基于行动者网络理论的精准医疗服务体系运行机制探讨

行动者网络理论借鉴了系统科学、社会学和管理学等理论,为研究技术-社会二元观点提供了新视角。作者引入行动者网络理论,以技术-社会的视角,分析了精准医疗服务体系运行的构成主体及其关系,研究了该行动者网络的转译过程。分析显示,影响精准医疗服务体系运行的主体有医院、患者、政府、科研机构、技术型企业、高等院校,即精准医疗服务的供给者、需求者、管理者、筹资者以及技术支持者。其中,82.72%(335/405)的临床医生认为医院是影响精准医疗服务体系运行的核心行动者;71.60%(290/405)的临床医生认为开展医务工作者培训是当前医院的工作重点,即为该行动者网络的强制通行点。通过开展培训,可提高医疗工作者及医院的精准医疗服务能力。

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

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.