2023. We employed the Patient Psychological Empowerment Scale, Patient Satisfaction Scale, and Technology Readiness Scale to measure the digital transformation of medical services, patient psychological empowerment, patient satisfaction, and technology readiness, respectively. Confirmatory factor analysis was applied using the maximum likelihood estimation method. Scale dimensions and item reliability were tested for their validity and goodness of fit. SPSS v26.0、AMOS v23.0 and the Andrew F. Hayes PROCESS macro were used for data management and analyses. The digital transformation of medical services has a significant positive impact on patient satisfaction (B = 0.387, t = 8.476, P < 0.001), and patient psychological empowerment positively moderated (B = 0.219, t = 4.650, P < 0.001). The digital transformation of medical services has a significant positive impact on patient psychological empowerment (B = 0.447, t = 9.266, P < 0.001), and patient psychological empowerment had a significant positive impact on patient satisfaction (B = 0.366, t = 7.896, P < 0.001). In addition, the results of random sampling showed that psychological capital mediated the effect of digital transformation of healthcare services on patient satisfaction. The interaction term of digital transformation of healthcare services and technology readiness has a significant positive impact on patients’ psychological empowerment (B = 0.192, t = 4.477, P < 0.001), and technology readiness plays a positive moderating role. This study shows that digital transformation positively affects patient satisfaction through psychological empowerment and is moderated by technology readiness. By investigating the moderating role of technological readiness, this study fills the gap in the psychological empowerment mechanism in the relationship between digital transformation of healthcare services and patient satisfaction, and provides theoretical and practical guidance for hospital administrators to optimize digital services and health policy implementation.

目的:基于京津冀协同发展战略,探究京津冀卫生资源配置与经济协调发展现状,为量化协同发展成效,制定相关规划提供参考.方法:通过熵值法、耦合协调度模型分析该地区卫生资源配置和经济发展系统内部及系统间的耦合协调关系,借助障碍度模型,找出影响和制约协调发展的障碍因子.结果:除2020年受突发公共卫生事件影响外,2014—2021 年京津冀地区的耦合协调度基本呈逐年上升态势,但仍存在着一些地区差距;从2016年起,卫生资源配置系统的发展开始同步甚至超前于经济发展;医疗人员配置的不足和经济效益的低下是制约协调发展的关键因素.结论:发挥区域间的协同作用,重视系统内部协调,合理配置医疗人员,提升经济效益,促进两系统的协调发展.

Objective To evaluate the efficiency of resource allocation of medical and health institutions in China in the past 10 years and analyze its changing trend,and provide the reference for improving the operating efficiency of medical and health institutions in China.Methods BCC-DEA model and superefficient DEA model in data envelopment analysis were used for static analysis,and Malmquist index model was used for dynamic analysis.Results The study found that the overall level of resource of medical and health institutions in China was low and there were large provincial and regional differences.The changes of resource allocation efficiency in China's medical and health institutions in the past ten years were mainly divided into three stages:the steady rise period from 2012 to 2015,the reform and adaptation period from2016 to2018,and the COVID-19 epidemic period from 2019 to 2021.Conclusions The overall resources of medical and health institutions in China have not been effectively allocated.The efficiency level has a large regional difference,which is seriously affected by policy environment and emergencies,and the fluctuation is relatively obvious.

目的 探讨托管背景下医务人员归属感、心理资本、工作投入之间的关系.方法 采用留置问卷法对托管后医务人员进行调查,收回有效问卷266份,有效回收率81.60％.采用阶层回归分析检验变量之间的关系.结果 托管后医务人员归属感(3.753±0.989)分,心理资本(4.010±0.784)分,工作投入(3.956±0.771)分,医务人员归属感对工作投入的正向影响显著(β=0.745,P＜0.01),心理资本在归属感和工作投入之间起部分中介作用.结论 派驻专家应重视医务人员心理波动,合理选择文化融化方式,建立对托管后医院的归属感并避免心理资本降低,激发医务人员工作积极性.

[目的]基于扎根理论探索在需求导向下互联网医疗服务发展路径,为互联网医疗服务建设提供参考.[方法]在访谈资料基础上,采用NVIVO软件通过开放性、主轴和选择性编码将质性研究资料范畴化,构建互联网医疗发展路径框架.[结果]经三级编码梳理得到90个初始概念、28个范畴、9个主范畴、4个核心范畴和1个关键核心理念,探讨互联网医疗在"需求导向下互联网医疗发展"这一核心理念指引下的条件背景、发展推动力、内容构建、结果产出4个关键环节现状,总结环节互动的关键问题和建议.[结论]互联网医疗服务发展是弥合医疗需求的过程,基于医疗服务本质,融合互联网发展解决医疗痛点问题,才能实现医疗服务领域的守正创新.

目的 "互联网+医疗"政策对保障其产业的高质量发展具有重要指导意义,对产业政策的评价研究可以为政策进一步的制定和完善提供一定的借鉴和参考.方法 首先,利用RostCM6.0和VOSviewer软件对172项"互联网+医疗"政策文本进行挖掘分析,然后根据获得的高频词汇与高频词网络确定评价变量并构建政策一致性(pol-icy modeling consistency,PMC)指数模型.最后,对筛选出的14项具有代表性的政策进行实证研究,计算各自的PMC指数并绘制曲面图.结果 "互联网+医疗"政策总体制定较为合理,其中8项政策表现优秀,6项政策表现合格.结论 针对14项"互联网+医疗"政策存在的问题,本文着重从政策目标、政策工具和政策功能三方面进行具体分析并提出改进建议.

目的 分析互联网医疗政策执行过程中的影响因素,为促进互联网医疗健康持续发展提供参考.方法 基于霍恩—米特模型,从政策目标、政策资源、政策执行方式、执行机构特性、执行者价值取向和系统环境6个维度,对互联网医疗政策执行影响因素进行分析.结果 发现部分互联网医疗政策目标不够具体,政策顶层设计不完善,政策执行不到位,执行机构间职能权限存在差别,执行者存在价值差异,政策环境有待完善等问题.结论 应细化政策实施目标,完善执行细则;完善政策顶层设计,制定产业发展标准;丰富政策执行方式,确保执行效果;加快技术融合,培养复合人才;打破部门权限壁垒,加强沟通交流;结合系统环境特点,针对性提升居民健康水平等,以避免互联网政策执行目标产生异化现象.

目的:探索"互联网+中医药"领域研究发展现状、研究热点和发展趋势,为未来研究提供借鉴.方法:以中国知网、万方数据库、维普数据库和中国生物医学数据库为数据源,检索2000—2021年与"互联网+中医药"相关的文献,并将所得数据导入CiteSpace软件,对相关研究文献的作者、科研机构和关键词等进行共现分析并得到可视化图谱.结果:共纳入文献421篇,发文量从2016年开始迅速增长,且整体呈上升趋势.存在作者合作群,但作者间联系不紧密.主要研究机构为南京中医药大学、北京中医药大学、上海中医药大学等,机构间合作密度较低,且跨区域合作较少.关键词分析得到303个关键词、7簇主要关键词聚类和15个突现关键词,主要研究热点为教育改革、互联网医疗、中医人工智能、中医健康管理等.结论:近5年"互联网+中医药"相关研究逐年增多,但机构及研究团队间的合作较为松散,"互联网+"技术与中医医疗、中医教育、中医文化、中医慢病管理、中医信息化建设等领域的结合是当前的研究热点及未来趋势.

目的 通过政策工具视角,分析我国医疗人工智能产业的相关政策文件,总结该领域政策体系的运行现状、基本特点,探讨现行医疗人工智能产业发展政策体系的不足,为相关政策体系建立提供依据与借鉴.方法 使用Lasswell编码方法,对36份政策文件进行编码处理,以政策工具为X维度,医疗人工智能产业应用方向为Y维度,建立二维分析框架进行描述性统计分析与内容分析.结果 医疗人工智能领域中环境型政策工具应用充分,供给型政策工具内部分布结构不均,需求型政策工具明显缺乏.结论 建议现行政策体系通过推动环境型政策落地实施,进一步优化市场环境;通过改善供给型政策分布结构,助力创新发展等措施,充分发挥人工智能在医疗领域的应用优势.

目的:为互联网+医疗就诊体验开发普适性评价工具,据此分析门诊患者的互联网+医疗服务就诊体验现状.方法:通过深度访谈和相关理论研究构建互联网+医疗就诊体验测量工具,采用问卷调查收集数据,利用数据统计分析进行现状探析.结果:医院微信公众号是门诊患者主要挂号方式,预约就诊的使用率最高.患者互联网+就诊体验的感知安全维度评分最高,在线响应最低.不同年龄、科室和服务渠道存在维度差异.结论:"互联网+"利于优化服务流程,提高就诊效率.患者对线上挂号服务需求最大,对服务中仅涉及技术的财产安全问题表示信任,而与线下服务支撑相关的在线响应服务未达到患者预期,可以合理予以针对性的改进.

目的:基于文本挖掘视角,对国家层面互联网医疗政策文本进行量化分析,总结互联网医疗政策现状,以期为未来政策的制定提供借鉴和参考.方法:借助ROSTCM和SPSS文本挖掘工具,采用共词、聚类和社会网络等分析方法,对获取的52份互联网医疗政策文本进行分析.结果:互联网医疗政策逐步发展完善,但随着技术的迭代更新,核心领域的政策制定亟需进一步细化.结论:在政策颁布和执行中,政府应充分发挥引导和监管作用,规划行业顶层设计,营造良好的行业生态环境,从而推动互联网医疗行业健康发展.

目的 调查北京市三级医院门诊患者就医体验现状,探究门诊患者就医体验对医师信任的影响.方法 采用相关量表对北京市8家三级医院437名门诊患者进行调查.采用SPSS 17.0软件进行统计学处理.结果 北京市三级医院门诊患者就医体验总分为(3.51±0.50)分,医师信任总分为(3.31±0.53)分.回归结果显示,治疗连续性、疼痛管理、信息与教育、亲友参与和情感支持正向影响医师信任仁爱维度;患者尊重和治疗协调性正向影响医师信任技术能力维度(P<0.05).结论 应采取措施提升门诊患者就医体验,重视与患者的人际互动,加强医疗服务的连续性与协调性,进而提升患者对医师的信任水平,改善医患关系.

《健康产业互联网创业》旨在培养学生结合医药院校背景进行创新创业的能力,为充分发挥课程的育人功能,"思政元素"被有机融入教学设计中.本文基于课程内容和特点,提出《健康产业互联网创业》思政教学设计框架及思路,依托专业贯彻政治理论和德育教育协同育人的教育理念,从案例融入、专业融入和情景融入三个方面探索思政元素融入的具体方法,并通过破冰游戏、头脑风暴及商业路演等多种课内实践活动加强互动,全方位提升学生综合素质和能力.

As consumption increasingly shifts to experience-based, offers of cocreation in product design, production, and even service recovery are on the rise. In this research, we provide a motivation-based framework that helps reconcile the inconsistent empirical findings in the literature and offers a clearer understanding of customer cocreation and its effects. We demonstrate that cocreation can be a double-edged sword as the effort input can be considered either a disutility or an opportunity depending on consumer motivations. Consumers' motivation (regulatory focus) and shopping orientation toward the process versus outcome component of a cocreation activity create a regulatory fit effect, such that those with a promotion focus match with a process shopping orientation and those with a prevention focus match with an outcome shopping orientation to enhance willingness to pay (Studies 1A and 1B). This is because promotion-focused consumers are more sensitive to the process experience while prevention-focused consumers are more sensitive to the attractiveness of the outcome.Furthermore, based on this fit effect, consumers with different motivations may vary in their response to cocreation task characteristics such as the degree of autonomy and complexity of the task. Consumers with a promotion (prevention) orientation are more (less) willing to pay for a cocreation activity when it offers more freedom (vs. more structured, study 2) and the task requires more (vs. less) effort (study 3). The studies incorporated a series of cocreation activities including assembling Legos, piecing puzzles, makings crafts, and baking. This research offers theoretical contribution in understanding the effect of cocreation as well as managerial implications in cocreation service design.

The improvement of patient experience is an important part of hospital quality improvement. In the new era of the integration of the Internet and the medical field, there is no patient experience scale that takes into account the impact of online Internet technology on offline medical services. This study begins with a literature review of the online customer experience and patient experience scales and used in-depth interviews and questionnaires in order to develop the scale of "Internet Plus" outpatient experience in hospitals and tested the reliability and validity. The scale finally reserved 14 items, allocated into five dimensions: acquirement, attractiveness, receptivity, convenience and security. The scale exhibits internal consistency reliability and construct validity.

目的:在梳理国内当前“互联网+医疗”政策基础上,通过高频词的提取,构建研究框架,从政策层面归纳“互联网+医疗”的发展重点及趋势,以期为互联网+医疗相关主体提供参考.方法:从国务院办公厅、国家卫生健康委办公厅、国家中医药管理局、国家发展改革委、国家医疗保障局官方网站筛选覆盖2015-2020年的22个“互联网+医疗”相关政策文件,使用Wordcloud词频分析工具,提取高频词并绘制词云图,从基本理念、运营主体、机制支撑、实施效果、服务提供、发展规划6个分析维度深度解读国内“互联网+医疗”政策发展现状.结果:政策强调“互联网+医疗”的服务特性,医联体和中医逐渐受到政策倾斜,政策注重通过监管来保障医疗的质、远程共享来促进医疗的量.结论:通过多主体多形式的医疗服务提供,最终达到提升群众健康的目标.

目的:分析北京3所公立三甲医院门诊患者互联网+就诊体验,探讨互联网+服务对于患者就诊体验的影响,为医院改进互联网+服务提供依据.方法:在2018年7月对北京3所三级甲等医院的门诊患者,对使用过本院互联网+医疗服务进行问卷调查,共收回有效样本315份.结果:患者对于医院互联网+服务整体满意,界面流畅和号源支撑是影响互联网+就诊体验的首要因素.结论:门诊患者互联网+就诊能够提升患者满意度,但就诊候诊功能尚有提升空间.

作为医院质量改进的重要手段之一,患者体验调查越来越被国内外医院管理者所重视.从21世纪初开始,国外学者陆续开发了众多各具特色的患者体验测评工具,相比之下,国内患者体验研究起步较晚,仍存在概念混淆、测评工具缺乏等问题.因此,文章在界定患者体验概念的基础上,回顾总结了国外较为主流的患者体验测评工具,并对国内相关工具的开发和运用提出了建议.

随着技术的飞速发展及公众健康需求的升级,人工智能在健康产业逐渐展现出了广泛的应用场景.然而,由于人工智能主体的复杂性、技术的负面效应以及社会规约的不足,在投入应用时存在数据质量安全、工具理性与价值理性平衡以及责任认定等伦理问题,而社会规约的不足则会加剧这些伦理风险.通过文献梳理得到如下启示:健康产业的良好运行要求形成国家-社会-个人共动的态势.首先,国家要有清晰的发展规划,提高伦理审查能力,对其应用进行监管,确保责任归属明确后再投放市场;其次,应提高健康产业利益相关者的伦理意识,推动学科合作交流,加强安全技术研发,保护患者隐私;最后,传统从业者应明确自己的职业价值,规范健康人工智能应用,保障患者权益,与人工智能技术共促健康事业发展.

This paper examines the emotional effects of consuming frightening foods or drinks. We argue that in addition to maintaining energy homeostasis and attaining pleasure, a third possible benefit of eating is the enhancement of perceived mastery over that which is eaten. Hence, the intake of frightening foods or drinks should increase a consumer's self-confidence in dealing with fear. The findings of our three experimental studies confirm our counterintuitive predictions, namely that consuming frightening (vs. nonfrightening) foods or drinks leads to a significant reduction of fears arising from prior experiences of frightening activities and a significant increase in tolerance of prospective frightening activities. In addition, self-confidence in dealing with fear is shown to significantly mediate the predicted effects of consuming frightening foods or drinks.