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The role of information and communication technology in the transformation of the healthcare business model: a case study of Slovenia

机译：信息和通信技术在医疗保健业务模式转变中的作用：以斯洛文尼亚为例

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Background: The Slovenian healthcare business model (BM) has largely failed to integrate information and communication technologies (ICT) into its operational context, instead maintaining its rigid structure and traditional 'way of doing business'. This situation often results in uncoordinated business operations, while additionally destabilising an already underfinanced healthcare system and compromising the general quality of healthcare. Aim.The aim of this study is to provide an analysis of the BM concept and its implications, and to identify the potential effects of informatisation on the existing healthcare BM in Slovenia. Based on the findings, the paper concludes by presenting a conceptualisation of a transformed healthcare BM adapted to the Slovenian healthcare environment. Method: The study employs a single explanatory/exploratory case study design, while the validation of the hypothesised constructs was undertaken through structured interviews with twelve prominent experts from the Slovenian healthcare system. Interviewees were: healthcare professionals (two general practitioners and two specialists), ICT experts from healthcare (one ICT consultant and three analysts), and healthcare managers (two managers of public healthcare centres and two managers of public clinics). Results: Findings present a roadmap for the redefinition of BM elements and the transformation of the Slovenian healthcare BM. It includes the specific reconfiguration of BM actors and their interactions, and the application of advanced ICT solutions, which could facilitate more effective utilisation of healthcare resources and promote an improved delivery of healthcare services and products. Conclusion: The presented development approach and derived conceptual solution could be transferable to other countries with similar socio-economic characteristics and comparable healthcare systems, subject to certain adjustments and inclusion of national specifics.
机译：背景：斯洛文尼亚医疗保健业务模型（BM）在很大程度上未能将信息和通信技术（ICT）整合到其运营环境中，而是保持了其僵化的结构和传统的“经商方式”。这种情况通常会导致业务运作不协调，同时还会破坏本来就资金不足的医疗保健系统的稳定性，并损害医疗保健的总体质量。目的：本研究的目的是对BM概念及其含义进行分析，并确定信息化对斯洛文尼亚现有医疗BM的潜在影响。基于这些发现，本文最后提出了适用于斯洛文尼亚医疗保健环境的改造医疗保健BM的概念。方法：本研究采用单一的解释性/探索性案例研究设计，而对假设结构的验证是通过与来自斯洛文尼亚医疗保健系统的十二位著名专家进行的结构化访谈进行的。受访者为：医疗保健专业人员（两名全科医生和两名专家），医疗保健领域的ICT专家（一名ICT顾问和三名分析师）和医疗保健经理（两名公共保健中心经理和两名公共诊所经理）。结果：调查结果提出了重新定义BM元素和斯洛文尼亚医疗BM转型的路线图。它包括对BM参与者及其交互的特定重新配置，以及先进ICT解决方案的应用，这可以促进更有效地利用医疗资源并促进改善医疗服务和产品的交付。结论：提出的发展方法和衍生的概念解决方案可以转移到其他具有相似社会经济特征和类似医疗体系的国家，但要进行某些调整并纳入国家具体要求。

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