Research on operation mechanism of precision medical service system based on the actor network theory

Jie Zhao, Yixuan Yang, Tianlin Wang, Jinghong Gao, Yun-kai Zhai
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Abstract

The actor network theory, with reference to systems science, sociology and management science, offers a new perspective for research of the technology-society binary view. This theory as introduced by the authors, analyzed the constituent bodies and their relationship of the operation of the precise medical service system, and studied the translation process of the actor network. The analysis showed that the main factors affecting the operation of the precision medical service system were hospitals, patients, governments, scientific research institutions, technology-based enterprises, and universities, which were suppliers, demanders, managers, funders, and technical supporters of precision medical services. Among them, 82.72%(335/405) of clinicians believed that hospitals were the core actor that affected the operation of precision medical service system. 71.60%(290/405) of the clinicians thought that the training of medical workers was the current focus of the hospital, i. e., the mandatory access point for this actor network. Through training, the accurate medical service ability of medical workers and hospitals can be improved. Key words: Precision medicine; Service system; Actor network theory; Operation mechanism
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基于行动者网络理论的精准医疗服务系统运行机制研究
行动者网络理论借鉴了系统科学、社会学和管理学的理论,为技术-社会二元观的研究提供了新的视角。作者介绍了这一理论,分析了精准医疗服务系统运行的组成主体及其相互关系,研究了行动者网络的翻译过程。分析表明,影响精准医疗服务体系运行的主要因素是医院、患者、政府、科研机构、科技型企业和高校,他们是精准医疗服务的提供者、需求者、管理者、资助者和技术支持者。其中,82.72%(335/405)的临床医生认为医院是影响精准医疗服务系统运行的核心行动者。71.60%(290/405)的临床医生认为医护人员的培训是目前医院的重点,即该行动者网络的强制性接入点。通过培训,可以提高医务工作者和医院的精准医疗服务能力。关键词:精准医疗;服务体系;行动者网络理论;运行机制
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