基于扎根理论的县级医院医患纠纷研究  

Research on doctor-patient disputes in county hospitals based on grounded theory

作　　者：黄善甲 邵海亚[1,3] HUANG Shanjia;SHAO Haiya(School of Health Policy and Management,Nanjing Medical University,Nanjing 211166;Xuyi County People’s Hospital,Huai’an 211700;Institute of Healthy Jiangsu Development,Nanjing Medical University,Nanjing 211166,China)

机构地区：[1]南京医科大学医政学院,江苏南京211166 [2]盱眙县人民医院,江苏淮安211700 [3]南京医科大学健康江苏研究院,江苏南京211166

出　　处：《南京医科大学学报（社会科学版）》2022年第3期253-259,共7页Journal of Nanjing Medical University（Social Sciences）

基　　金：江苏省社会科学基金一般项目“新医改背景下社区卫生服务机构行动逻辑模型构建及其困局破解”(16ZHB006)。

摘　　要：针对县级医院存在医患纠纷处理难、赔偿高的现状,文章构建县级医院医患纠纷影响因素的概念模型。采用文献分析法及扎根理论对62篇文献进行质性分析,通过NVivo软件编码得到364个参考点;经过反复分析、比较和联系,凝练出个体认知差异、制度政策背景、医患资源策略三个核心范畴;从认知—制度—资源三个维度提出县级医院预防医患纠纷危机的五个策略。以此促进医院管理者未雨绸缪,提升及时识别并处理医院潜在危机的能力,降低发生医患纠纷的风险。In view of the current situation of difficult handling and high compensation of doctor-patient disputes in county-level hospitals,this paper constructs a conceptual model of the influencing factors of doctorpatient disputes in county-level hospitals. A total of 62 articles were qualitatively analyzed by the literature analysis method and the grounded theory,and 364 reference points were obtained through NVivo software coding. After repeated analysis,comparison and linkage,three core categories are condensed,i.e. individual cognitive differences;institutional policy background and doctor-patient resource strategy to build a conceptual model of the influencing factors of doctor-patient disputes in county hospitals. From the three dimensions of cognition,system and resources,this paper put forward five strategies for county hospitals to prevent the crisis of doctor-patient disputes,in order to promote hospital managers to plan ahead,improve the ability to timely identify and deal with the potential crisis of the hospital,and reduce the risk of doctor-patient disputes.

关 键 词：县级医院 医患纠纷 扎根理论 影响因素 预防 

分 类 号：R197.3[医药卫生—卫生事业管理]