The open sharing operation mechanism of health data in the digital healthcare era: A study based on grounded theory and interpretative structural modeling method

Objective In the evolving digital healthcare landscape, the strategic exploitation of open health data has become increasingly pivotal. The open sharing of health data is essential due to its irreplaceable role in digital health care. It is made feasible by the development of emerging technologies a...

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Main Authors: Xinping Huang, Siyuan Zhu, Zheng Lv, Qianwen Zhou, Tianqi Kou
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076251353694
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author Xinping Huang
Siyuan Zhu
Zheng Lv
Qianwen Zhou
Tianqi Kou
author_facet Xinping Huang
Siyuan Zhu
Zheng Lv
Qianwen Zhou
Tianqi Kou
author_sort Xinping Huang
collection DOAJ
description Objective In the evolving digital healthcare landscape, the strategic exploitation of open health data has become increasingly pivotal. The open sharing of health data is essential due to its irreplaceable role in digital health care. It is made feasible by the development of emerging technologies and the support of national policies. However, in practice, health data systems continue to face challenges such as data fragmentation, uneven data quality, poor platform connectivity, and a data regulatory vacuum, all of which hinder the effective integration of healthcare resources. This study proposes a health data governance framework to align stakeholder incentives, clarify operational responsibilities, and facilitate the compliant sharing and reuse of health data. Methods Innovatively employing grounded theory, this study meticulously examines the critical elements that influence health data sharing and provides a comprehensive explanation of its operational mechanisms through the Interpretive Structural Modeling – Cross-Impact Matrix Multiplication Applied to Classification model, delves into the operational mechanisms from three perspectives: the interest-driven and coordinated actions of multiple stakeholders, the open flow and secure sharing of the data ontology, and the internal support and external guarantees provided by the environmental context. Results This study proposes a structured data governance framework, establishing a health data sharing system built upon four core components: top-level guidance, collaborative governance, technological empowerment, and rights protection. By standardizing data quality assessment, enhancing platform interoperability, unifying data exchange protocols, and addressing critical regulatory gaps, the framework offers a systematic solution to the key challenges associated with open health data sharing. Conclusion This study advocates an open health data-sharing framework characterized by “top-level guidance, collaborative governance, technological empowerment, and robust rights protection.” Such a framework will optimize the economic and social value of open health data, address existing challenges, and harness future opportunities to create a more inclusive and efficient healthcare system.
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spelling doaj-art-7f0bb11b6fbb4b3f81ccdf7379da427c2025-06-26T09:04:03ZengSAGE PublishingDigital Health2055-20762025-06-011110.1177/20552076251353694The open sharing operation mechanism of health data in the digital healthcare era: A study based on grounded theory and interpretative structural modeling methodXinping Huang0Siyuan Zhu1Zheng Lv2Qianwen Zhou3Tianqi Kou4 National Intelligent Social Governance Research Institute of Jilin University, , Changchun, China Marine Archives, National Marine Data Information Center, Tianjin, China School of Business and Management, , Changchun, China Paul Merage School of Business, , Irvine, CA, USA School of Business and Management, , Changchun, ChinaObjective In the evolving digital healthcare landscape, the strategic exploitation of open health data has become increasingly pivotal. The open sharing of health data is essential due to its irreplaceable role in digital health care. It is made feasible by the development of emerging technologies and the support of national policies. However, in practice, health data systems continue to face challenges such as data fragmentation, uneven data quality, poor platform connectivity, and a data regulatory vacuum, all of which hinder the effective integration of healthcare resources. This study proposes a health data governance framework to align stakeholder incentives, clarify operational responsibilities, and facilitate the compliant sharing and reuse of health data. Methods Innovatively employing grounded theory, this study meticulously examines the critical elements that influence health data sharing and provides a comprehensive explanation of its operational mechanisms through the Interpretive Structural Modeling – Cross-Impact Matrix Multiplication Applied to Classification model, delves into the operational mechanisms from three perspectives: the interest-driven and coordinated actions of multiple stakeholders, the open flow and secure sharing of the data ontology, and the internal support and external guarantees provided by the environmental context. Results This study proposes a structured data governance framework, establishing a health data sharing system built upon four core components: top-level guidance, collaborative governance, technological empowerment, and rights protection. By standardizing data quality assessment, enhancing platform interoperability, unifying data exchange protocols, and addressing critical regulatory gaps, the framework offers a systematic solution to the key challenges associated with open health data sharing. Conclusion This study advocates an open health data-sharing framework characterized by “top-level guidance, collaborative governance, technological empowerment, and robust rights protection.” Such a framework will optimize the economic and social value of open health data, address existing challenges, and harness future opportunities to create a more inclusive and efficient healthcare system.https://doi.org/10.1177/20552076251353694
spellingShingle Xinping Huang
Siyuan Zhu
Zheng Lv
Qianwen Zhou
Tianqi Kou
The open sharing operation mechanism of health data in the digital healthcare era: A study based on grounded theory and interpretative structural modeling method
Digital Health
title The open sharing operation mechanism of health data in the digital healthcare era: A study based on grounded theory and interpretative structural modeling method
title_full The open sharing operation mechanism of health data in the digital healthcare era: A study based on grounded theory and interpretative structural modeling method
title_fullStr The open sharing operation mechanism of health data in the digital healthcare era: A study based on grounded theory and interpretative structural modeling method
title_full_unstemmed The open sharing operation mechanism of health data in the digital healthcare era: A study based on grounded theory and interpretative structural modeling method
title_short The open sharing operation mechanism of health data in the digital healthcare era: A study based on grounded theory and interpretative structural modeling method
title_sort open sharing operation mechanism of health data in the digital healthcare era a study based on grounded theory and interpretative structural modeling method
url https://doi.org/10.1177/20552076251353694
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