基于扎根理论的医患冲突演化升级的影响因素辨识  

Identification of Influencing Factors on the Evolution and Intensification of Doctor-patient Conflicts Based on the Grounded Theory

作　　者：王昊[1] 熊国强[1] 陈菊红[1] 

机构地区：[1]西安理工大学经济与管理学院,陕西西安710054

出　　处：《预测》2017年第4期15-21,共7页Forecasting

基　　金：国家自然科学基金资助项目(71173171);陕西省教育厅哲学社会科学重点研究基地资助项目(14JZ030)

摘　　要：以群体化、多主体和暴力性为特征的医患冲突已成为我国亟待解决的社会问题之一,然而目前仍缺乏有关医患冲突演化升级影响因素的系统性研究。本文以多案例研究和扎根理论为工具,搜集整理了60起医患冲突典型案例,在文本分析的基础上对案例信息进行编码,并确定了102个基础影响因素。经过反复的比较、聚类,最终得出环境情景刺激、群体特性、风险认知差异以及政府体制因素4个具有统领性的关键影响因素,由此构建医患冲突演化升级影响因素的概念模型,进一步探究多因素耦合作用下医患冲突演化升级的规律。最后,分别从事前预防、事中应急和事后公关的角度提出了相应的政策建议。Doctor-patient conflicts with the characteristics of grouping, multi-agent and violence, have became one of the social problems to be solved urgently in China. However, the systematic studies about the very influencing factors which intensify the doctor-patient conflicts are still absent. By means of the grounded theory and multiple-case study, we collect 60 typical cases. On the basis of text analysis, the cases＇ information is encoded, and 102 fundamental factors are determined afterwards. Finally, after repeated comparisons and clustering, four ruling factors are identified as fol- lows： the environmental scenarios stimulations, group characteristics, risk perception differences and government institu- tional factors. On its basis, a conceptual model to explore the regularities in the conflict is established. At last, some suggestions are proposed from the perspectives of preventions, emergency responses and public relations.

关 键 词：医患冲突 演化升级 影响因素 扎根理论 

分 类 号：C936[经济管理—管理学]