With the comprehensive launch of the information construction of China's close-knit county-level medical consortium, localities are making full use of Internet information technology to explore mechanisms suitable for the development of county-level medical consortium, and how to rely on information technology construction to enhance the capacity of primary health care services has become an important issue.

Explore the mechanism of information construction to empower the high-quality development of compact medical consortium.

Purposive sampling method was used to conduct semi-structured interviews in December 2023 with 28 medical staff from the medical community in County G. The interview topics centered on the characteristics and highlights of the medical community in the construction of information technology, its effectiveness, and the application of information technology in the internal management of the medical community, etc. At the same time, policy documents and news reports on the construction of the county-level medical community were selected to serve as the secondary data. The interview data and secondary data were coded and analysed through open coding, axial coding and selective coding, following programmed rooting theory approach.

Through open coding, 134 concepts and 48 basic categories were extracted; 6 main categories were obtained through axial coding. Theoretical framework was formed through selective coding, which mainly consists of 4 mechanisms, they were the mechanism of top-down linkage, the mechanism of integration of medical treatment and prevention, the mechanism of data sharing, the mechanism of fund management.

County G medical consortium improves the top-level design and strengthens the unified management and responsibility implementation of the medical consortium; and empowers the division of labor, service integration, interconnection and benefit-sharing mechanism among units of the compact county-level medical consortium through informatization, so as to promote the high-quality development of the compact county-level medical consortium.

随着我国紧密型县域医共体信息化建设的全面推开，各地充分利用互联网信息技术探索适宜县域医共体发展的路径，如何依托信息化建设提升基层医疗卫生服务能力成为重要议题。

了解信息化建设赋能紧密型县域医共体高质量发展的机制。

于2023年12月，采用目的抽样法选取G县医共体的28名医务人员进行半结构化访谈，访谈主题包括医共体在信息化建设中的特色/亮点、成效及信息技术在医共体内部管理中的应用等。同时，选取有关医共体建设的政策文件和新闻报道作为二手资料。遵循程序化扎根理论方法，通过开放性编码、主轴编码、选择性编码对访谈资料及二手资料进行编码和分析。

经开放性编码提取到概念134个，基本范畴48个；经主轴编码获得6个主范畴；经选择性编码形成理论框架，理论框架主要分为4个机制，一是上下联动机制，二是医防融合机制，三是数据共享机制，四是基金管理机制。

G县医共体通过完善顶层设计，加强医共体统一管理和责任落实，依托信息化赋能紧密型县域医共体单位间的分工协作、服务整合、互联互通和利益共享机制，推动紧密型县域医共体高质量发展。