基于扎根理论的城市卫生应急管理体系问题分析与对策研究  

Problem analysis and countermeasure research for urban health emergency management system based on grounded theory

作　　者：史卢少博 陈冬雪 姚卫光 夏怡 王冬 Shi Lushaobo;Chen Dongxue;Yao Weiguang;Xia Yi;Wang Dong(School of Health Management,Southern Medical University,Guangzhou 510515,China;Public Health Policy Research and Evaluation Key Laboratory Project of the Philosophy and Social Sciences of Guangdong College,Guangzhou 510515,China;The Key Research Base of Humanities and Social Sciences of Public Health Service System Construction of Guangzhou,Guangzhou 510515,China;Institute of Higher Education,Guangzhou Medical University,Guangzhou 511436,China)

机构地区：[1]南方医科大学卫生管理学院,广州510515 [2]广东省高校公共卫生政策研究与评价哲学社科重点实验室,广州510515 [3]广州市公共卫生服务体系建设人文社会科学重点研究基地,广州510515 [4]广州医科大学高等教育研究所,广州510515

出　　处：《中华医院管理杂志》2022年第11期797-801,共5页Chinese Journal of Hospital Administration

基　　金：研究阐释党的十九届六中全会精神国家社科基金重大项目(22ZDA104)。

摘　　要：目的基于扎根理论研究某市卫生应急管理体系发展问题及对策, 为城市卫生应急管理体系建设提供参考。方法 2020年6月至2021年4月, 采用目的抽样方法从某市卫生健康委员会和疾病预防控制中心以及11个市辖区卫生健康局和疾病预防控制中心选取61位卫生应急管理人员进行半结构式访谈。采用扎根理论方法分析访谈资料。结果从访谈资料中提取288个概念、79个初始范畴、15个副范畴和5个主范畴。城市卫生应急管理体系受到公共卫生人才队伍建设薄弱、预案管理不规范、信息共享局限等多种制约因素影响, 存在结构和机制上的碎片化困境, 需加强政策支持与应急资源配置, 推进卫生应急体系重塑。其中, 政策支持与应急资源配置是前提条件, 卫生应急系统重塑是核心过程。结论某市卫生应急管理体系建设存在资源供给不足和预案管理薄弱等问题, 应建立高位驱动的政策体系、加强平急结合的资源配置并重塑协调整合的体制机制, 以推进卫生应急管理体系不断发展。Objective To study development problems and countermeasures of the health emergency management system in a city based on the grounded theory,for references on the construction of a new round of urban health emergency management system.Methods From June 2020 to April 2021,61 health emergency management personnel were selected using the objective sampling method from the municipal health commission and disease prevention and control center of a city,and from 11 district health bureaus and disease prevention and control centers,for semi-structured interviews.Grounded theory method was used to analyze the interview data.Results 288 concepts,79 initial categories,15 sub-categories,and 5 main categories were extracted from the interview materials.The urban health emergency management system was affected by a variety of constraints such as the weak construction of public health talent team,non-standard plan management,and limited information sharing.There was a fragmentation dilemma in structure and mechanism.It was necessary to strengthen policy support and emergency resource allocation to promote the reconstruction of the health emergency response system.Among them,policy support and emergency resource allocation were prerequisites,and the remodeling of health emergency system was the core process.Conclusions There were problems such as insufficient resource supply and weak plan management in the construction of the city′s health emergency management system.We should establish a high-level driven policy system,strengthen the resource allocation of peacetime and wartime,and reshape the system and mechanism of coordination and integration,so as to continue to promote the continuous development of the health emergency management system.

关 键 词：卫生应急管理 扎根理论 制约因素 碎片化困境 

分 类 号：R197[医药卫生—卫生事业管理]