A TOE Model-based Study on The Dynamic Resistance of Digital Technology-enabled Primary Care Development

Shi Yongli; Li Ziyuan; Xue Zhonghao; Zhu Lili; Dong Ping; Li Xiaona; Gao Min; Ma Dongping; Yin Wenqiang; Chen Zhongming

Abstract：Objective Based on the TOE model,to analyze the driving and restraining forces i in the digital development of primary healthcare institutions.Methods Based on the TOE model,the data obtained from literature analysis and key informant interviews were subject coded,and the dynamic resistance factors in the development of digital technology-enabled primary health care institutions were systematically sorted out from three dimensions of technology,organization and environment.Results The main technical driving force for the development of primary health care institutions enabled by digital technology was the rapid development of digital information technology,the main organizational driving force was the government's incentive policies,and the environmental driving force was the increasing diversification of patients'health needs.The main technical obstacles to the development of digital technology-enabled primary medical institutions include information islands and information security risks,the main organizational obstacles include imperfect policy system,inadequate financial support,inadequate digital capacity of primary medical staff,and the main environmental obstacles are the low recognition of patients.Conclusion The development of primary health care institutions enabled by digital technology faces more resistance and less driving force,so all parties should strengthen the integration and application of digital technology,enhance the multi-dimensional collaborative path of policy-fund-talent,and enhance patients'recognition of primary health care digitalization.