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[1]陈冠云姚刚沈安琪李刚.互联网医院标准体系建设理论框架研究[J].中国卫生质量管理,2025,32(10):6-10.[doi:10.13912/j.cnki.chqm.2025.32.10.02]
　CHEN Guanyun,YAO Gang,SHEN Anqi.Research on the Theoretical Framework for the Construction of a Standard System for Internet Hospitals[J].Chinese Health Quality Management,2025,32(10):6-10.[doi:10.13912/j.cnki.chqm.2025.32.10.02]

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互联网医院标准体系建设理论框架研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年10期页码: 6-10 栏目: 特别关注出版日期: 2025-10-15

Title:: Research on the Theoretical Framework for the Construction of a Standard System for Internet Hospitals

作者:: 陈冠云姚刚沈安琪李刚; 华中科技大学同济医学院附属同济医院

Author(s):: CHEN Guanyun; YAO Gang; SHEN Anqi; Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

关键词:: 互联网医院; 标准体系; 标准建设; 霍尔三维结构理论; 分解结构法

Keywords:: Internet Hospital; Standard System; Standard Construction; Hall’s Three-Dimensional Structure Theory; Work Breakdown Structure Method

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2025.32.10.02

文献标志码:: A

摘要:: 缺乏统一的标准是制约互联网医院发展的关键因素。通过梳理现有研究、政策、标准文件，结合关键知情人访谈结果，基于霍尔三维结构理论与分解结构法，构建互联网医院标准体系建设的理论框架，涵盖目标维度（最终产出）、组织维度（责任归属）、系统维度（具体任务），并细化了标准体系文件框架，包括基础、信息技术、设施设备、安全、服务和管理等6类标准。同时，提出细化系统维度任务、建立组织间协调机制、推动不同层级标准协同对接、强化患者参与机制等建设策略。

Abstract:: The lack of unified standards is a key factor restricting the development of internet hospitals. By reviewing existing research, policies, and standard documents, combined with interviews with key informants, this study constructs a theoretical framework for the standard system construction of internet hospitals based on Hall’s three-dimensional structure theory and the work breakdown structure method. This framework covers three dimensions: the objective dimension (final output), the organizational dimension (responsibility attribution), and the systemic dimension (specific tasks). It further refines the standard system document framework, encompassing six categories of standards: foundational, information technology, facilities and equipment, security, service, and management standards. Additionally, the study proposes construction strategies, including refining tasks within the systemic dimension, establishing inter-organizational coordination mechanisms, promoting the alignment and integration of standards at different levels, and deepening patient participation mechanisms.

参考文献/References:

［1］中国医学科学院医学信息研究所,池慧,郭珉江,等.中国互联网医院发展报告（2024）［M］.北京:社会科学文献出版社,2024:50.［2］张丽莉,胡圆圆,李丽,等.我国互联网医院发展面临的主要问题及对策分析［J］.中国卫生质量管理,2021,28(9):1-3. ［3］闫雪,何爱丽,王菲,等.互联网医院运行管理问题分析及对策探讨［J］.中国卫生质量管理,2023,30(9):63-66. ［4］国家市场监督管理总局,国家标准化管理委员会.信息技术服务运行维护第8部分——医院信息系统管理要求:GB/T 28827.8-2022［S］.2022.［5］国家市场监督管理总局,国家标准化管理委员会.信息安全技术健康医疗数据安全指南:GB/T 39725-2020［S］.2020.［6］国家市场监督管理总局,国家标准化管理委员会.智慧城市智慧医疗第2部分——移动健康:GB/T 40028.2-2021［S］.2021.［7］福建省市场监督管理局.公立医疗机构互联网医院建设规范: DB35/T 2046-2021［S］.2021.［8］沈磊.互联网医院发展研究［D］.武汉:华中科技大学,2019.［9］赵旭,李佳,刘长生,等.辽宁绿色储粮标准化体系构建研究［J］.粮食科技与经济,2024,49(1): 74-77.［10］王婉蓉.基于霍尔三维结构的档案智库建设模型研究［D］.哈尔滨:黑龙江大学, 2024.［11］美国项目管理协会.工作分解结构(WBS)实践标准［M］.北京:电子工业出版社, 2021:46.

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更新日期/Last Update: 2025-10-15