Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study

Siyu Zhou, Ziling Ni, Atsushi Ogihara and Xiaohe Wang
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Siyu Zhou: School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
Ziling Ni: School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
Atsushi Ogihara: Department of Health Sciences and Social Welfare, Faculty of Human Sciences, Waseda University, Tokorozawa 359-1162, Japan
Xiaohe Wang: School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China

IJERPH, 2022, vol. 19, issue 13, 1-24

Abstract: The aging transformation of digital health services faces issues of how to distinguish influencing factors, redesign services, and effectively promote measures and policies. In this study, in-depth interviews were conducted, and grounded theory applied to open coding, main axis coding, and selective coding to form concepts and categories. Trajectory equifinality modeling clarified the evolution logic of digital transformation. Based on the theory of service ecology, a digital health service aging model was constructed from the “macro–medium–micro” stages and includes governance, service, and technology transformation paths. The macro stage relies on organizational elements to promote the institutionalization of management and guide the transformation of governance for value realization, including the construction of three categories: mechanism, indemnification, and decision-making. The meso stage relies on service elements to promote service design and realize service transformation that is suitable for aging design, including the construction of three categories: organization, resources, and processes. The micro stage relies on technical elements to practice experiencing humanization, including the construction of three categories: target, methods, and evaluation. These results deepen the understanding of the main behaviors and roles of macro-organizational, meso-service, and micro-technical elements in digital transformation practice and have positive significance for health administrative agencies to implement action strategies.

Keywords: sustainability; digital transformation; suitable for aging; service ecological theory; health service (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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